Chronic endometritis diagnosis and fertility outcomes: an old unresolved question

Chronic endometritis is a reversible cause of infertility and remains a clinical and biologic challenge even using hysteroscopy and conventional histology and relies on the presence of plasma cells in immunohistochemistry. Our results underline the low accuracy of hysteroscopy and conventional histology to assess chronic endometritis, thus supporting the systematic use of CD138 immunostaining in infertile women even in the case of normal endometrium. Moreover, pregnancy rate seems enhanced by antibiotic therapy.

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Publication Details

Journal
Reproduction and Fertility
Published
2025-09-15
DOI
https://doi.org/10.1530/raf-25-0016
Citations
1
Primary Topic
Endometriosis Research and Treatment
Type
article
Field-Weighted Citation Impact
1.70
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Chronic endometritis diagnosis and fertility outcomes: an old unresolved question

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article

Chronic endometritis diagnosis and fertility outcomes: an old unresolved question

Nathalie Massin, Yohann Dabi, Jérôme Bouaziz, Émile Daraï, Johanna Ilic, Jessica Issa, Justine Varinot, Cyril Touboul, Rana Mitri-Frangieh, Bassam Haddad
article en
1 citations

Abstract

Chronic endometritis is a reversible cause of infertility and remains a clinical and biologic challenge even using hysteroscopy and conventional histology and relies on the presence of plasma cells in immunohistochemistry. Our results underline the low accuracy of hysteroscopy and conventional histology to assess chronic endometritis, thus supporting the systematic use of CD138 immunostaining in infertile women even in the case of normal endometrium. Moreover, pregnancy rate seems enhanced by antibiotic therapy.

Reproduction and FertilityVol. 6(4)
Université Pierre Mendès France (FR), Sorbonne Université (FR), Center Point (US), Assistance Publique – Hôpitaux de Paris (FR), Hôpital Intercommunal de Créteil (FR), Hôpital Tenon (FR)
Openalex Percentile: Top 13%
Endometriosis Research and Treatment
1.70
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