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Could chronic endometritis—silent inflammation in the uterine lining—affect IVF implantation, miscarriage, or embryo-transfer success?
In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols explains what chronic endometritis is, what it is not, and when it may actually be worth investigating.
We break down CD138 biopsies, hysteroscopy, cultures, EMMA, ALICE, and vaginal microbiome testing—and why these tests are not interchangeable. We also discuss antibiotics before embryo transfer, what ASRM says about routine antibiotic use, and why finding bacterial DNA does not automatically mean treatment will improve live-birth rates.
The takeaway: chronic endometritis can be real and treatable in the right patient, but not every borderline result explains infertility, miscarriage, or a failed IVF transfer.
Thanks for listening to another episode of Taco Bout Fertility Tuesday with Dr. Mark Amols.
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Want to explore more fertility topics? Visit TacoBoutFertility.com, where you can search our entire episode library, find episodes about the questions that matter to you, try our interactive fertility tools, and submit questions or topic requests for future episodes.
Join us next Tuesday for another episode of Taco Bout Fertility Tuesday, where we make fertility medicine easier to understand—one topic at a time.
