The diagnostic role of cervico-vaginal fluid interleukins-1α in endometriosis: A case-control study.

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This case-control study found significantly higher cervico-vaginal fluid IL-1α levels in women with endometriosis compared to controls, suggesting its diagnostic potential.

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AI-generated deep summary by claude@2026-06, 2026-06-10

This case-control study compared cervico-vaginal fluid interleukin-1α (IL-1α) levels between 25 women with surgically and histopathologically confirmed endometriosis and 25 controls without evidence of endometriosis or other genital disease. Cervico-vaginal fluid was collected during the follicular phase and prior to surgery, and IL-1α was quantified using a commercially available ELISA kit, with receiver-operating curve analysis to evaluate diagnostic discrimination. Women with endometriosis had higher IL-1α levels (210.44 ± 40.11 pg/mL) than controls (54.28 ± 25.73 pg/mL; P < 0.0001), and the authors reported an IL-1α cut-off of 105 pg/mL with 100% sensitivity and 100% specificity. The study’s main limitation is its small sample size (n=50). This paper is centrally about endometriosis — it assesses cervico-vaginal fluid IL-1α as a diagnostic marker.

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Abstract

BACKGROUND: Endometriosis is a chronic and progressive gynecological disorder and is manifest by dysmenorrhea and a major cause of infertility and chronic pelvic pain. The study was designed to compare the value of cervico-vaginal fluid of interleukin-1α (IL-1α) in patients with and without endometriosis. MATERIALS AND METHODS: Fifty women were assessed in this case control study. The case group included 25 patients with endometriosis. The control group included 25 women without any evidence of endometriosis or any other genital disease. Endometriosis was confirmed by laparoscopy and histopathological examination. Cervico-vaginal fluid samples were obtained from patients during the follicular phase and preup surgery to assess the levels of IL-1α in cervico-vaginal fluid. The level of IL-1α was assessed using commercially available Avi Bionhuman Enzyme-Linked Immunosorbent Assay kits (FIN-01720, Vantaa, Finland) for IL-1α. Receiver-operator curve analysis was used to estimate the power of IL-1α to distinguish subjects with endometriosis from controls. RESULTS: The cervico-vaginal fluid level of IL-1α in cases was 210.44 ± 40.11 pg/mL and in controls was 54.28 ± 25.73 pg/mL, the differences between two groups was statistically significant (P < 0.0001). The cut-off point for cervico-vaginal fluid IL-1 for endometriosis was 105 pg/mL, with a sensitivity of 100% (95% confidence interval [CI]: 86.2-100), and specificity of 100% (95% CI: 86.2-100). CONCLUSION: Results show a significant increase in the cervico-vaginal fluid levels of IL-1α, in women with endometriosis, that it can be a useful marker in the diagnosis of endometriosis.

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Condition tags

endometriosischronic_pelvic_paindysmenorrheainfertility

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