Impairment of Uterine Contractility Is Associated with Unexplained Infertility

Sarah Hunt*, Karim S. Abdallah, Ernest Ng, Luk Rombauts, Beverley Vollenhoven, Ben W. Mol

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


The uterine junctional zone represents the juncture between endometrium and myometrium. The junctional zone is hormonally dependent and displays continuous peristaltic activity throughout the menstrual cycle in the nonpregnant state which is concerned with sperm transport and embryo implantation. Peristalsis may be observed using various invasive and noninvasive modalities, of which ultrasound is the most readily applied in the clinical setting. Women with pelvic pathology display alterations in uterine peristalsis which may contribute to infertility. Characterization of peristalsis in infertility subgroups, the development of a subjective peristalsis tool, and the application of potential therapeutics to an assisted reproductive treatment setting are the subject of ongoing investigation. Meta-Analysis indicates a potential role for oxytocin antagonist in the improvement of fertility treatments.

Original languageEnglish
Pages (from-to)61-73
Number of pages13
Journal Seminars in Reproductive Medicine
Issue number1
Publication statusPublished - 14 Oct 2020

Bibliographical note

Publisher Copyright:
© 2021 American Society of Civil Engineers (ASCE). All rights reserved.

Copyright 2020 Elsevier B.V., All rights reserved.


  • endometrial contractions
  • endometrial myometrial junction
  • uterine junctional zone
  • uterine peristalsis


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