Evidence map›Paper›PMID 40790561›Full record

ArticleBMC microbiology2025

Vaginal microbiota alterations under supraphysiological estradiol state during in vitro fertilization-embryo transfer (IVF-ET) and the association with reproductive outcomes.

Xijing Chen, Feng Chen, Shufang Wu, Pingping Lv, Ping Li

Abstract read
In one paragraph

Article in BMC microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Microbe on the move:Journal of bacteriology · 2026
    Review
  3. Review
  4. Article
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

5 authors.

Xijing Chen *Department of Reproductive Endocrinology, Women's Hospital, Zhejiang University School of Medicine, 1 st Xueshi Road, Hangzhou, 310006, Zhejiang, P.R. China. amychen888@zju.edu.cn.
Feng Chen *Department of Reproductive Endocrinology, Women's Hospital, Zhejiang University School of Medicine, 1 st Xueshi Road, Hangzhou, 310006, Zhejiang, P.R. China.
Shufang WuDepartment of Reproductive Endocrinology, Women's Hospital, Zhejiang University School of Medicine, 1 st Xueshi Road, Hangzhou, 310006, Zhejiang, P.R. China.
Pingping LvDepartment of Reproductive Endocrinology, Women's Hospital, Zhejiang University School of Medicine, 1 st Xueshi Road, Hangzhou, 310006, Zhejiang, P.R. China.
Ping LiZhejiang Key Laboratory of Food Microbiology and Nutritional Health, College of Food Science and Biotechnology, Zhejiang Gongshang University, Xiasha University Town, No. 18, Xuezheng Str, Hangzhou, 310018, Zhejiang, P.R. China. ping-biology@outlook.com.

Funding

National Natural Science Foundation of China 32272301
6 · The paper itself

Abstract

backgroundThe process of in vitro fertilization-embryo transfer (IVF-ET) induces a maternal supraphysiological estradiol environment during embryo implantation and early development. Estrogen is crucial in modulating the colonization of microbiota within the vaginal epithelium. However, the impact of supraphysiological estradiol levels on the vaginal microbiome and the relationship with pregnancy outcomes remains unclear.

resultsThe study aimed to characterize the vaginal microbiota under supraphysiological hormonal conditions. A total of 67 patients undergoing fresh embryo transfer were divided into three groups based on their peak estradiol levels: high-estradiol (HE) group (E

conclusionsSupraphysiological estradiol levels induced by IVF-ET significantly alter vaginal microbiota and shift the CSTs in Chinese infertile women toward patterns of most Asian women. The Lactobacillus dominance under supraphysiological estradiol conditions does not help improve assisted reproductive outcomes. The abundance of Streptococcus, Atopobium, and Bifidobacterium on the day of embryo transfer may serve as predictors for adverse pregnancy outcomes. Among them, Streptococcus correlates positively with peak estradiol levels and may act as a microbial mediator impairing reproductive success under hyperestrogenic conditions. However, further larger-scale researches are needed to identify and elucidate the potential mechanisms.

Indexed as

BacteriaEmbryo TransferEstradiolFertilization in VitroMicrobiotaVaginaAdultFemaleHumansInfertility, FemalePregnancyPregnancy OutcomeRNA, Ribosomal, 16SEstradiolRNA, Ribosomal, 16SIn vitro fertilization-embryo transfer (IVF-ET)Pregnancy outcomesSupraphysiological estradiol (E2) levelVaginal microbiome

Identifiers

PMID40790561
PMCPMC12341319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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 OpenQuestion graph.