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Study of Endometrial Immune and Microbiological Modifications in Cases of Recurrent Implantation Failure and/or Recurrent Pregnancy Loss
Sponsor: Assistance Publique - Hôpitaux de Paris
Summary
The IMERR study aims to improve understanding of certain causes of infertility related to recurrent implantation failure (RIF) and/or recurrent pregnancy loss (RPL), conditions that affect many women undergoing assisted reproductive technology (ART). Despite medical advances, some patients repeatedly fail to achieve pregnancy, or experience repeated miscarriages. These situations may be linked to subtle immune or microbial disturbances in the uterus. This study seeks to identify immune and microbiological profiles in the endometrium during the implantation window-a crucial period when the embryo attaches to the uterine wall. We will compare women who have experienced RIF and/or RPL with women who have had no such history. Blood and uterine samples will be analyzed to investigate whether certain immune or microbial features are associated with these reproductive failures. The ultimate goal is to uncover predictive factors that may explain why some women experience implantation failure or pregnancy loss, and to lay the foundation for future personalized treatments to improve reproductive outcomes.
Official title: Study of Immune and Microbiological Modifications of the Endometrium in Cases of Recurrent Implantation Failure and/or Recurrent Pregnancy Loss
Key Details
Gender
FEMALE
Age Range
18 Years - 35 Years
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2026-04
Completion Date
2031-04
Last Updated
2026-02-05
Healthy Volunteers
No
Conditions
Interventions
Endometrial Biopsy
Endometrial biopsy with Cornier Pipelle (part of the treatment in the RIF/RPL group and some patients of the control group / added for the research for the other patients of the control group)
Vaginal Swab
Vaginal sample collection using a cotton swab. Part of the treatment
Blood sample
Peripheral blood draw. Part of the treatment + 10 mL additional for research
Pelvic ultrasound (±pelvic MRI)
Pelvic ultrasound (±pelvic MRI). Part of the treatment
Locations (1)
Service de Gynécologie Obstétrique II et Médecine de la Reproduction - Cochin Hospital
Paris, IDF, France