年轻不孕妇女的卵巢储备不足相关的因素:一项基于医院的队列研究
Sanghamitra Hazarika1, Paapa Dasari1, Sairem Mangolnganbi Chanu1
1Department of Obstetrics and Gynecology, JIPMER, Puducherry, India.
Journal of human reproductive sciences
|August 7, 2023
概括
卵巢储备不足影响了40%的35岁以下的年轻女性. 甲状腺功能低下症和重复的排卵诱导周期是重要的相关因素,需要AMH测试进行早期检测.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 不孕症研究 不孕症研究
背景情况:
- 低卵巢储备 (POR) 在年轻女性 (<35岁) 中越来越多地观察到,与35岁后的典型下降相反.
- 子宫内膜异位症是已知的危险因素,但其他相关疾病需要进一步调查.
研究的目的:
- 确定35岁以下女性中POR的患病率.
- 在这个人口群体中识别与POR相关的因素.
主要方法:
- 一项前性观察队列研究包括166名21-34岁的女性,她们没有PCOS或卵巢异位.
- 测量了血清抗穆勒尔激素 (AMH) 水平;AMH ≤0.99 ng/ml表示POR.
- 分析的因素包括年龄,医疗疾病,妇科病理学和排卵诱导史 (OI).
主要成果:
- 40%的队列被诊断为POR; 62%的年龄在31-35岁之间.
- 与POR的显著关联包括子宫内膜瘤 (OR 5.7),甲状腺功能低下症 (OR 2.5) 和≥3次之前的OI周期 (OR 2.3).
结论:
- 40%的年轻女性表现出POR,甲状腺功能低下和重复的OI周期是显著的危险因素.
- 这些因素可能会影响早期卵巢储备耗尽的潜在机制.
- 建议对有这些风险因素的年轻女性进行AMH检测,无论年龄如何.
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