Characteristics in the uterine cavity microbiota of infertile women with hydrosalpinx or endometrial polyps revealed by shotgun metagenomics - Summary - MDSpire

Characteristics in the uterine cavity microbiota of infertile women with hydrosalpinx or endometrial polyps revealed by shotgun metagenomics

  • By

  • ShuZhen Li

  • Huifeng Zeng

  • Xiulin Wan

  • Zhiruo Chen

  • Xia Nong

  • Lisi Peng

  • Qingyang Li

  • Yuxia Wang

  • July 2, 2026

  • 0 min

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Objective:

To characterize the uterine cavity microbiota profiles in infertile women with endometrial polyps (EM) and hydrosalpinx (HD) compared to fertile controls.

Approach:
  • Method: label
  • Method: text
Key Findings:
  • Fertile controls exhibited significantly higher microbial alpha diversity compared to EM and HD groups.
  • The EM group showed dysbiosis with increased pathogenic bacteria, particularly Streptococcus and Streptococcus pneumoniae.
  • The HD group had reduced overall microbial load and core beneficial bacteria, with a relative increase in Streptococcus.
Interpretation:

Distinct endometrial microbial profiles were identified for EM and HD, suggesting potential microbiota-mediated mechanisms of infertility.

Limitations:
  • The study was limited to a single center and a specific age group, which may affect the generalizability of the findings.
  • Exclusion criteria may limit generalizability to broader populations.
Conclusion:

The findings support the endometrial microbiota as a potential biomarker for infertility, indicating targets for antibiotic selection and therapeutic evaluation.

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