Lead concentration in follicular fluid of infertile patients with and without endometriosis: a propensity score matching exploratory study - Summary - MDSpire

Lead concentration in follicular fluid of infertile patients with and without endometriosis: a propensity score matching exploratory study

  • By

  • Irene Iavarone

  • Daniela Mele

  • Francesca Caprio

  • Buenaventura Coroleu

  • Pasquale De Franciscis

  • Luigi Cobellis

  • Carlo Ronsini

  • May 22, 2026

  • 0 min

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Objective:

To provide initial insights into lead concentrations in the follicular fluid of infertile patients with and without endometriosis and to observe potential links between lead presence and the condition, as well as correlations with IVF outcomes, particularly regarding implications for treatment.

Key Findings:
  • Median follicular lead concentration was higher in patients with endometriosis (2.07 µg/dL) compared to controls (0.63 µg/dL; p<0.001).
  • Logistic regression suggested an association between elevated lead levels and increased odds of endometriosis (OR: 14.6, 95% CI: 2.50–142.59, p = 0.007).
  • In the endometriosis group, 30.8% had positive serum Beta-hCG after embryo transfer; however, the difference in lead concentration between positive and negative Beta-hCG was not statistically significant (p=0.12).
Interpretation:

The findings suggest higher lead levels in the follicular fluid of patients with endometriosis, but these results are preliminary and should be viewed as hypothesis-generating, necessitating further validation.

Limitations:
  • Small sample size limits the generalizability of findings and may affect the reliability of the associations observed.
  • Exploratory nature of the study necessitates further validation through larger prospective studies.
Conclusion:

Initial findings indicate a potential link between lead levels and endometriosis, warranting further investigation.

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