The role of immunologic tests for subfertility in the clinical environment

Fertil Steril. 2022 Jun;117(6):1132-1143. doi: 10.1016/j.fertnstert.2022.04.009. Epub 2022 May 6.

Abstract

Unexplained subfertility and implantation failures not only are emotionally and physically distressing but also become a significant obstacle to reproductive-age couples who wish to build their family. Often, the currently recommended evaluation for these couples is significantly limited, and many of causes remain unexplained. To obtain an accurate diagnosis and treatment, proper evidence-based laboratory evaluation should be performed. Immune tests for women with subfertility and implantation failures are essential to recognize the immune etiology and appropriate therapeutic strategies. This review focuses on currently used immune tests for subfertile women.

Keywords: Immune tests; autoantibodies; natural killer cell; repeated implantation failures; unexplained subfertility.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Immunologic Tests / adverse effects
  • Infertility* / diagnosis
  • Infertility* / etiology
  • Infertility* / therapy
  • Pregnancy
  • Pregnancy Rate