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相关概念视频

Infertility in Females01:28

Infertility in Females

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Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
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Multiplexed Fluorescent Immunohistochemical Staining of Four Endometrial Immune Cell Types in Recurrent Miscarriage
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经常性流产:加速行动的证据

Arri Coomarasamy1, Rima K Dhillon-Smith1, Argyro Papadopoulou1

  • 1Tommy's National Centre for Miscarriage Research, Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.

Lancet (London, England)
|April 29, 2021
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概括

现在有重复流产的护理指南, 建议对受影响的夫妇进行必要的调查和治疗. 这些指导方针旨在改善重复流产的妇女的护理和减少不确定性.

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科学领域:

  • 生殖医学
  • 产科和妇科
  • 临床实践指南

背景情况:

  • 对于妇女和医疗保健提供者来说,反复流产 (RM) 存在重大不确定性,包括原因,复发风险,调查和治疗.
  • 对于RM来说,最佳的护理途径并未被普遍确立,导致不一致的管理.

研究的目的:

  • 制定基于证据的建议,用于调查和管理反复流产.
  • 为医疗保健政策制定者和提供者提供有关组织和提供最佳护理的指导.

主要方法:

  • 文献审查和对现有指南的评估.
  • 在2019年12月召开专家和利益相关方的全英共识会议.
  • 开发研究和治疗的最低数据集.

主要成果:

  • 基本的检查包括狼抗凝剂,抗心脂蛋白抗体,甲状腺功能测试和经阴道的盆腔超声波.
  • 关键治疗包括第一季度的孕激素,亚临床甲状腺功能低下症的莱沃甲状腺素和抗脂抗体的阿司匹林/肝素.
  • 建议包括综合心理健康查和管理未来的产科风险,如早产.

结论:

  • 根据临床需求和患者偏好量身定制的个人护理至关重要.
  • 一个分级的护理模式,从在线支持到由顾问领导的诊所.
  • 医疗保健系统应优先考虑推的检查和治疗方法的普及.