Cited by 307Endometriosis Research and TreatmentGynecological conditions and treatmentsReproductive System and Pregnancy

Uterine hyperperistalsis and dysperistalsis as dysfunctions of the mechanism of rapid sperm transport in patients with endometriosis and infertility

Leyendecker, G., Kunz, G., Wildt, L., Beil, D., Deininger, H.·1996·Human Reproduction

Abstract

Women suffering from infertility in association with mostly mild endometriosis were subjected to vaginal sonography of uterine peristalsis during the menstrual period, the early, mid- and late follicular phases, and the mid-luteal phase of the menstrual cycle. The data obtained were compared with those of healthy controls. Women with endometriosis displayed a marked uterine hyperperistalsis that differed significantly from the peristalsis of the controls during the early and mid-follicular and mid-luteal phases. During the late follicular phase of the cycle, uterine peristalsis in women with endometriosis became dysperistaltic, arrhythmic and convulsive in character, while in controls peristalsis continued to show long and regular cervico-fundal contractions. Hysterosalpingoscintigraphy during the early, mid- and late follicular phases revealed that hyperperistalsis in the early and mid-follicular phases of patients with endometriosis resulted in a dramatic increase in the transport of inert particles from the vaginal depot, through the uterus into the tubes and also into the peritoneal cavity. During the late follicular phase of the cycle, the dysperistalsis observed in women with endometriosis resulted in a dramatic reduction of uterine transport capacity in comparison with the healthy controls. We consider uterine hyperperistalsis to be the mechanical cause of endometriosis rather than retrograde menstruation. Dysperistalsis in the late follicular phase of patients with endometriosis may compromise rapid sperm transport. Uterine hyperperistalsis and dysperistalsis are considered to be responsible for both reduced fertility and the development of endometriosis.

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Crossref · 10.1093/oxfordjournals.humrep.a019435

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  • Uterine hyperperistalsis/dysperistalsis may result from archimetral hyperestrogenism.

    “Third, uterine hyperperistalsis/dysperistalsis may be a result of archimetral hyperestrogenism [38,47].”

    From The Pathogenesis of Adenomyosis vis-à-vis Endometriosis (2020) · cites this paper as [38]

  • Uterine peristalsis is critical for sperm transport, and women with endometriosis exhibit hyperperistalsis and dysperistalsis.

    “In a nutshell, they showed that uterine peristalsis is critical for sperm transport, and women with endometriosis exhibit hyperperistalsis and dysperistalsis [38,39,40,41].”

    From The Pathogenesis of Adenomyosis vis-à-vis Endometriosis (2020) · cites this paper as [38]

  • Uterine dysfunction in women with endometriosis and adenomyosis is a result of archimetral hyperestrogenism.

    “It was suggested that this uterine dysfunction in women with endometriosis and adenomyosis is a result of archimetral hyperestrogenism [3, 4, 29, 33].”
  • Uterine function of rapid and directed sperm transport into the dominant tube is dysfunctional in women with endometriosis and is characterized by hyper- and dysperistalsis.

    “The uterine function of rapid and directed sperm transport into the ‘dominant tube’ is dysfunctional in women with endometriosis and is characterized by hyper- and dysperistalsis [27–32].”
  • Intensity of uterine peristaltic activity in women with endometriosis resembles that of women during controlled ovarian hyperstimulation although peripheral estradiol levels are within normal range.

    “The intensity of uterine peristaltic activity in women with endometriosis resembles that of women during controlled ovarian hyperstimulation although the peripheral estradiol levels are within the normal range [4, 29, 44].”

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Authors
Leyendecker, G., Kunz, G., Wildt, L., Beil, D., & Deininger, H.
Affiliations
  • Klinikum Darmstadt (DE)
  • Goethe University Frankfurt (DE)
  • Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
Venue
Human Reproduction
Published
1996-07-01
Volume
11
Issue
7
Pages
1542-1551
ISSN
  • 0268-1161 (ISSN-L)
  • 1460-2350
OpenAlex
W1992297132
Cited by
307
References
0
Citations by year
2026: 6 · 2025: 7 · 2024: 12 · 2023: 12 · 2022: 8 · 2021: 6 · 2020: 32 · 2019: 10 · 2018: 6 · 2017: 14 · 2016: 7 · 2015: 12 · 2014: 10 · 2013: 6 · 2012: 9
FWCI
8.50
Type
journal article
Language
en
Open access
closed
Locations
  • Human Reproduction (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
  • Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
Keywords
endometriosis, infertility, uterine peristalsis, sperm transport, menstrual cycle phases, follicular phase, luteal phase, retrograde menstruation, uterine motility
MeSH terms
Adult, Endometriosis, Fallopian Tubes, Female, Follicular Phase, Humans, Infertility, Female, Luteal Phase, Male, Middle Aged, Radionuclide Imaging, Sperm Transport, Ultrasonography, Uterine Contraction, Uterus, Case-Control Studies

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