在接受试管婴儿/ICSI的卵巢反应不佳的妇女中,脱水氨素原始化疗的有效性:一个元分析
Jie Zhang1, Hongyan Jia1,2, Feiyang Diao1
1State Key Laboratory of Reproductive Medicine, Clinical Center of Reproductive Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Frontiers in endocrinology
|June 26, 2023
概括
由于卵巢反应不佳 (POR) 或卵巢储备减少 (DOR),脱水氨 (DHEA) 补充剂可能会改善接受IVF/ICSI的女性的一些结果. 然而,随机对照试验没有发现活产率的显著改善.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 在体外受精 (IVF)
- 不孕症治疗方法 不孕症治疗方法
背景情况:
- 脱氨 (DHEA) 正在研究其在卵巢反应不良 (POR) 或卵巢储备减少 (DOR) 的患者中增强试管婴儿/ICSI结果的潜力.
- 目前关于DHEA在这种患者群体中的疗效的证据不一致,需要进一步调查.
结论:
- 根据RCT数据,DHEA补充剂在接受IVF/ICSI的DOR或POR妇女中没有显著改善活产率.
- 在非RCT中观察到更高的怀孕和活产率,由于潜在的偏见,需要谨慎.
- 建议进一步研究精细的患者选择标准,以澄清DHEA在辅助生殖技术中的作用.
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