Evidence map›Paper›PMID 24390919›Full record

ReviewSeminars in reproductive medicine2014

Potential influence of the microbiome on infertility and assisted reproductive technology.

Ido Sirota, Shvetha M Zarek, James H Segars

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Seminars in reproductive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03519763 (Endometrial and Isthmic Microbiota During IVF Stimulation in Patients Affected With Isthmocele and Intrauterine Mucus Secretion After C-section.), which is not on this map. Cited by 92 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% of its field
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.

NCT03519763 completednot on this mapstarted 2018, after this paper: background citation

Endometrial and Isthmic Microbiota During IVF Stimulation in Patients Affected With Isthmocele and Intrauterine Mucus Secretion After C-section.

TypeobservationalSponsorART Fertility Clinics LLCRan2018 to 2020Enrolled3ConditionsEndometrial DiseasesArmsultrasound
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 2 syntheses or guidelines pooled it, 177 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Nutrients · 2025
    Trial
  4. Trial
  5. A randomised control trial on oral dydrogesteroneJournal of medicine and life · 2023
    Trial
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Endometrial Microbiome and Reproductive Receptivity: Diverse Perspectives.International journal of molecular sciences · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. All Properties of Infertility Microbiome in a Review Article.Journal of clinical laboratory analysis · 2025
    Review
  20. Nutrients · 2025
    Article

32 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

Ido SirotaDepartment of Obstetrics and Gynecology, St. Luke's-Roosevelt Hospital Center, New York, New York.
Shvetha M ZarekProgram in Reproductive and Adult Endocrinology.
James H SegarsProgram in Reproductive and Adult Endocrinology.
St. Luke's-Roosevelt Hospital Center · US

Funding

Reproductive Endocrinology And Infertility Clinical Training ProgramZIEHD008737 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI HILL, MICAH · 2011 to 2025
$24.0M
Intramural NIH HHS ZIE HD008737
6 · The paper itself

Abstract

Although an altered vaginal microbiota has been demonstrated to affect parturition, its role in assisted reproductive technologies is uncertain. Nevertheless, the effect of known pathogens such as Mycoplasma tuberculosis, Chlamydia trachomatis, and Neisseria gonorrhoeae is clear, causing subclinical changes thought to be risk factors in subfertility. The Human Microbiome Project (HMP) has allowed for metagenomic studies to aid in characterizing normal vaginal flora. Recent findings from the HMP demonstrate that many different species of Lactobacillus are present in the vaginal tract, with a few that predominate. Studies that characterize the vaginal microbiome in assisted reproductive technology support the hypothesis that colonizing the transfer-catheter tip with Lactobacillus crispatus at the time of embryo transfer may increase the rates of implantation and live birth rate while decreasing the rate of infection. In addition, there is some evidence that a progesterone-resistant endometrium might increase the risk of an abnormal vaginal microbiome.

Indexed as

Reproductive Techniques, AssistedAdultAnti-Bacterial AgentsCytokinesEmbryo ImplantationEmbryo TransferEstrogensFemaleHumansInfertility, FemaleLactobacillusMicrobiotaPregnancyProgesteroneVaginaVaginosis, BacterialAnti-Bacterial AgentsCytokinesEstrogensProgesterone

Identifiers

PMID24390919
PMCPMC4137456
OpenAlexW2002151264

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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 OpenQuestion graph.