基于证据的指导方针:无法解释的不孕不育†
, D Romualdi1, B Ata2,3
1Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Human reproduction (Oxford, England)
|August 21, 2023
概括
本指南提供了管理不明原因不孕症 (UI) 的建议. 第一线治疗是卵巢刺激的宫内授精 (IUI),尽管证据质量往往很低.
科学领域:
- 生殖医学和内分泌学.
- 基于证据的临床实践指南
背景情况:
- 无法解释的不孕不育 (UI) 是当标准检查没有发现任何伴侣的异常时被诊断出来的.
- 目前UI的管理在很大程度上是经验性的,缺乏对治疗有效性和安全性的强有力的评估.
- 仍然需要对UI进行标准化的诊断工作.
研究的目的:
- 为定义,诊断和管理不明原因不孕症 (UI) 提供基于证据的建议.
- 引导临床医生为经历UI的夫妇提供最佳护理.
- 确定需要在UI领域进行进一步研究的领域.
主要方法:
- 根据欧洲人类生殖和胚胎学会 (ESHRE) 的结构化方法制定指南.
- 专家制定关键问题,然后在2022年10月之前进行全面的文献搜索和评估.
- 在利益相关方审查后,指导方针制定小组 (GDG) 基于共识制定建议.
主要成果:
- 该指南提出了52条关于UI诊断和治疗的建议.
- 建议将宫内授精 (IUI) 与卵巢刺激相结合,作为UI的第一线治疗.
- 大多数建议都是基于低质量或非常低质量的证据,强调需要更多的研究.
结论:
- 根据当前的证据,临床医生提供了关于UI管理最佳实践的明确建议.
- 对于许多UI的诊断测试和干预措施,高质量的证据存在显著的差距.
- 进一步的研究至关重要,以完善当前的建议,并改善无法解释的不孕不育的管理.
关键词:
艺术 艺术 艺术 艺术埃斯赫雷 埃斯赫雷 是一个人.这是一个很好的选择.在这个过程中,IVF IVF.基于证据的基于证据的证据.这是一个指导方针.医疗辅助生殖是医疗辅助生殖的一种方式.怀孕 怀孕 怀孕 怀孕 怀孕无法解释的不孕不育.更多相关视频
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