Chen Xi-jing, Huang He-feng
The Affiliated Obstetrics and Gynecology HospitalìCollege of Medicine, Zhejiang University, Hangzhou, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2007 Sep;36(5):515-20. doi: 10.3785/j.issn.1008-9292.2007.05.019.
Endometriosis is a common disease of reproductive age women and infertility is one of its clinical manifestations. Infertility of patients with severe endometriosis may be attributed to the anatomy alteration of pelvis.However, the infertility of patients with minimal to mild endometriosis whose pelvic anatomy remains intact is still hard to explain. It is considered that the infertility of patients with ninimal to mild endometriosis is associated with the alteration of the pelvic microenvironment. Several kinds of cytokines and proteins are involved in this process. They may disturb steps necessary to achieve successful pregnancy, such as ovulation,gamete transport, fertilization, embryo transport and implantation. Any disturbance to one of the steps mentioned above may lead to pregnant loss.
子宫内膜异位症是育龄期女性的常见疾病,不孕是其临床表现之一。重度子宫内膜异位症患者的不孕可能归因于盆腔解剖结构的改变。然而,盆腔解剖结构保持完整的轻度至中度子宫内膜异位症患者的不孕原因仍难以解释。人们认为,轻度至中度子宫内膜异位症患者的不孕与盆腔微环境的改变有关。多种细胞因子和蛋白质参与了这一过程。它们可能干扰成功受孕所需的步骤,如排卵、配子运输、受精、胚胎运输和着床。上述任何一个步骤受到干扰都可能导致妊娠丢失。