Challenges in Clinical Diagnosis and Management of Chronic Endometritis

Chronic endometritis (CE) is a local mucosal infectious and inflammatory disorder characterized by unusual filtration of CD138(+) endometrial stromal plasmacytes. CE is attracting attention due to its potential association with infertility of unknown etiology, repeated implantation failure, recurrent pregnancy loss, and several maternal/neonatal complications. Due to the variance in study design among researchers, universal diagnostic criteria remain to be established for the clinical diagnosis and management of CE. This review article aims to summarize current knowledge and provide insights into unsolved questions on CE to establish clinical guidelines for the disease from the viewpoint of human reproduction.

Automated summary

Chronic endometritis is a mucosal infectious and inflammatory disorder that is potentially associated with infertility, recurrent pregnancy loss, and other complications. There is a lack of universal diagnostic criteria and management guidelines for this condition, and this review aims to provide insights and summaries to establish clinical guidelines for chronic endometritis in human reproduction.