Endometrial Cavity

In: Managing Ultrasonography in Human Reproduction · 2016 · pp. 43–75 · doi:10.1007/978-3-319-41037-1_4 · W4248161240
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This paper examines whether structural uterine abnormalities influence female infertility by affecting endometrial receptivity and embryo implantation.

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The paper reviews how successful implantation depends not only on embryo quality but also on hormonally primed uterine receptivity and normal structure and function of the uterus/endometrial cavity, focusing on how structural abnormalities might impair fertility. It discusses a range of congenital or acquired uterine abnormalities—including Müllerian anomalies, adenomyosis, myomas, endometrial polyps, and intrauterine adhesions—as potential contributors to subfertility by degrading endometrial receptivity and reducing implantation or increasing miscarriage. A key caveat is that it notes ongoing debate about whether these structural abnormalities truly play a causal role in infertility and pregnancy outcomes. Relevance to endometriosis: adenomyosis is explicitly listed as one of the structural uterine abnormalities that may affect endometrial receptivity and thereby implantation or miscarriage, though the chapter is not limited to endometriosis/endometriosis-related disease.

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Abstract

Successful implantation largely depends on the embryo’s quality and on hormonally primed uterine receptivity [1]. In fact, the uterus and endometrial cavity are fundamental components for reproduction, and their normal structure and function positively influence conception and pregnancy outcomes. However, it is still a matter of debate whether congenital or acquired structural uterine abnormalities, such as Mullerian anomalies, adenomyosis, myomas, endometrial polyps, and intrauterine adhesions, may play a role in female infertility, probably leading to subfertility, to defective endometrial receptivity, and to consequently decreased embryo implantation or miscarriage [2]. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Springer, Cham. https://doi.org/10.1007/978-3-319-41037-1_4 Download citation DOI: https://doi.org/10.1007/978-3-319-41037-1_4 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-41035-7 Online ISBN: 978-3-319-41037-1 eBook Packages: MedicineMedicine (R0)

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