Endometrial CRH and implantation: from bench to bedside
This review summarizes evidence on endometrial CRH in physiology and pathophysiology, highlighting its role in improving pregnancy rates for women with recurrent implantation failure.
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This review examines endometrial corticotropin-releasing hormone (CRH) in endometrial physiology and pathophysiology, integrating evidence on CRH’s roles in decidualisation and maternal–fetal immunotolerance and describing deregulated CRH expression as linked to chronic inflammatory reproductive disorders. It also highlights recent clinical data reporting that CRH can improve clinical pregnancy rates in women with repeated implantation failure after IVF and embryo transfer. A major caveat is that, as a narrative review, it synthesizes heterogeneous preclinical and clinical evidence rather than providing new mechanistic experiments or a single study’s controlled causal test. The paper relates to endometriosis and adenomyosis by explicitly citing deregulated CRH expression as associated with these conditions and including endometriosis- and adenomyosis-relevant CRH/urosspecific and inflammatory findings within its discussion. This paper is centrally about endometriosis — it discusses CRH deregulation in endometriosis and adenomyosis in the context of endometrial inflammatory disorders.
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References (33)
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