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在接受生育治疗的非生育人口中的细菌性阴道炎:一个前性队列研究
Marjolein M van den Tweel1,2, Ellen H A van den Munckhof3, Moniek van der Zanden2
1Department of Obstetrics and Gynecology, Leiden University Medical Center, 2300RC, Leiden, The Netherlands.
Journal of assisted reproduction and genetics
|December 12, 2023
概括
细菌性阴道炎 (BV) 在生育治疗中没有显著影响怀孕成功. 然而,BV可能会增加流产的风险,这需要在不育种群中进行进一步的研究.
科学领域:
- 生殖生物学和微生物学.
- 产科和妇科 产科和妇科
背景情况:
- 细菌性阴道炎 (BV) 与诸如早产等不良产科结果有关.
- 关于BV对生育治疗和不育妇女的影响的研究有限.
- 以前的研究表明,它对生育能力有负面影响,特别是在体外受精中.
研究的目的:
- 调查细菌性阴道炎与接受生育治疗的女性怀孕率之间的关联.
- 探索 BV 对子宫内授精,体外受精和细胞质内精子注射结果的影响.
主要方法:
- 76对夫妇进行了133次试图进行生育治疗的前性观察研究.
- 用qPCR和16S rRNA基因测序分析BV的阴道样本.
- 逻辑回归与通用估计方程用于分析数据,调整混因素.
主要成果:
- 在26%的样本中检测到细菌性阴道炎.
- 根据BV状态,持续怀孕或活产率没有显著差异.
- 在BV的妇女中观察到流产率增加的趋势.
- 在基线BV阳性参与者中观察到更高的BMI和吸烟率.
结论:
- 在生育治疗中,细菌性阴道炎似乎没有显著影响正在进行的怀孕率.
- BV可能与流产风险增加有关.
- 需要进一步的研究来澄清BV在生育干预后流产中的作用.
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