Embryo-endometrium dialogue: key factors in implantation
Aleksandrova N.V., Asaturova A.V., Bozhenko V.K.
The key problem in assisted reproductive technology programs remains recurrent implantation failure (RIF), which is mainly due to impaired endometrial receptivity and the difficulty in accurately determining the time of the implantation window. The article presents a systematic analysis of current methods for assessing endometrial receptivity, ranging from traditional ultrasound and morphological approaches to high-tech omics platforms (ERA, rsERT, beREADY tests). The results of clinical and experimental studies demonstrating the effectiveness of approaches for calculating an individual implantation window are examined in detail. Particular attention is paid to the need to introduce non-invasive methods for assessing endometrial receptivity, including those based on the analysis of endometrial secretome (proteins, cytokines, extracellular vesicles), which will enable real-time monitoring.
Conclusion. The future development of diagnostic panels lies in the integration of multi-omics technologies (transcriptomics, proteomics, metabolomics) with artificial intelligence methods to create dynamic prognostic models followed by the development of personalized therapeutic strategies.
Authors’ contributions. Bozhenko V.K. – concept and design of the review; Aleksandrova N.V. – search and analysis of literary sources, writing the text; Asaturova A.V. – editing and critical revision of the content.
Conflicts of interest. The authors declare that there are no conflicts of interest.
Funding. The study was conducted without sponsorship.
Generative Artificial Intelligence. No generative artificial intelligence technologies were used in the preparation of this article.
For citation: Aleksandrova N.V., Asaturova A.V., Bozhenko V.K.
Embryo-endometrium dialogue: key factors in implantation.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2026; (8): 22-28 (in Russian)
https://dx.doi.org/10.18565/aig.2026.67
Keywords
References
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Received 25.02.2026
Accepted 26.06.2026
About the Authors
Natalia V. Aleksandrova, Dr. Med. Sci., Senior Researcher, Frederic Paulsen Research and Clinical Department of Assisted Reproductive Technologies,Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow,
Ac. Oparin str., 4, +7(495)531-44-44, alexnat1@yandex.ru, https://orcid.org/0000-0001-7353-9515
Aleksandra V. Asaturova, Dr. Med. Sci., Head of the 1st Pathological Anatomical Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparin str., 4, +7(495)438-23-11, a.asaturova@gmail.com,
https://orcid.org/0000-0001-8739-5209
Vladimir K. Bozhenko, Dr. Med. Sci., Professor, Consultant to the Director, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparin str., 4, +7(903)799-64-84, vbojenko@mail.ru, https://orcid.org/0000-0001-8351-8152



