Evidence map›Paper›PMID 40033263›Full record

Trial reportBMC women's health2025

Pelvic peritoneal endometriosis is linked to the endometrial inflammatory profile: a prospective cohort study.

Iwona Gawron, Kamil Derbisz, Robert Jach, Dominika Trojnarska, Katarzyna Milian-Ciesielska, Milosz Pietrus

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05824507 (The Incidence of Preoperative and Persistent Chronic Endometritis in Women Surgically Treated for Pelvic Endometriosis), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05824507 nacompletednot on this map

The Incidence of Preoperative and Persistent Chronic Endometritis in Women Surgically Treated for Pelvic Endometriosis

TypeinterventionalSponsorJagiellonian UniversityRan2021 to 2024Enrolled64ConditionsEndometriosis, Pelvic Pain, InfertilityArmsEndometrial aspiration biopsies for CE diagnosis
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Endometriosis: From Genes to Global Burden.International journal of molecular sciences · 2025
    Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Iwona GawronJagiellonian University Medical College, Faculty of Medicine, Chair of Gynecology and Obstetrics, Kopernika 23, 31-501, Krakow, Poland. iwona.gawron@uj.edu.pl.ORCID 0000-0002-9254-1298
Kamil DerbiszClinical Department of Gynecological Endocrinology and Gynecology, University Hospital in Krakow, Kopernika 23, 31-501, Krakow, Poland.ORCID 0000-0001-6290-1953
Robert JachJagiellonian University Medical College, Faculty of Medicine, Chair of Gynecology and Obstetrics, Kopernika 23, 31-501, Krakow, Poland.ORCID 0000-0001-5512-763X
Dominika TrojnarskaClinical Department of Gynecological Endocrinology and Gynecology, University Hospital in Krakow, Kopernika 23, 31-501, Krakow, Poland.ORCID 0000-0001-8073-1206
Katarzyna Milian-CiesielskaJagiellonian University Medical College, Faculty of Medicine, Chair of Pathomorphology, Grzegorzecka 16, 33-332, Krakow, Poland.ORCID 0000-0002-5777-9591
Milosz PietrusJagiellonian University Medical College, Faculty of Medicine, Chair of Gynecology and Obstetrics, Kopernika 23, 31-501, Krakow, Poland.ORCID 0000-0001-9938-7249

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPelvic endometriosis is an estrogen-driven inflammatory syndrome of unknown origin that alters the peritoneal microenvironment and likely impairs endometrial receptivity, adversely affecting fertility. Chronic endometritis (CE) may be a potential contributing factor to reduced endometrial receptivity in endometriosis. The aim of the study was to analyze the correlation between pelvic endometriosis and CE.

methodsThe study included women undergoing laparoscopy for suspected pelvic endometriosis, and each underwent endometrial aspiration biopsy for CE. The stage of endometriosis was assessed intraoperatively, and CE activity was evaluated histopathologically and immunohistochemically. The associations between selected clinical characteristics of the disease and the density of endometrial plasma cells, immunohistochemical status, and histopathological profile of the endometrium were analyzed.

resultsStage III endometriosis reduced the risk of the inflammatory immunohistochemical profile by 80% (OR = 0.18, p = 0.037) when compared to Stage I. Peritoneal endometriosis was associated with a 3.429-fold increase in the risk of the immunohistochemical endometrial inflammatory profile (OR = 3.429, p = 0.038). No significant associations were found between the clinical features of the disease and plasma cell density or the histopathological profile of the endometrium (all p values > 0.05). No significant differences were observed in IVF use (p = 0.67), pregnancy rates (p = 1), or live birth rates (p = 0.41) between infertile women with and without CE.

conclusionsShould peritoneal endometriosis be diagnosed during a laparoscopy conducted for the treatment of infertility, it is advisable to obtain an endometrial biopsy for CE evaluation, as this may enhance the efficacy of the therapeutic approach. The hypothetical link between pelvic endometriosis-related inflammation, its clinical manifestations, and CE requires further investigation. The lack of a noninvasive marker for endometriosis and its grade limits the study results due to reliance on surgical cases, highlighting the need for advanced research in the field of noninvasive diagnostic tools.

trial registrationNCT05824507 (registered April 20, 2023).

Indexed as

EndometriosisEndometritisEndometriumPeritoneal DiseasesAdultCohort StudiesFemaleHumansInfertility, FemaleInflammationLaparoscopyPelvisPregnancyProspective StudiesChronic endometritisIdiopathic infertilityObstetric outcomesPelvic endometriosis

Identifiers

PMID40033263
PMCPMC11877794

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.