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Endometriosis Uncovered: From Chronic Inflammation to Reproductive Dysfunction and Impaired ART Outcomes.

Luana Ghilea Seleș1, Viorela Romina Murvai2, Laura Maghiar3

  • 1Doctoral School of Biological and Biomedical Sciences, University of Oradea, 1 University Street, 410087 Oradea, Romania.

Medicina (Kaunas, Lithuania)
|May 27, 2026
PubMed
Summary

Endometriosis is a systemic inflammatory and immune disorder impacting fertility. Chronic inflammation and immune dysregulation negatively affect reproductive health and assisted reproductive technology (ART) outcomes.

Keywords:
assisted reproductive technologybiomarkerscytokinesendometriosisimmune dysregulationinfertilityinflammation

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Establishment of an Experimental Mouse Model of Endometrioma to Study its Related Infertility
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Establishment of an Experimental Mouse Model of Endometrioma to Study its Related Infertility

Published on: April 5, 2024

Area of Science:

  • Reproductive Immunology
  • Gynecological Disorders
  • Inflammatory Diseases

Background:

  • Endometriosis affects 6-10% of reproductive-aged women, often linked to infertility.
  • It is increasingly recognized as a systemic inflammatory and immune-mediated disease, not just a localized condition.
  • Chronic inflammation and immune dysregulation are implicated in disease progression and impaired reproductive function.

Purpose of the Study:

  • To review current evidence on inflammatory and immunological mechanisms in endometriosis.
  • To evaluate the impact of these mechanisms on reproductive dysfunction.
  • To assess their influence on assisted reproductive technology (ART) outcomes.

Main Methods:

  • Comprehensive narrative review of PubMed, Scopus, and Web of Science databases.
  • Selection of articles from the last decade using keywords: endometriosis, inflammation, immune response, cytokines, ART outcomes.
  • Inclusion of clinical and experimental studies examining inflammatory markers, immune alterations, and reproductive performance.

Main Results:

  • Endometriosis is linked to elevated pro-inflammatory cytokines (IL-1β, IL-6, TNF-α) and oxidative stress.
  • Immune dysfunction includes activated macrophages, reduced NK cell activity, and T-cell imbalances.
  • These alterations negatively impact oocyte quality, fertilization, embryo development, and endometrial receptivity.

Conclusions:

  • Endometriosis is a systemic immuno-inflammatory disorder significantly affecting reproductive health.
  • Chronic inflammation and immune dysregulation are central to endometriosis-related infertility and suboptimal ART outcomes.
  • Further research is needed for reliable biomarkers and targeted therapies to enhance reproductive success.