Association between ABO blood groups and Müllerian anomalies: a single-center cohort study of 16,690 infertile women

Authors

  • Saleh Meghil
  • Adnan A. Al-Bdairi
  • Hayder Abdul-Amir Makki Al-Hindy
  • Sallama H. Khdhair
  • Osama Shawki
  • Batool Alkhalidi
  • Hadeel K. Kareem

DOI:

https://doi.org/10.60988/p.v37i2S.223

Keywords:

Müllerian anomaly; ABO blood groups; Rh blood group; uterus; congenital

Abstract

This study investigated the relationship between ABO blood groups and Müllerian anomalies in infertile women evaluated at the Teba Infertility Center (TIC) in Babylon, Iraq. Conducted over a three-month period beginning in August 2024, the study retrospectively included infertile couples who attended TIC between 2016 and 2022. A total of 1,215 archived records were reviewed from among 16,690 infertile females diagnosed with Müllerian uterine anomalies. Comprehensive patient reports were compiled, and three-dimensional (3D) sonographic examinations were performed in order to classify uterine morphology according to the standards of the European Society of Human Reproduction and Embryology / European Society for Gynaecological Endoscopy (ESHRE/ESGE). All participants were assessed for ABO blood group and Rhesus (Rh) factor positivity in order to explore potential associations with specific uterine anomalies. Statistical analyses were conducted using the SPSS software, applying frequency and percentage distributions, mean values with standard deviations, and comparative tests for non-normally distributed and categorical variables. The findings revealed significant associations between ABO blood groups and the presence of Müllerian anomalies. Notably, individuals with blood group O exhibited a higher prevalence of these abnormalities. These results underscore the relevance of ABO typing in reproductive health assessments and suggest that women with specific blood group profiles may benefit from targeted diagnostic and clinical interventions. Further research is warranted in order to validate these associations and elucidate the underlying biological mechanisms.

Author Biographies

Saleh Meghil

Department of Gynaecology, CHU Brugmann UVC (Brugmann University Hospital), Brussels, Belgium

Adnan A. Al-Bdairi

Teba IVF, Genetic, and Fertility Center, Babylon, Iraq

Hayder Abdul-Amir Makki Al-Hindy

Department of Pharmacology and Toxicology, College of Pharmacy, University of Babylon, Hillah, Iraq

Sallama H. Khdhair

Alzaitoon Specialized Fertility Center, Baghdad, Iraq

Osama Shawki

Department of Gynaecology, School of Medicine, Cairo University, Cairo, Egypt

Batool Alkhalidi

Department of Gynaecology, College of Medicine, University of Kufa, Najaf, Iraq

Hadeel K. Kareem

Department of Gynaecology, Al-Imam Al-Sadiq Teaching Hospital, Babil Health Directorate, Hillah, Iraq

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Published

10-10-2025

How to Cite

[1]
Meghil, S. et al. 2025. Association between ABO blood groups and Müllerian anomalies: a single-center cohort study of 16,690 infertile women. Pharmakeftiki . 37, 2S (Oct. 2025). DOI:https://doi.org/10.60988/p.v37i2S.223.