一般医生和生殖专家对抗米勒激素测试的态度,知识和实践:一个横截面研究
Tessa Copp1, Rachel Thompson2, Karin Hammarberg3
1Sydney Health Literacy Lab, Faculty of Medicine and Health, School of Public Health, The University of Sydney, Camperdown, New South Wales, Australia.
BJOG : an international journal of obstetrics and gynaecology
|January 10, 2024
概括
临床医生经常使用反米勒尔激素 (AMH) 测试,原因没有得到科学证据的支持. 需要改善教育,以指导适当的AMH测试使用和管理患者的期望.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 临床诊断 临床诊断 临床诊断
- 医学实践评估 医学实践评估
背景情况:
- 反米勒尔激素 (AMH) 测试在生殖健康方面越来越多地被使用.
- 了解临床医生对AMH测试的看法对于基于证据的实践至关重要.
- 直接向消费者提供AMH测试需要对临床整合进行评估.
研究的目的:
- 评估全科医生和专家关于AMH测试的知识,态度和做法.
- 为了确定当前的AMH测试利用与已确立的科学证据之间的差异.
- 为优化AMH测试临床应用的策略提供信息.
主要方法:
- 在澳大利亚进行了一项横截面全国性调查.
- 362名临床医生 (全科医生,妇科医生,生殖专家) 参与了这项研究.
- 在2021年5月至2022年4月期间,通过多项选择,利克尔特比例和开放式问题收集数据.
主要成果:
- 只有15%的全科医生和40%的专家每月订购AMH测试.
- 一半的临床医生对解释和解释AMH结果缺乏信心.
- 许多临床医生错误地认为AMH可以预测自然受孕或更年期,或者用它来放心.
结论:
- 临床医生报告使用AMH测试的方式没有得到当前证据的支持.
- 需要加强临床医生的支持,以合理使用AMH测试.
- 需要有效的策略来解决患者发起的AMH测试请求.
相关概念视频
Disorders of the Male Reproductive System
419
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
419
Testosterone: Functions and Regulation
670
The intricate hormonal interplay essential for male reproductive health begins with the release of gonadotropin-releasing hormone (GnRH) by the hypothalamus. This hormone prompts the pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). LH targets the Leydig cells in the testes, stimulating them to produce and release testosterone. In concert with testosterone, FSH acts on the Sertoli cells within the seminiferous tubules to facilitate the release of...
670
Gonadal and Placental Hormones
1.4K
The gonads, namely the testes in males and the ovaries in females, are pivotal in producing gonadal hormones that orchestrate the intricate processes of sexual development and reproduction.
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
1.4K
Infertility in Males
265
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
265
Overview of the Reproductive System
1.4K
The reproductive system generates offspring, ensuring the survival of the species. In humans, the reproductive system is complex and involves a variety of organs and hormones that work together to ensure successful reproduction.
The gonads, or primary reproductive organs, produce gametes and sex hormones. In males, the testes produce spermatozoa and testosterone, which is responsible for developing secondary male sex characteristics, including a deeper voice, larger muscles, facial and body...
The gonads, or primary reproductive organs, produce gametes and sex hormones. In males, the testes produce spermatozoa and testosterone, which is responsible for developing secondary male sex characteristics, including a deeper voice, larger muscles, facial and body...
1.4K
Hormonal Regulation of the Menstrual Cycle
396
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
396


