医学
不育
模式
生殖医学
感受性
植入失败
子宫内膜
胚胎移植
女性生殖系统
治疗方式
妇科
男科
辅助生殖技术
妊娠率
产科
怀孕
不明原因不孕症
生物
体外受精
卵胞浆内精子注射
子宫内膜活检
作者
Lukasz Polanski,Miriam Baumgarten
出处
期刊:Seminars in Reproductive Medicine
[Georg Thieme Verlag KG]
日期:2021-03-01
卷期号:39 (01/02): 027-033
标识
DOI:10.1055/s-0041-1730421
摘要
Assisted reproductive treatment (ART) gave numerous couples the chance to have their biological child. Improvement in laboratory and culture conditions allows for selection of embryos with the best developmental potential, although replacement of these top-quality embryos does not, however, guarantee reproductive success. Endometrial receptivity is essential for pregnancy establishment and may be the limiting factor for the observed pregnancy rates with ART. Multiple modalities have been in use to assess endometrial receptivity, with ultrasound assessment of the endometrial morphology most commonly used due to its noninvasive nature and availability. Utilization of various "omics" increases our understanding of endometrial receptivity and selectivity; however, significantly more work is required to develop clinically relevant and validated tests of endometrial receptivity and treatments which could improve a suboptimal endometrial milieu. Current evidence for and against use of various tests of endometrial receptivity in women undergoing ART is presented in this article.
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