Level A· Stronger Clinical EvidenceMeta-analysisEurope PMCOpen access

Stem cell therapy for intrauterine adhesions: a systematic review and meta-analysis of clinical outcomes

Yuan F., Zhang Y., Qian Y., Zhou X., Wang M., Hu H.

Meta-analysis, published in BMC Pregnancy Childbirth (2025) — summary generated from the PubMed abstract.

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Level A· Stronger Clinical EvidenceEvidence level of this study

Relatively higher-quality human studies compared with other topics in this database, e.g. multiple RCTs or systematic reviews. This does not mean it is standard or approved care.

  • Level A · Stronger Clinical Evidence
  • Level B · Emerging clinical evidence with positive signals
  • Level C · Early human research exploring benefits
  • Level D · Scientific groundwork from lab and animal studies
  • Emerging · Emerging topic under active research
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This page is generated from the PubMed record. The Thai description is an automated summary of bibliographic fields and the abstract, not a full translation, and is not medical advice.

Study type
Meta-analysis
Journal
BMC Pregnancy Childbirth (2025)
Reported sample size
—
Source database
Europe PMC
PMID
41390638
PMCID
PMC12821970
DOI
10.1186/s12884-025-08271-y

Abstract (original English)

Objective Intrauterine Adhesions (IUA), including Asherman's Syndrome, are a significant cause of female infertility, while stem cell interventions emerge as a promising therapeutic strategy. This meta-analysis aims to systematically evaluate the effectiveness of stem cell interventions for IUA by analyzing various pregnancy outcomes. Methods This meta-analysis systematically searched five databases (PubMed, Web of Science, EMBASE, Scopus, and ProQuest) to identify clinical studies on stem cell interventions for IUA and endometrial repair. Data on cumulative live birth, biochemical pregnancy, clinical pregnancy, implantation rate, early spontaneous abortions, and ectopic pregnancy were extracted and analyzed. Subgroup analyses were conducted based on disease type and stem cell intervention method. Results Out of 211 identified records, 10 studies were included. The overall pooled proportion of cumulative live birth was 0.40 (95% confidence interval (CI): 0.22 to 0.60), with significant heterogeneity (I 2 = 46.2%). Subgroup analysis showed the highest live birth rates in "General IUA" (0.57) and with "Autologous Cells with Scaffold/Matrix" (0.5632). Controlled trials demonstrated a significant benefit of stem cell therapy for live birth (odds ratio (OR) = 2.2535, 95% CI: 1.1750 to 4.3221). The pooled proportion for cumulative biochemical pregnancy was 0.6053 (95% CI: 0.4445 to 0

What this study does not prove

  • • This study does not prove SVF is an approved treatment or a replacement for standard care.

Evidence level

Relatively higher-quality human studies compared with other topics in this database, e.g. multiple RCTs or systematic reviews. This does not mean it is standard or approved care.

How we grade evidence
HumansGynatresiaInfertility, FemaleUterine DiseasesPregnancy OutcomeStem Cell TransplantationPregnancy RatePregnancyFemaleLive Birth

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