Endometriosis, recurrent miscarriage and implantation failure: is there an immunological link?

Abstract:

:Endometriosis is more frequently diagnosed in patients with infertility than in a normal population. The goal of this paper is to give an overview of the clinical and fundamental evidence for a possible link between endometriosis and (recurrent) miscarriage or implantation failure after treatment with assisted reproductive technology. According to the literature, there is insufficient evidence for an association between endometriosis and (recurrent) miscarriage, but there is, however, epidemiological evidence to support the link between endometriosis and recurrent implantation failure after assisted reproduction. This can possibly be explained by alterations in humoral and cell-mediated immunity in women with endometriosis. Humoral immunological changes include increased formation of antibodies against endometrial antigens, anti-laminin-1 auto-antibodies and other auto-immune antibodies (e.g. antiphospholipid). Cell-mediated immunological changes include alterations in peritoneal and follicular fluid immune cells and cytokines. The possible negative effect of these immunological changes on folliculogenesis, ovulation, oocyte quality, early embryonic development and implantation in women with endometriosis suggests that infertility in endometriosis patients may be related to alterations within the follicle or oocyte, resulting in embryos with decreased ability to implant.

journal_name

Reprod Biomed Online

authors

Tomassetti C,Meuleman C,Pexsters A,Mihalyi A,Kyama C,Simsa P,D'Hooghe TM

doi

10.1016/s1472-6483(10)62016-0

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

58-64

issue

1

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(10)62016-0

journal_volume

13

pub_type

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