{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T03:33:26Z","timestamp":1791862406217,"version":"4.3.4"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T00:00:00Z","timestamp":1721088000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T00:00:00Z","timestamp":1721088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>To explore the incidence of chronic endometritis (CE) in patients with infertility and different forms of adenomyosis and analyze potential high-risk factors for infection.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This retrospective cohort study included 154 patients with infertility in the Liuzhou Maternity and Child Healthcare Hospital. Among them, 77 patients with adenomyosis were divided into four subgroups based on magnetic resonance imaging (MRI): internal, exterior, intramural, and full-thickness. Meanwhile, 77 patients did not have adenomyosis. Hysteroscopy and endometrial biopsy were performed in the proliferative phase. The main outcome measures were the morphology of the endometrium, syndecan-1 (CD138) immunohistochemical staining, clinical characteristics, and prevalence of CE in the adenomyosis subgroups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In comparison to the non-adenomyosis group, the adenomyosis group had significantly higher body mass index (BMI) and CA125 levels. The menstrual cycle in the adenomyosis group was significantly shorter, and menarche was significantly earlier. In comparison to the non-adenomyosis group, the adenomyosis group had a significantly higher diagnostic rate of CE (75.3% vs. 46.8% according to hysteroscopy and 74.0% vs. 33.8% according to histopathology, both with <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.050). The incidence of CE was significantly lower in patients with internal adenomyosis when compared with the other three subgroups. Increased BMI contributed to a higher risk of CE.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The prevalence of CE was significantly higher in patients with adenomyosis and infertility. The differences in the incidence of CE are closely associated with the classification of adenomyosis. When patients with infertility are diagnosed with adenomyosis, it is recommended to identify the subtype and screen for endometritis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12905-024-03245-2","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T10:03:48Z","timestamp":1721124228000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Prevalence and risk factors for chronic endometritis in patients with adenomyosis and infertility: a retrospective cohort study"],"prefix":"10.1186","volume":"24","author":[{"given":"Jingjing","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiajia","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saiqiong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xindan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dingyuan","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,16]]},"reference":[{"issue":"1","key":"3245_CR1","first-page":"217","volume":"52","author":"TC Michels","year":"1995","unstructured":"Michels TC. Chronic endometritis. Am Family Phys. 1995;52(1):217\u201322.","journal-title":"Am Family Phys"},{"issue":"9","key":"3245_CR2","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.5858\/2004-128-1000-RSIAIT","volume":"128","author":"IB Bayer-Garner","year":"2004","unstructured":"Bayer-Garner IB, Nickell JA, Korourian S. Routine syndecan-1 immunohistochemistry aids in the diagnosis of chronic endometritis. Arch Pathol Lab Med. 2004;128(9):1000\u20133.","journal-title":"Arch Pathol Lab Med"},{"issue":"2","key":"3245_CR3","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1016\/j.fertnstert.2008.12.131","volume":"93","author":"EB Johnston-MacAnanny","year":"2010","unstructured":"Johnston-MacAnanny EB, Hartnett J, Engmann LL, Nulsen JC, Sanders MM, Benadiva CA. Chronic endometritis is a frequent finding in women with recurrent implantation failure after in vitro fertilization. Fertil Steril. 2010;93(2):437\u201341.","journal-title":"Fertil Steril"},{"issue":"1","key":"3245_CR4","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.fertnstert.2018.03.017","volume":"110","author":"A Vitagliano","year":"2018","unstructured":"Vitagliano A, Saccardi C, Noventa M, Di Spiezio Sardo A, Saccone G, Cicinelli E, Pizzi S, Andrisani A, Litta PS. Effects of chronic endometritis therapy on in vitro fertilization outcome in women with repeated implantation failure: a systematic review and meta-analysis. Fertil Steril. 2018;110(1):103\u2013e112101.","journal-title":"Fertil Steril"},{"key":"3245_CR5","doi-asserted-by":"publisher","first-page":"103474","DOI":"10.1016\/j.jri.2022.103474","volume":"150","author":"A Morimune","year":"2022","unstructured":"Morimune A, Kimura F, Moritani S, Tsuji S, Katusra D, Hoshiyama T, Nakamura A, Kitazawa J, Hanada T, Amano T, et al. The association between chronic deciduitis and preeclampsia. J Reprod Immunol. 2022;150:103474.","journal-title":"J Reprod Immunol"},{"issue":"2","key":"3245_CR6","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.ejogrb.2010.12.010","volume":"155","author":"J Zolghadri","year":"2011","unstructured":"Zolghadri J, Momtahan M, Aminian K, Ghaffarpasand F, Tavana Z. The value of hysteroscopy in diagnosis of chronic endometritis in patients with unexplained recurrent spontaneous abortion. Eur J Obstet Gynecol Reprod Biol. 2011;155(2):217\u201320.","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"4","key":"3245_CR7","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1016\/j.fertnstert.2018.12.007","volume":"111","author":"D Song","year":"2019","unstructured":"Song D, Li TC, Zhang Y, Feng X, Xia E, Huang X, Xiao Y. Correlation between hysteroscopy findings and chronic endometritis. Fertil Steril. 2019;111(4):772\u20139.","journal-title":"Fertil Steril"},{"issue":"1","key":"3245_CR8","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1093\/humrep\/der341","volume":"27","author":"JC Kasius","year":"2012","unstructured":"Kasius JC, Broekmans FJ, Sie-Go DM, Bourgain C, Eijkemans MJ, Fauser BC, Devroey P, Fatemi HM. The reliability of the histological diagnosis of endometritis in asymptomatic IVF cases: a multicenter observer study. Hum Reprod (Oxford England). 2012;27(1):153\u20138.","journal-title":"Hum Reprod (Oxford England)"},{"issue":"5","key":"3245_CR9","doi-asserted-by":"publisher","first-page":"e13369","DOI":"10.1111\/aji.13369","volume":"85","author":"Y Li","year":"2021","unstructured":"Li Y, Xu S, Yu S, Huang C, Lin S, Chen W, Mo M, Lian R, Diao L, Ding L, et al. Diagnosis of chronic endometritis: how many CD138\u2009+\u2009cells\/HPF in endometrial stroma affect pregnancy outcome of infertile women? Am J Reproductive Immunol (New York NY: 1989). 2021;85(5):e13369.","journal-title":"Am J Reproductive Immunol (New York NY: 1989)"},{"issue":"2","key":"3245_CR10","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1016\/j.fertnstert.2021.03.036","volume":"116","author":"Y Xiong","year":"2021","unstructured":"Xiong Y, Chen Q, Chen C, Tan J, Wang Z, Gu F, Xu Y. Impact of oral antibiotic treatment for chronic endometritis on pregnancy outcomes in the following frozen-thawed embryo transfer cycles of infertile women: a cohort study of 640 embryo transfer cycles. Fertil Steril. 2021;116(2):413\u201321.","journal-title":"Fertil Steril"},{"key":"3245_CR11","doi-asserted-by":"crossref","unstructured":"Szubert M, Kozir\u00f3g E, Olszak O, Krygier-Kurz K, Kazmierczak J, Wilczynski J. Adenomyosis and infertility-review of Medical and Surgical approaches. Int J Environ Res Public Health. 2021;18(3).","DOI":"10.3390\/ijerph18031235"},{"key":"3245_CR12","doi-asserted-by":"crossref","unstructured":"Vannuccini S, Petraglia F. Recent advances in understanding and managing adenomyosis. F1000Research. 2019; 8.","DOI":"10.12688\/f1000research.17242.1"},{"issue":"9","key":"3245_CR13","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1097\/OGX.0000000000000346","volume":"71","author":"T Harada","year":"2016","unstructured":"Harada T, Khine YM, Kaponis A, Nikellis T, Decavalas G, Taniguchi F. The impact of adenomyosis on women\u2019s fertility. Obstet Gynecol Surv. 2016;71(9):557\u201368.","journal-title":"Obstet Gynecol Surv"},{"key":"3245_CR14","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1016\/j.bpobgyn.2016.09.006","volume":"40","author":"JA Abbott","year":"2017","unstructured":"Abbott JA. Adenomyosis and abnormal uterine bleeding (AUB-A)-Pathogenesis, diagnosis, and management. Best Pract Res Clin Obstet Gynecol. 2017;40:68\u201381.","journal-title":"Best Pract Res Clin Obstet Gynecol"},{"issue":"1","key":"3245_CR15","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1093\/humupd\/dmaa038","volume":"27","author":"M Bourdon","year":"2021","unstructured":"Bourdon M, Santulli P, Jeljeli M, Vannuccini S, Marcellin L, Doridot L, Petraglia F, Batteux F, Chapron C. Immunological changes associated with adenomyosis: a systematic review. Hum Reprod Update. 2021;27(1):108\u201329.","journal-title":"Hum Reprod Update"},{"issue":"4","key":"3245_CR16","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1002\/rmb2.12050","volume":"16","author":"H Tamura","year":"2017","unstructured":"Tamura H, Kishi H, Kitade M, Asai-Sato M, Tanaka A, Murakami T, Minegishi T, Sugino N. Complications and outcomes of pregnant women with adenomyosis in Japan. Reproductive Med Biology. 2017;16(4):330\u20136.","journal-title":"Reproductive Med Biology"},{"issue":"1","key":"3245_CR17","doi-asserted-by":"publisher","first-page":"e12421","DOI":"10.1002\/rmb2.12421","volume":"21","author":"KN Khan","year":"2022","unstructured":"Khan KN, Fujishita A, Ogawa K, Koshiba A, Mori T, Itoh K, Nakashima M, Kitawaki J. Occurrence of chronic endometritis in different types of human adenomyosis. Reproductive Med Biology. 2022;21(1):e12421.","journal-title":"Reproductive Med Biology"},{"issue":"1","key":"3245_CR18","doi-asserted-by":"publisher","first-page":"2238140","DOI":"10.1080\/02656736.2023.2238140","volume":"40","author":"J Wei","year":"2023","unstructured":"Wei J, Wang L, Tao H, Wang X, Zheng F, He P, Zhou L, Fan L, Chen J, Zhong H, et al. Comparison of pregnancy outcomes in infertile patients with different types of adenomyosis treated with high-intensity focused ultrasound. Int J Hyperthermia: Official J Eur Soc Hyperthermic Oncol North Am Hyperth Group. 2023;40(1):2238140.","journal-title":"Int J Hyperthermia: Official J Eur Soc Hyperthermic Oncol North Am Hyperth Group"},{"issue":"3","key":"3245_CR19","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1097\/GRH.0000000000000014","volume":"3","author":"MS Khandeparkar","year":"2018","unstructured":"Khandeparkar MS, Jalkote S, Panpalia M, Nellore S, Mehta T, Ganesan K, Parikh FR. High-resolution magnetic resonance imaging in the detection of subtle nuances of uterine adenomyosis in infertility. Global Reproductive Health. 2018;3(3):e14.","journal-title":"Global Reproductive Health"},{"issue":"11","key":"3245_CR20","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1016\/j.crad.2014.05.108","volume":"69","author":"S Sudderuddin","year":"2014","unstructured":"Sudderuddin S, Helbren E, Telesca M, Williamson R, Rockall A. MRI appearances of benign uterine disease. Clin Radiol. 2014;69(11):1095\u2013104.","journal-title":"Clin Radiol"},{"issue":"2","key":"3245_CR21","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1148\/radiology.179.2.2014282","volume":"179","author":"LM Scoutt","year":"1991","unstructured":"Scoutt LM, Flynn SD, Luthringer DJ, McCauley TR, McCarthy SM. Junctional zone of the uterus: correlation of MR imaging and histologic examination of hysterectomy specimens. Radiology. 1991;179(2):403\u20137.","journal-title":"Radiology"},{"issue":"3","key":"3245_CR22","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1016\/j.jmig.2020.10.012","volume":"28","author":"M Loring","year":"2021","unstructured":"Loring M, Chen TY, Isaacson KB. A systematic review of adenomyosis: it is time to reassess what we thought we knew about the Disease. J Minim Invasive Gynecol. 2021;28(3):644\u201355.","journal-title":"J Minim Invasive Gynecol"},{"issue":"2\u201303","key":"3245_CR23","first-page":"119","volume":"38","author":"A O\u2019Shea","year":"2020","unstructured":"O\u2019Shea A, Figueiredo G, Lee SI. Imaging diagnosis of adenomyosis. Semin Reprod Med. 2020;38(2\u201303):119\u201328.","journal-title":"Semin Reprod Med"},{"issue":"2","key":"3245_CR24","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1016\/j.fertnstert.2017.05.016","volume":"108","author":"E Cicinelli","year":"2017","unstructured":"Cicinelli E, Trojano G, Mastromauro M, Vimercati A, Marinaccio M, Mitola PC, Resta L, de Ziegler D. Higher prevalence of chronic endometritis in women with endometriosis: a possible etiopathogenetic link. Fertil Steril. 2017;108(2):289\u2013e295281.","journal-title":"Fertil Steril"},{"issue":"1","key":"3245_CR25","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1016\/j.fertnstert.2015.09.025","volume":"105","author":"PE Bouet","year":"2016","unstructured":"Bouet PE, El Hachem H, Monceau E, Gari\u00e9py G, Kadoch IJ, Sylvestre C. Chronic endometritis in women with recurrent pregnancy loss and recurrent implantation failure: prevalence and role of office hysteroscopy and immunohistochemistry in diagnosis. Fertil Steril. 2016;105(1):106\u201310.","journal-title":"Fertil Steril"},{"issue":"5","key":"3245_CR26","doi-asserted-by":"publisher","first-page":"1386","DOI":"10.1093\/humrep\/deh779","volume":"20","author":"E Cicinelli","year":"2005","unstructured":"Cicinelli E, Resta L, Nicoletti R, Zappimbulso V, Tartagni M, Saliani N. Endometrial micropolyps at fluid hysteroscopy suggest the existence of chronic endometritis. Hum Reprod (Oxford England). 2005;20(5):1386\u20139.","journal-title":"Hum Reprod (Oxford England)"},{"issue":"8","key":"3245_CR27","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.3109\/00016349.2010.498496","volume":"89","author":"E Cicinelli","year":"2010","unstructured":"Cicinelli E, Tinelli R, Lepera A, Pinto V, Fucci M, Resta L. Correspondence between hysteroscopic and histologic findings in women with chronic endometritis. Acta Obstet Gynecol Scand. 2010;89(8):1061\u20135.","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"2","key":"3245_CR28","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.ijgo.2013.03.009","volume":"122","author":"H Jean-Baptiste","year":"2013","unstructured":"Jean-Baptiste H, Tetrokalashvili M, Williams T, Fogel J, Hsu CD. Characteristics associated with postoperative diagnosis of adenomyosis or combined adenomyosis with fibroids. Int J Gynaecol Obstet. 2013;122(2):112\u20134.","journal-title":"Int J Gynaecol Obstet"},{"issue":"2","key":"3245_CR29","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/j.fertnstert.2007.06.027","volume":"90","author":"C Templeman","year":"2008","unstructured":"Templeman C, Marshall SF, Ursin G, Horn-Ross PL, Clarke CA, Allen M, Deapen D, Ziogas A, Reynolds P, Cress R, et al. Adenomyosis and endometriosis in the California teachers Study. Fertil Steril. 2008;90(2):415\u201324.","journal-title":"Fertil Steril"},{"key":"3245_CR30","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.bpobgyn.2018.06.001","volume":"51","author":"AL Shafrir","year":"2018","unstructured":"Shafrir AL, Farland LV, Shah DK, Harris HR, Kvaskoff M, Zondervan K, Missmer SA. Risk for and consequences of endometriosis: a critical epidemiologic review. Best Pract Res Clin Obstet Gynecol. 2018;51:1\u201315.","journal-title":"Best Pract Res Clin Obstet Gynecol"},{"issue":"9","key":"3245_CR31","doi-asserted-by":"publisher","first-page":"1790","DOI":"10.1097\/j.pain.0000000000002579","volume":"163","author":"CI Lund","year":"2022","unstructured":"Lund CI, Engdahl B, Rosseland LA, Stubhaug A, Grimnes G, Furberg AS, Steingr\u00edmsd\u00f3ttir \u00d3A, Nielsen CS. The association between age at menarche and chronic pain outcomes in women: the Troms\u00f8 Study, 2007 to 2016. Pain. 2022;163(9):1790\u20139.","journal-title":"Pain"},{"key":"3245_CR32","doi-asserted-by":"crossref","unstructured":"Khan KN, Fujishita A, Mori T. Pathogenesis of human adenomyosis: current understanding and its association with infertility. J Clin Med. 2022; 11(14).","DOI":"10.3390\/jcm11144057"},{"issue":"2","key":"3245_CR33","doi-asserted-by":"publisher","first-page":"e0263283","DOI":"10.1371\/journal.pone.0263283","volume":"17","author":"J Kunaseth","year":"2022","unstructured":"Kunaseth J, Waiyaput W, Chanchaem P, Sawaswong V, Permpech R, Payungporn S, Sophonsritsuk A. Vaginal microbiome of women with adenomyosis: a case-control study. PLoS ONE. 2022;17(2):e0263283.","journal-title":"PLoS ONE"},{"key":"3245_CR34","doi-asserted-by":"publisher","first-page":"1075900","DOI":"10.3389\/fmicb.2023.1075900","volume":"14","author":"Q Lin","year":"2023","unstructured":"Lin Q, Duan H, Wang S, Guo Z, Wang S, Chang Y, Chen C, Shen M, Shou H, Zhou C. Endometrial microbiota in women with and without adenomyosis: a pilot study. Front Microbiol. 2023;14:1075900.","journal-title":"Front Microbiol"},{"issue":"10","key":"3245_CR35","doi-asserted-by":"publisher","first-page":"1442","DOI":"10.1016\/j.intimp.2011.04.024","volume":"11","author":"Z Yang","year":"2011","unstructured":"Yang Z, Kong B, Mosser DM, Zhang X. TLRs, macrophages, and NK cells: our understandings of their functions in uterus and ovary. Int Immunopharmacol. 2011;11(10):1442\u201350.","journal-title":"Int Immunopharmacol"},{"issue":"Suppl 4","key":"3245_CR36","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1111\/j.1439-0531.2012.02104.x","volume":"47","author":"ML Turner","year":"2012","unstructured":"Turner ML, Healey GD, Sheldon IM. Immunity and inflammation in the uterus. Reprod Domest Anim = Zuchthygiene. 2012;47(Suppl 4):402\u20139.","journal-title":"Reprod Domest Anim = Zuchthygiene"},{"issue":"1","key":"3245_CR37","doi-asserted-by":"publisher","first-page":"7365","DOI":"10.1038\/s41598-017-07859-5","volume":"7","author":"C Jiang","year":"2017","unstructured":"Jiang C, Liu C, Guo J, Chen L, Luo N, Qu X, Yang W, Ren Q, Cheng Z. The expression of toll-like receptors in eutopic and ectopic endometrium and its implication in the inflammatory pathogenesis of adenomyosis. Sci Rep. 2017;7(1):7365.","journal-title":"Sci Rep"},{"issue":"6","key":"3245_CR38","doi-asserted-by":"publisher","first-page":"1574","DOI":"10.1093\/humrep\/deab090","volume":"36","author":"KN Khan","year":"2021","unstructured":"Khan KN, Fujishita A, Suematsu T, Ogawa K, Koshiba A, Mori T, Itoh K, Teramukai S, Matsuda K, Nakashima M, et al. An axonemal alteration in apical endometria of human adenomyosis. Hum Reprod (Oxford England). 2021;36(6):1574\u201389.","journal-title":"Hum Reprod (Oxford England)"},{"issue":"6","key":"3245_CR39","doi-asserted-by":"publisher","first-page":"e602601","DOI":"10.1016\/j.ajog.2018.02.012","volume":"218","author":"I Moreno","year":"2018","unstructured":"Moreno I, Cicinelli E, Garcia-Grau I, Gonzalez-Monfort M, Bau D, Vilella F, De Ziegler D, Resta L, Valbuena D, Simon C. The diagnosis of chronic endometritis in infertile asymptomatic women: a comparative study of histology, microbial cultures, hysteroscopy, and molecular microbiology. Am J Obstet Gynecol. 2018;218(6):e602601\u201316.","journal-title":"Am J Obstet Gynecol"},{"issue":"2","key":"3245_CR40","doi-asserted-by":"publisher","first-page":"303","DOI":"10.5935\/1518-0557.20200104","volume":"25","author":"ALA Squillace","year":"2021","unstructured":"Squillace ALA, Simonian DS, Allegro MC, Borges E, Bianchi PHM, Bibancos M. Adenomyosis and in vitro fertilization impacts - a literature review. JBRA Assist Reprod. 2021;25(2):303\u20139.","journal-title":"JBRA Assist Reprod"},{"issue":"3","key":"3245_CR41","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1002\/ijgo.14650","volume":"161","author":"X Han","year":"2023","unstructured":"Han X, Gao X, Wang F, Shang C, Liu Z, Guo H. Heterogeneity of clinical symptoms and therapeutic strategies for different subtypes of adenomyosis: an initial single-center study in China. Int J Gynaecol Obstet. 2023;161(3):775\u201383.","journal-title":"Int J Gynaecol Obstet"},{"issue":"5","key":"3245_CR42","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1016\/j.fertnstert.2023.03.021","volume":"119","author":"SW Guo","year":"2023","unstructured":"Guo SW. Various types of adenomyosis and endometriosis: in search of optimal management. Fertil Steril. 2023;119(5):711\u201326.","journal-title":"Fertil Steril"},{"issue":"3","key":"3245_CR43","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1016\/j.immuni.2016.02.015","volume":"44","author":"TA Wynn","year":"2016","unstructured":"Wynn TA, Vannella KM. Macrophages in tissue repair, regeneration, and fibrosis. Immunity. 2016;44(3):450\u201362.","journal-title":"Immunity"},{"issue":"sup1","key":"3245_CR44","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1080\/09513590.2017.1399696","volume":"33","author":"MR Orazov","year":"2017","unstructured":"Orazov MR, Radzinsky VE, Nosenko EN, Khamoshina MB, Dukhin AO, Lebedeva MG. Immune-inflammatory predictors of the pelvic pain syndrome associated with adenomyosis. Gynecol Endocrinology: Official J Int Soc Gynecol Endocrinol. 2017;33(sup1):44\u20136.","journal-title":"Gynecol Endocrinology: Official J Int Soc Gynecol Endocrinol"},{"key":"3245_CR45","doi-asserted-by":"publisher","first-page":"103925","DOI":"10.1016\/j.jri.2023.103925","volume":"157","author":"A Maclean","year":"2023","unstructured":"Maclean A, Barzilova V, Patel S, Bates F, Hapangama DK. Characterising the immune cell phenotype of ectopic adenomyosis lesions compared with eutopic endometrium: a systematic review. J Reprod Immunol. 2023;157:103925.","journal-title":"J Reprod Immunol"},{"issue":"2","key":"3245_CR46","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.whi.2010.09.005","volume":"21","author":"B Trabert","year":"2011","unstructured":"Trabert B, Weiss NS, Rudra CB, Scholes D, Holt VL. A case-control investigation of adenomyosis: impact of control group selection on risk factor strength. Women\u2019s Health Issues: Official Publication Jacobs Inst Women\u2019s Health. 2011;21(2):160\u20134.","journal-title":"Women\u2019s Health Issues: Official Publication Jacobs Inst Women\u2019s Health"},{"issue":"7","key":"3245_CR47","doi-asserted-by":"publisher","first-page":"3080","DOI":"10.1080\/01443615.2022.2099256","volume":"42","author":"S Ates","year":"2022","unstructured":"Ates S, Ayd\u0131n S, Ozcan P. Cardiometabolic profiles in women with adenomyosis. J Obstet Gynaecology: J Inst Obstet Gynecol. 2022;42(7):3080\u20135.","journal-title":"J Obstet Gynaecology: J Inst Obstet Gynecol"},{"issue":"5","key":"3245_CR48","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1093\/molehr\/gaaa023","volume":"26","author":"M Hu","year":"2020","unstructured":"Hu M, Zhang Y, Li X, Cui P, Li J, Br\u00e4nnstr\u00f6m M, Shao LR, Billig H. Alterations of endometrial epithelial-mesenchymal transition and MAPK signalling components in women with PCOS are partially modulated by metformin in vitro. Mol Hum Reprod. 2020;26(5):312\u201326.","journal-title":"Mol Hum Reprod"},{"issue":"6","key":"3245_CR49","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1093\/humrep\/dew048","volume":"31","author":"JS Rhee","year":"2016","unstructured":"Rhee JS, Saben JL, Mayer AL, Schulte MB, Asghar Z, Stephens C, Chi MM, Moley KH. Diet-induced obesity impairs endometrial stromal cell decidualization: a potential role for impaired autophagy. Hum Reprod (Oxford England). 2016;31(6):1315\u201326.","journal-title":"Hum Reprod (Oxford England)"},{"issue":"9","key":"3245_CR50","doi-asserted-by":"publisher","first-page":"2421","DOI":"10.1093\/humrep\/deab181","volume":"36","author":"S Palomba","year":"2021","unstructured":"Palomba S. Is fertility reduced in ovulatory women with polycystic ovary syndrome? An opinion paper. Hum Reprod (Oxford England). 2021;36(9):2421\u20138.","journal-title":"Hum Reprod (Oxford England)"}],"container-title":["BMC Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-024-03245-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12905-024-03245-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-024-03245-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T10:04:24Z","timestamp":1721124264000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcwomenshealth.biomedcentral.com\/articles\/10.1186\/s12905-024-03245-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,16]]},"references-count":50,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["3245"],"URL":"https:\/\/doi.org\/10.1186\/s12905-024-03245-2","relation":{},"ISSN":["1472-6874"],"issn-type":[{"value":"1472-6874","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,16]]},"assertion":[{"value":"23 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Ethics Committee of Liuzhou Maternal and Child Health Care Hospital (Ethics No. KS-LS-2023-001). Written informed consent was obtained from all subjects.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"403"}}