Copyright: © 2025 by the authors. Licensee: Pirogov University.
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (CC BY).

ORIGINAL RESEARCH

Characteristics of systemic inflammation in patients with endometritis-associated infertility

Savelieva OE, Krivolesova TA, Zhigalina AS, Sigareva LP, Saburov AV, Reznik VA
About authors

Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia

Correspondence should be addressed: Olga E. Savelieva
Litovskaya, 2, Saint Petersburg, 194100, Russia; ur.liam@anihcehc_aglo

About paper

Funding: the work was supported by the Russian Science Foundation grant 24-25-00244.

Author contribution: OE Savelieva — study design, analysis and interpretation of results, article authoring; TA Krivolesova — selection of patients, registration of results, article authoring; AS Zhigalina — data collection and analysis, article authoring; LP Sigareva — literature analysis, statistical processing of results; AV Saburov — selection of patients, registration of results; VA Reznik — research planning and supervision, article editing.

Compliance with ethical standards: the study was approved by the Ethics Committee of St. Petersburg State Medical University (Minutes No. 18/07 of October 27, 2022), conducted in accordance with the federal laws of the Russian Federation (No. 152, 323, etc.) and Declaration of Helsinki 1964, with all subsequent additions and amendments regulating scientific research on biomaterials obtained from humans. All participants signed an informed consent form before participating in the study.

Received: 2025-10-29 Accepted: 2025-12-03 Published online: 2025-12-15
|

Chronic endometritis (CE) is the most significant endometrial disease in terms of its impact on reproductive potential. Thus far, pathogenetically significant inflammatory markers — cytokines, inflammatory proteins, and hematological indices — have not been widely used in medical practice for the diagnosis of CE. This study aimed to evaluate indicators of systemic inflammation, including hematological parameters and inflammatory indices, in patients with infertility, and to determine their diagnostic significance for CE. We analyzed the data of examinations of 50 patients with infertility. The standard hematological method was used to determine the leukocyte count. Based on the blood cell composition, we calculated the inflammatory indices NLR, MLR, PLR, and SII. The concentration of CRP in the blood serum was determined by enzyme immunoassay. In patients with CE-associated infertility, the absolute and relative numbers of lymphocytes were lower (p = 0.0451 and p = 0.0089, respectively), whereas the relative numbers of monocytes and basophils were higher (p = 0.0469 and p = 0.0005, respectively) than in patients without CE. In the study group, the concentration of CRP in the blood was almost four times higher than in the control group (p = 0.0191), but all indicators remained within the normal range. A comparative analysis of the NLR, MLR, PLR, and SII indices revealed their significant growth in CE-associated infertility cases (p = 0.0387, p = 0.0058, p = 0.0335, and p = 0.0333, respectively). ROC analysis established the predictive significance of NLR (0.871 (95% CI: 0.767–0.974); p < 0.0001) and MLR (0.848 (95% CI: 0.737–0.958); p < 0.0001) indices for detecting CE in infertility patients.

Keywords: chronic endometritis, infertility, inflammatory status, hematological inflammatory indexes

КОММЕНТАРИИ (0)