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在患有子宫内膜异位症的妇女中保存生育能力
Sabrina Rangi1, Christine Hur1, Elliott Richards1
1Cleveland Clinic Department of Obstetrics and Gynecology, Women's Health Institute, 9500 Euclid Ave, Cleveland, OH 44195, USA.
Journal of clinical medicine
|July 14, 2023
概括
子宫内膜异位症手术可能会对卵巢储备产生负面影响. 对于考虑对子宫内膜异位症进行手术干预的患者来说,包括卵细胞冷保存在内的生育保护咨询至关重要.
科学领域:
- 生殖医学 生殖医学
- 妇科外科手术 妇科外科
- 不孕症研究 不孕症研究
背景情况:
- 子宫内膜异位症是一种常见的疾病,影响生育年龄的女性.
- 与子宫内膜异位症相关的不孕症是一个重大的临床挑战.
- 对子宫内膜异位症的外科干预对生育有风险.
研究的目的:
- 审查子宫内膜异位症手术对卵巢储备的影响.
- 讨论子宫内膜异位症患者的生育保护策略.
- 在子宫内膜异位症管理中强调节制生育的外科手术技术.
主要方法:
- 关于子宫内膜异位症发病和不孕不育的文献综述.
- 对手术结果和卵巢储备标志物的研究分析.
- 评估保存生育能力的选择,包括冷保存.
主要成果:
- 子宫内膜瘤切除显著减少卵巢储备,由降低的抗穆勒尔激素水平表明.
- 卵细胞冷保存的建议因年龄而异:女性≤35岁为10-15个卵细胞,女性≥35岁为>20个卵细胞.
- 维持生育的外科手术方法对于尽量减少阳性损伤至关重要.
结论:
- 接受子宫内膜异位症手术的患者需要全面的生育保护咨询.
- 卵细胞冷保存是保护子宫内膜异位症妇女生育能力的可行选择.
- 通过手术技术,最大限度地减少阴性卵巢储量减少至关重要.
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