Patki Ameet, Kar Sujata, Patel Nayana, Ingale Kundan, Bansal Kanthi, Durga Poornima
Gynecology and Obstetrics, Indian Society For Assisted Reproduction (ISAR), Mumbai, IND.
Reproductive Medicine, Kar Hospitals, Bhubaneswar, IND.
Cureus. 2025 Mar 24;17(3):e81067. doi: 10.7759/cureus.81067. eCollection 2025 Mar.
Infertility is a widespread medical condition, affecting a notable percentage of couples globally, with a rising prevalence in India. While assisted reproductive technologies (ART) provide hope, recurrent implantation failure (RIF) continues to challenge approximately one in 10 couples undergoing in-vitro fertilization (IVF). This expert opinion document intends to highlight the promise of probiotics, particularly from Lactobacillus, as a therapeutic approach for improving fertility and treating RIF. In India, on June 29-30, 2024, a physical expert meeting was organized involving 14 specialists from gynecology, obstetrics, and fertility fields. The role of probiotics in reproductive health was discussed in the meeting with an emphasis on infertility and RIF. All experts agree that microbial dysbiosis characterized by an imbalance among the dominant Lactobacillus species is associated with RIF leading to increased inflammation hence poor reproductive outcomes. Probiotics have emerged as possible therapies that restore microbial equilibrium while reducing inflammation and enhancing the intactness of the genital epithelium barrier. All experts have strongly supported the use of Lactobacillus-based oral probiotic supplementation particularly for preventing miscarriages and maintaining pregnancy. All the experts unanimously agreed that oral probiotic supplementation, particularly Lactobacillus-based, should be considered as a potential method to prevent miscarriages and aid in maintaining pregnancy. They recommend oral probiotic use prior to embryo transfer to enhance implantation and pregnancy rates. This expert opinion emphasizes the value of probiotics as a safe and non-invasive approach to treating infertility and RIF. By fostering a balanced microbiome, probiotics may increase the likelihood of successful pregnancies.
不孕症是一种普遍存在的医学病症,全球有相当比例的夫妇受其影响,在印度其患病率呈上升趋势。虽然辅助生殖技术(ART)带来了希望,但反复植入失败(RIF)仍然困扰着约十分之一接受体外受精(IVF)的夫妇。本专家意见文件旨在强调益生菌,特别是来自乳酸杆菌的益生菌,作为改善生育能力和治疗RIF的治疗方法的前景。2024年6月29日至30日,在印度组织了一次线下专家会议,有14位来自妇科、产科和生育领域的专家参加。会议讨论了益生菌在生殖健康中的作用,重点是不孕症和RIF。所有专家一致认为,以优势乳酸杆菌种类失衡为特征的微生物失调与RIF相关,导致炎症增加,从而导致不良的生殖结果。益生菌已成为可能的治疗方法,可恢复微生物平衡,同时减少炎症并增强生殖上皮屏障的完整性。所有专家都强烈支持使用基于乳酸杆菌的口服益生菌补充剂,特别是用于预防流产和维持妊娠。所有专家一致认为,口服益生菌补充剂,特别是基于乳酸杆菌的补充剂,应被视为预防流产和帮助维持妊娠的潜在方法。他们建议在胚胎移植前使用口服益生菌以提高着床率和妊娠率。本专家意见强调了益生菌作为一种安全且非侵入性的治疗不孕症和RIF方法的价值。通过促进微生物群的平衡,益生菌可能会增加成功怀孕的可能性。
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