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专家意见:益生菌在不孕症和反复种植失败治疗中的应用地位

Expert Opinion: Place in Therapy of Probiotics in Infertility and Recurrent Implantation Failure.

作者信息

Patki Ameet, Kar Sujata, Patel Nayana, Ingale Kundan, Bansal Kanthi, Durga Poornima

机构信息

Gynecology and Obstetrics, Indian Society For Assisted Reproduction (ISAR), Mumbai, IND.

Reproductive Medicine, Kar Hospitals, Bhubaneswar, IND.

出版信息

Cureus. 2025 Mar 24;17(3):e81067. doi: 10.7759/cureus.81067. eCollection 2025 Mar.


DOI:10.7759/cureus.81067
PMID:40271314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12016387/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d15e/12016387/f361aabd4bff/cureus-0017-00000081067-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d15e/12016387/f361aabd4bff/cureus-0017-00000081067-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d15e/12016387/f361aabd4bff/cureus-0017-00000081067-i01.jpg

相似文献

[1]
Expert Opinion: Place in Therapy of Probiotics in Infertility and Recurrent Implantation Failure.

Cureus. 2025-3-24

[2]
Expert Opinion on the Use of Probiotics in Recurrent Pregnancy Loss.

Cureus. 2025-3-23

[3]
The role of probiotics in restoring the Th1 to Th2 ratio in women experiencing recurrent implantation failure; a double-blind randomized clinical trial.

Hum Immunol. 2025-1

[4]
In vitro fertilization and multiple pregnancies: an evidence-based analysis.

Ont Health Technol Assess Ser. 2006

[5]
ESHRE good practice recommendations on recurrent implantation failure.

Hum Reprod Open. 2023-6-15

[6]
The effect of vitamin D supplementation and vaginal probiotics on fertility in women with recurrent implantation failure: A randomized clinical trial.

Hum Immunol. 2025-5

[7]
Expert Opinion on the Use of Probiotics in General Gynecological Conditions.

Cureus. 2025-3-20

[8]
Effectiveness of a mixed lifestyle program in couples undergoing assisted reproductive technology: a study protocol.

Reprod Health. 2023-8-1

[9]
Microbiome-Maternal Tract Interactions in Women with Recurrent Implantation Failure.

Microorganisms. 2025-4-7

[10]
PS11610 Enhances the Fertilization Success of IVF: A Preliminary Retrospective Analysis.

Nutrients. 2025-1-23

引用本文的文献

[1]
The Androbactome and the Gut Microbiota-Testis Axis: A Narrative Review of Emerging Insights into Male Fertility.

Int J Mol Sci. 2025-6-27

本文引用的文献

[1]
Microbiome in Female Reproductive Health: Implications for Fertility and Assisted Reproductive Technologies.

Genomics Proteomics Bioinformatics. 2024-5-9

[2]
The Anti-Inflammatory and Curative Exponent of Probiotics: A Comprehensive and Authentic Ingredient for the Sustained Functioning of Major Human Organs.

Nutrients. 2024-2-16

[3]
The role of probiotics in women's health: An update narrative review.

Taiwan J Obstet Gynecol. 2024-1

[4]
Clinical Relevance of Vaginal and Endometrial Microbiome Investigation in Women with Repeated Implantation Failure and Recurrent Pregnancy Loss.

Int J Mol Sci. 2024-1-3

[5]
Role of the vaginal microbiome in miscarriage: exploring the relationship.

Front Cell Infect Microbiol. 2023

[6]
Surging trends of infertility and its behavioural determinants in India.

PLoS One. 2023

[7]
Pregnancy outcomes after vaginal probiotic supplementation before frozen embryo transfer: a randomized controlled study.

Sci Rep. 2023-7-23

[8]
ESHRE good practice recommendations on recurrent implantation failure.

Hum Reprod Open. 2023-6-15

[9]
1 in 6 people globally affected by infertility: WHO.

Saudi Med J. 2023-4

[10]
Characterization of the Endometrial Microbiome in Patients with Recurrent Implantation Failure.

Microorganisms. 2023-3-14

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