Evidence map›Paper›PMID 42764800›Full record

ReviewCureus2026

Role of the Reproductive Tract Microbiome in Infertility and Assisted Reproductive Technologies: A Comprehensive Review.

Daniela Ruiz, Victoria Robinson, Mariam Doucoure, Amara R Cheema, Carolina Ramirez Cabal, Afrah Saleef Abdul Salam, Rimane Abi Younes, Weiai Song, Sarah Ayoub Ibrahim, Olushola Ariyo and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Daniela RuizSchool of Medicine, Universidad Autonoma de Guadalajara, Guadalajara, MEX.
Victoria RobinsonRowan-Virtua School of Osteopathic Medicine, Rowan University, Stratford, USA.
Mariam DoucoureMedicine, Istanbul Medipol University, Istanbul, TUR.
Amara R CheemaMedicine, Saint James School of Medicine, Park Ridge, USA.
Carolina Ramirez CabalMedicine, City St George's, University of London, London, GBR.
Afrah Saleef Abdul SalamHamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, IND.
Rimane Abi YounesMedicine, Lebanese American University, Beirut, LBN.
Weiai SongMedicine, University College London Medical School, London, GBR.
Sarah Ayoub IbrahimMedicine, Istinye University, Istanbul, TUR.
Olushola AriyoObstetrics and Gynecology, North Middlesex University Hospital, London, GBR.
Rajat Das GuptaMedicine, Vanderbilt University Medical Center, Nashville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The female reproductive tract microbiome has emerged as a potential factor associated with reproductive health, infertility, and outcomes of assisted reproductive technologies (ARTs). Growing interest in host-microbiome interactions has highlighted the potential roles of microbial communities in implantation, immune regulation, and endometrial receptivity. This comprehensive narrative review summarizes current evidence on the reproductive tract microbiome and its relationship with infertility and ART outcomes. Relevant literature was identified from MEDLINE, Embase, and Web of Science from database inception through March 2026, with emphasis on observational, interventional, and mechanistic studies involving human participants or human-derived samples. The review examines microbial communities of the vagina, cervix, endometrium, and fallopian tubes and their associations with infertility, recurrent pregnancy loss, implantation failure, and ART outcomes. Proposed biological mechanisms, including alterations in epithelial barrier integrity, immune modulation, inflammatory signaling, and hormonal-microbial interactions, are also discussed. In addition, the review evaluates emerging microbiome-based diagnostic approaches and potential therapeutic strategies, including antibiotics, probiotics, micronutrient supplementation, and vaginal microbiota transplantation. Current evidence suggests that the reproductive tract microbiome may be associated with reproductive health and fertility outcomes and represents a promising area of translational research. However, substantial methodological heterogeneity, limited high-quality interventional evidence, and the lack of standardized diagnostic criteria currently restrict clinical implementation. Well-designed prospective studies and randomized clinical trials are needed to clarify causal relationships, evaluate microbiome-targeted interventions, and determine whether microbiome-based approaches can improve infertility and ART care.

Indexed as

assisted reproductive technologyfemale reproductive tractinfertilitymicrobiotareproductive sciences

Identifiers

PMID42764800
PMCPMC13589684

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.