中国实用妇科与产科杂志

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多囊卵巢综合征不孕妇女助孕时机与助孕方式选择

艾继辉赵义清朱桂金   

  1. 作者单位:华中科技大学同济医学院附属同济医院生殖医学中心,湖北 武汉430030
  • 出版日期:2013-11-02 发布日期:2013-10-22

  • Online:2013-11-02 Published:2013-10-22

摘要:

多囊卵巢综合征(polycystic ovary syndrome, PCOS)是最常见的导致排卵障碍性不孕症的原因。对于PCOS患者,助孕方法有很多种,主要包括:改变生活方式、胰岛素增敏剂、选择性雌激素受体拮抗剂、芳香化酶抑制剂、促性腺激素、腹腔镜卵巢打孔以及辅助生殖技术等。这些方法的作用机制、适用范围各不相同,各有优缺点。该文就多囊卵巢综合征不孕妇女助孕时机与助孕方式选择做一阐述。

关键词: 多囊卵巢综合征, 不孕症, 促排卵, 辅助生殖技术

Abstract:

Abstract:Polycystic ovary syndrome (PCOS) is the most common cause of anovulatory infertility. There are multiple ways to induce ovulation in PCOS patients, which will eventually provide a successful live birth. Each of these treatments varies in aggressiveness and effectiveness. Ranging from lifestyle modifications, through insulin-sensitizing agents, selective estrogen receptor modulators, aromatase inhibitors, gonadotr opins, to laparoscopic ovarian drilling and assisted reproductive techniques, each method achieves ovulation induction through different mechanisms of action. This paper provides a description and specific characteristics of the different methods used for ovulation induction which can help to design a personalized approach to each PCOS patient, and a general stepwise approach to ovulation induction in these patients.

Key words: polycystic ovary syndrome, infertility, ovulation induction, assisted reproductive techniques

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