About this trial
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.
Eligibility criteria
Qualifiers
Female aged ≥18 and <36 years
Undergoing assisted reproductive technology (ART) in a fertility center
Covered by the French national health insurance system
Study group: history of recurrent implantation failure (RIF) and/or recurrent pregnancy loss (RPL)
Disqualifiers
Pregnant at inclusion
Refusal to provide written informed consent
Antibiotic use within one month prior to endometrial biopsy Positive serology for hepatitis B, hepatitis C or HIV
Uterine anatomical abnormalities (e.g., polyps, cavity-distorting fibroids, untreated hydrosalpinx)
Trial design
Treatments tested in this trial
- Endometrial Biopsy
- Vaginal Swab
- Blood sample
- Pelvic ultrasound (±pelvic MRI)
Treatment groups
Sponsors and collaborators
Assistance Publique - Hôpitaux de Paris
Lead sponsor
Institut National de la Santé Et de la Recherche Médicale, France
Collaborator
ADREGOF
Collaborator
URC-CIC Paris Descartes Necker Cochin
Collaborator