Peer-Reviewed Publication
Environ Res2026;125682.September 15, 2026Journal Article

Ambient air pollutant mixtures in relation to sonographic endometrial receptivity parameters during the peri-implantation window: a clinic-based observational study.

Heze Xu1, Zhijiao Wang1, Huixin Zhan2, Yijia Liu1, Shanwei Xing1, Zekai Bai1, Jingshuang Zhou1, Hang Zhen1, Jiapo Li1, Chong Qiao3
1Department of Obstetrics and Gynecology, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China; Key Laboratory of Maternal-Fetal Medicine of Liaoning Province, Shenyang, Liaoning, China; Research Center of China Medical University Birth Cohort, Shenyang, Liaoning Province, China.
2Department of computational biomedicine, cedars sinai medical center, Los Angeles, CA, USA.
3Department of Obstetrics and Gynecology, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China; Key Laboratory of Maternal-Fetal Medicine of Liaoning Province, Shenyang, Liaoning, China; Research Center of China Medical University Birth Cohort, Shenyang, Liaoning Province, China. Electronic address: qiaochong2002@hotmail.com.

Abstract

Although air pollution has been linked to adverse reproductive outcomes, its direct effect on endometrial receptivity-a critical factor for embryo implantation-remains unclear at the population level. This study aimed to evaluate the associations of exposure to a mixture of six ambient air pollutants (PM2.5, PM10, CO, NO2, SO2, O3) with sonographic endometrial receptivity parameters (thickness and…

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