RecruitingNCT06450301

Senescent Endometrial Cells in Patients with Thin Endometrial Lining

Is Thin Endometrial Lining Associated with Senescent Endometrial Cells


Sponsor

Trio Fertility

Enrollment

100 participants

Start Date

Sep 11, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

The goal of this observational study is to determine if thin endometrial lining that is unresponsive to estrogen might be associated with the presence of senescent cells in patients following long-term use of oral contraceptives. The main question it aims to answer is: Are there any senescent cells present in thin endometrial lining? During the luteal phase of the cycle, participants will will undergo: * Gynecologic US to measure the endometrial lining thickness and pattern. * Endometrial biopsy with Pipelle catheter


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 39 Years

Inclusion Criteria6

  • Age 18-39
  • BMI - up to 35
  • Thin endometrium after OCP use
  • Asherman's syndrome
  • Women already undergoing endometrial biopsy for infertility testing (eg. EMMA testing)
  • Women with archived endometrial biopsy samples

Exclusion Criteria6

  • Women with systemic disease (Rheumatic disease, DM)
  • Women with coagulopathies
  • Women with active pelvic inflammatory process
  • Uterine anomalies
  • Pregnant women
  • Any hormonal contraception use or IUD

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Interventions

PROCEDUREEndometrial Biopsy

An endometrial biopsy is the removal of a small piece of tissue from the endometrium, which is the lining of the uterus. Endometrial biopsies are commonly done to check for the window of implantation, to determine ovulation or for enhancing implantation (procedure called endometrial scratching). For this purpose, we will use a "Pipelle" catheter. This procedure is very common in gynecologic practice and generally considered safe. In most of the cases this procedure is indicated for evaluation of irregular vaginal bleeding, vaginal bleeding in post-menopausal women and for infertility related problems (recurrent implantation failures for example).


Locations(1)

Trio Fertility

Toronto, Ontario, Canada

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NCT06450301


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