The selection of method in ovulation induction of the artificial insemination.

doi:10.7504/fk2014120110

Abstract

Abstract:

Abstract: In the artificial insemination cycle, the ovulation induction must be the ovarian mild stimulation program, to reduce the ovarian hyper-stimulation and the incidence of multiple pregnancies,which is achieved mainly through controlling the start number of follicles in the early follicular phase, and the dominant follicles to ovulate. Clomiphenecitrate and letrozole are the first line program,while low-dose HMG(or FSH) Step-Up is relatively easy to achieve the purpose of control. In the ovulation cycle, detecting the cascade of spontaneous LH peak can get the best pregnancy rates. Thirty-six hours after the HCG trigger may be the best time for completing the artificial insemination surgery.

Key words: artificial insemination , ovarian mild stimulation；controll ovulation induction, time of insemination

摘要：

在人工授精周期促排卵治疗时，为了减少卵巢的过度刺激，降低多胎妊娠发生率，必须进行卵巢微刺激的控制性促排卵方案，主要通过控制早卵泡期的启动数及优势卵泡的排卵数来完成。氯米芬、来曲唑是一线方案，人绝经期促性腺激素（HMG）或卵泡刺激素（FSH）低剂量渐增方案是比较容易达到控制目的的方案。在促排卵周期中，监测自发性黄体生成激素（LH）峰形成后产生的级联效应，可以获得最佳妊娠率。注射人绒毛膜促性腺激素（HCG）扳机后36h完成人工授精手术可能是最佳时机。

关键词: 人工授精, 卵巢微刺激, 控制性促排卵, 受精时机

CLC Number:

R321-33

SHAO Xiao-guang.. The selection of method in ovulation induction of the artificial insemination.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2014120110.

邵小光. 人工授精周期中诱发排卵方法选择[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2014120110.

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