{"id":27104,"date":"2025-06-24T14:42:26","date_gmt":"2025-06-24T12:42:26","guid":{"rendered":"https:\/\/www.clinica-sante.com\/ro\/analize-fara-categorie\/microbiomul-endometrial-microve\/"},"modified":"2026-02-27T17:57:33","modified_gmt":"2026-02-27T15:57:33","slug":"microbiomul-endometrial-microve","status":"publish","type":"product","link":"https:\/\/www.clinica-sante.com\/ro\/analize-fertilitate-infertilitate-fiv\/microbiomul-endometrial-microve\/","title":{"rendered":"Microbiomul endometrial (MicroVE)"},"content":{"rendered":"<p><strong>Microbiomul endometrial (MicroVE) <\/strong>folose\u0219te tehnologia NGS (Next Generation Sequencing) aplicat\u0103 ADN-ului bacterian recoltat din mucoas\u0103 endometrial\u0103 sau secre\u021bie vaginal\u0103. Testul identific\u0103 echilibrul \u00eentre bacteriile benefice \u0219i cele poten\u021bial patogene \u0219i ofer\u0103 un raport cu recomand\u0103ri clinice pentru tratament \u0219i urm\u0103rire.<\/p>\n<\/p>\n<p>Aceast\u0103 evaluare este relevant\u0103 \u00een contextul infertilit\u0103\u021bii, al e\u0219ecului de implantare sau al pierderilor recurente de sarcin\u0103, deoarece studiile au ar\u0103tat c\u0103 un microbiom dominat de Lactobacillus (\u226590%) este asociat cu \u0219anse mai bune de implantare \u0219i sarcin\u0103, pe c\u00e2nd un microbiom non-Lactobacillus dominant sau cu prezen\u021b\u0103 de patogeni este asociat cu rezultate adverse.<\/p>\n<\/p>\n<p><strong>Afec\u021biuni sau simptome asociate<\/strong><\/p>\n<\/p>\n<ul>\n<li>infertilitate sau dificult\u0103\u021bi la implantare embrionar\u0103 (IVF\/ET)<\/li>\n<li>pierdere recurent\u0103 de sarcin\u0103<\/li>\n<li>endometrit\u0103 cronic\u0103 sau inflama\u021bie endometrial\u0103 neelucidat\u0103<\/li>\n<li>suspiciune de dezechilibru al microbiomului endometrial<\/li>\n<\/ul>\n<p><strong>Cui se adreseaz\u0103<\/strong><\/p>\n<\/p>\n<ul>\n<li>femeilor cu istoric de infertilitate, implantare nereu\u0219it\u0103 sau pierdere de sarcin\u0103 recurent\u0103<\/li>\n<li>pacientelor supuse procedurilor de reproducere asistat\u0103 (FIV) care doresc evaluarea complex\u0103 a factorului uterin<\/li>\n<li>femeilor cu suspiciune de afectare a receptivit\u0103\u021bii endometriale legat\u0103 de microbiom<\/li>\n<\/ul>\n<p><strong>Metodologie de testare<\/strong><\/p>\n<\/p>\n<ul>\n<li>recoltare: prob\u0103 de biopsie endometrial\u0103<\/li>\n<li>analiz\u0103: secven\u021biere NGS a ADN-ului bacterian pentru cuantificarea abunden\u021bei speciilor bacteriene relevante \u0219i identificarea patogenilor<\/li>\n<li>raportare: se ofer\u0103 procentajul speciilor, clasificare clinic\u0103 (normal vs. disbiotic), plus recomand\u0103ri terapeutice\/monitorizare<\/li>\n<\/ul>\n<p><strong>Beneficii \u0219i importan\u021b\u0103 clinic\u0103<\/strong><\/p>\n<\/p>\n<ul>\n<li>ofer\u0103 informa\u021bii detaliate \u0219i personalizate despre ecosistemul microbiotic uterin<\/li>\n<li>ajut\u0103 la identificarea factorului reproduc\u0103tor uterin\/neuterin \u00een infertilitate sau pierdere de sarcin\u0103<\/li>\n<li>permite interven\u021bii (ex. tratament antibiotic\/antimicrobian, probiotic, modific\u0103ri de stil de via\u021b\u0103) pentru optimizarea mediului endometrial<\/li>\n<li>suport pentru decizia clinic\u0103 \u00een FIV \u0219i consiliere pentru paciente<\/li>\n<\/ul>\n<p><strong>Particularit\u0103\u021bi \u0219i limit\u0103ri<\/strong><\/p>\n<\/p>\n<ul>\n<li>proba endometrial\u0103 are <strong>biomas\u0103<\/strong> redus\u0103; exist\u0103 risc de contaminare cu flora vaginal\u0103\/cervical\u0103 \u2192 recoltarea trebuie atent\u0103<\/li>\n<li>exist\u0103 variabilitate \u00een literatura privind \u201emicrobiomul ideal\u201d al endometrului; interpretarea trebuie f\u0103cut\u0103 \u00een context clinic<\/li>\n<li>acest test nu garanteaz\u0103 succesul implant\u0103rii; este un instrument adi\u021bional de evaluare<\/li>\n<li>aplicabil doar \u00een context de reproducere; nu este test general de microbiom<\/li>\n<\/ul>\n<p><strong>Tip prob\u0103 \u0219i condi\u021bii pentru recoltare<\/strong><\/p>\n<\/p>\n<ul>\n<li>tip prob\u0103: biopsie endometrial\u0103, kit special<\/li>\n<li>condi\u021bii: recoltarea s\u0103 se fac\u0103 \u00een mediu ginecologic, preferabil evit\u00e2nd perioada menstrual\u0103 sau tratamentele antibiotice recente; proba trebuie transportat\u0103 conform protocolului laboratorului<\/li>\n<\/ul>\n<p><strong>Analize asociate recomandate<\/strong><\/p>\n<\/p>\n<ul>\n<li>testarea factorului de receptivitate endometrial\u0103<\/li>\n<li>evaluare standard de infertilitate (hormonal\u0103, imagistic\u0103)<\/li>\n<li>testare imunologic\u0103 dac\u0103 este cazul<\/li>\n<\/ul><\/p>\n","protected":false},"excerpt":{"rendered":"<p><strong>Microbiomul endometrial (MicroVE)<\/strong> este un test molecular avansat ce investigheaz\u0103 compozi\u021bia bacterian\u0103 a endometrului prin analiza ADN bacterian. Scopul este evaluarea echilibrului microbiotic (prezen\u021ba bacteriilor benefice \u2013 de ex. Lactobacillus spp. \u2013 vs. bacterii patogene) \u00een sistemul reproduc\u0103tor feminin, cu impact asupra fertilit\u0103\u021bii, implant\u0103rii embrionare \u0219i men\u021binerii sarcinii.<\/p>\n<\/p>\n<p><strong style=\"color: #ff9900\">Analiza<\/strong><\/p>\n<\/p>\n<ul>\n<li>abunden\u021ba relativ\u0103 a speciilor Lactobacillus (ex. L. iners, L. crispatus, L. gasseri)<\/li>\n<li>prezen\u021ba sau abunden\u021ba bacteriilor patogene\/disbiotice: Atopobium, Prevotella, Bifidobacterium, Sneathia, Gardnerella, Streptococcus, Enterococcus, Escherichia, Klebsiella, Neisseria, Chlamydia, Ureaplasma, Mycoplasma etc.<\/li>\n<\/ul>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false},"product_brand":[],"product_cat":[1209,3167,2876],"product_tag":[],"class_list":["post-27104","product","type-product","status-publish","product_cat-analize","product_cat-fertilitate-infertilitate-fiv","product_cat-serviciu-laborator","first","instock","sale","virtual","purchasable","product-type-simple"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product\/27104","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"wp:attachment":[{"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/media?parent=27104"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_brand?post=27104"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_cat?post=27104"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/www.clinica-sante.com\/ro\/wp-json\/wp\/v2\/product_tag?post=27104"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}