The etiology of recurrent spontaneous abortion (RSA) is extremely complex, as there are 40–50% of patients with unexplained miscarriages, known as unexplained RSA (URSA). URSA affects approximately 1–2% of females of childbearing age and has a massive impact on the physical and mental conditions of both patients and their families. The pathogenesis of the disease remains unclear, making its treatment complicated. In recent years, considerable progress has been made in the exploration of the URSA immune balance mechanism and it has been universally acknowledged that a balanced immune response (as abnormal immunity) may be the root cause of poor pregnancy outcomes. This review discussed and summarized the effects of immune cells and blocking antibodies (BAs) on URSA based on the current state of knowledge in this area. Additionally, molecular genetics also plays an essential role in the incidence rate of URSA since the role of genetic polymorphism in the pathogenesis of URSA has been thoroughly studied. Nonetheless, the outcomes of these studies are inconsistent, particularly across populations. This paper reviewed previous studies on URSA and maternal genetic polymorphism, focusing on and synthesizing the most important findings to date, and providing diagnostic recommendation for URSA patients with clinical symptoms.
Background: With the widespread use of static magnetic fields (SMFs) in applications such as magnetic resonance imaging (MRI) and electric vehicles, concerns have arisen regarding their potential effects on reproductive health. Despite increasing research, the impact of SMFs on reproductive function remains a subject of debate, requiring further exploration. Methods: This review synthesizes animal and clinical studies on the effects of SMF on reproductive function. It examines various SMF intensities and exposure durations, focusing on mitochondrial function, chromosomal division, and embryonic development. Results: The review reveals that low-intensity SMF exposure adversely affects mitochondrial function in sperm and eggs, reducing their activity. It also impacts follicular cells, delaying chromosomal division. Medium- and high-intensity SMF exposure shows mixed results, with both potential benefits and risks, requiring further research. High-intensity SMFs may pose teratogenic risks to embryos and delay the development of fertilized eggs. The position of SMF exposure also matters, likely due to field non-uniformity. Conclusions: This review provides a foundation for further investigation into the effects of SMFs on reproductive function, highlighting the need for more comprehensive studies to assess safety and applications. Special caution is advised for pregnant women regarding SMF exposure, given its potential risks.