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- W2080521771 abstract "The presence of high density small unmyelinated nerve fibers in the functional layer of the endometrium has been strongly associated with endometriosis. It has been suggested as a semi-invasive diagnostic test for minimal–mild endometriosis. Nerve fiber endings can be identified and quantified following simple endometrial biopsy. The presence of nerve fibers in the endometrium of women undergoing IVF treatment has not been previously assessed. Our aim was to assess the presence and density of nerve fiber endings in endometrium of women with various causes of infertility undergoing IVF, and to examine the correlation between the presence of nerve fiber endings in the endometrium and IVF success. Prospective observational study. Thirty-two IVF patients underwent Pipelle endometrial biopsy during days 21-23 of the menstrual cycle. Nerve fiber endings were identified by a specific immunohistochemical staining using anti-PGP9.5. Correlations between the presence of nerve fiber ending and their amount and between the various causes of infertility and between IVF success were assessed. Nerve fiber endings were identified in the endometrium of 10 out of 31 (32.2%) women with a satisfactory biopsy. No correlation was found between the presence of nerve fibers and the cause of infertility. A trend for higher density of nerve fiber endings was found in women with a diagnosis of endometriosis, unexplained infertility and patients with repeated implantation failure. Pregnancy was achieved in 14/32 (44%) of patients. No correlation was observed between the presence of nerve fiber endings in the endometrium and the likelihood of pregnancy. Nerve fiber endings can be identified in a substantial percentage of women undergoing IVF, possibly reflecting under-diagnosis of endometriosis in this population. Their presence does not seem to interfere with embryo implantation. The significance of nerve fiber endings in the endometrium of IVF patients warrants further research." @default.
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- W2080521771 date "2013-09-01" @default.
- W2080521771 modified "2023-10-18" @default.
- W2080521771 title "Endometrial nerve fiber endings in IVF patients" @default.
- W2080521771 doi "https://doi.org/10.1016/j.fertnstert.2013.07.230" @default.
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