What Is the Endometrial Microbiome?

Oct 2025 | Tips & Tricks

Like the gut, the uterus contains a mix of bacteria—known as the endometrial microbiome. Though once thought to be sterile, research shows the uterus hosts beneficial and harmful bacteria.

Why It Matters for Pregnancy

An imbalance in uterine bacteria, especially low levels of Lactobacillus, may lead to infertility, miscarriage, or preterm birth. One study found women with ≥90% Lactobacillus had significantly higher pregnancy (70.6%) and live birth rates (58.8%) compared to those with lower levels (33.3% and 6.7%).

Image
When to Consider Endometrial Microbiome Testing

This test is commonly recommended for patients with:

  • Recurrent implantation failure or repeated miscarriage
  • Unexplained infertility after standard evaluations

Clinics increasingly suggest testing earlier in treatment due to its diagnostic value. It may also benefit patients who are planning to conceive.

If you are interested in exploring the clinical applications of endometrial microbiome testing or integrating it into your diagnostic workflow, please contact us for further information and collaboration opportunities.

References:
Moreno, Inmaculada et al. “Evidence that the endometrial microbiota has an effect on implantation success or failure.” American journal of obstetrics and gynecology vol. 215,6 (2016): 684-703. doi:10.1016/j.ajog.2016.09.075

NIH HMP Working Group et al. “The NIH Human Microbiome Project.” Genome research vol. 19,12 (2009): 2317-23. doi:10.1101/gr.096651.109

Other Tips & Tricks

Why is NidOil packed in amber bottles?

Light-Protective Packaging for Embryo and Gamete Safety To ensure the highest level of safety for embryos and gametes, NidOil™ is packaged in amber, screw-top bottles that protect against light-induced changes. This precaution is based on documented cases where...

Two types of high quality sperm separations

Two types of high quality sperm separations Nidacons product SpeediKit and a regular density gradient both serve the purpose of creating high quality sperm separations however, there are some distinct advantages to SpeediKit over a traditional density gradient. Key...

Precision Matters: How Gradient Preparation Determines Your Results

All solutions at room temperature Prepare the gradient using 2 ml layers. Prepare the gradient no more than 30 minutes before use to prevent the layers from mixing. Avoid overloading—do not exceed the recommended 1.5 ml of sample Follow the recommended centrifugation...

Adapt the freezing method to your workflow

Refrigerated Incubation (10–60 minutes): Incubating sperm in the refrigerator prior to time on liquid nitrogen for 10 to 60 minutes improves survival rates. While the difference between 10 and 60 minutes is slight, there is a significant increase in survival when...

Nidoil – Improved Quality Assurance

Additional information regarding Mouse Embryo Assay (MEA) results on day 6 will be provided on the Quality Assurance certificates for Nidoil. The Day 6 (eMEA) results offer an extra layer of safety assessment, enhancing our ability to detect potential toxicity and...

Optimize your sperm preparation

Semen osmolality increases during and after liquefaction due to enzymatic degradation of molecules in semen. The increased osmolality in the ejaculate can negatively impact the outcome of sperm preparation. To minimize this risk, early dilution of the ejaculate is...

Optimize your results

Can a washing solution help you to optimize your result? When comparing PureSpermWash to other washing buffers, it has been shown that PSW • maintains the correct ROS production better (1) • achieves the highest percentage of capacitated sperm (1) • produces higher...