In man and some animals regulation of embryo Implantation by endometrial ex
pression of the highly polymorphic MUC 1 mucin has been suggested. We asses
sed the polymorphism of MUC 1 in women known to be fertile and those with i
nfertility due to suspected failure of embryo implantation. The median of t
he lower allele size in the infertile group was only 2.5 kb compared with 3
.4 kb in the fertile group (p=0.0029, difference 0.9, [95% CI 0.1-1.3]). Wo
man with unexplained Infertility might have a genetic susceptibility to fai
lure of embryo implantation due to small MUC 1 allele size.