外源性孕激素过敏及其与辅助生殖技术 (ART) /体外受精 (IVF) 的日益增加的关联
Nivedita Sashidhar1, Venkataram Mysore1, G V Thejavathy2
1Venkat Center for Skin and Plastic Surgery, Department of Dermatology, Vijayanagar, Karnataka, India.
Indian dermatology online journal
|January 29, 2024
概括
孕激素过敏症 (PH) 是一种由孕激素引发的罕见疾病. 管理具有挑战性,特别是在需要孕激素的试管婴儿患者中,无敏化可能是可行的选择.
科学领域:
- 生殖免疫学 生殖免疫学
- 过敏和免疫学的过敏和免疫学.
背景情况:
- 孕激素过敏症 (PH) 或自身免疫性孕激素皮肤炎是一种罕见的疾病.
- 它可以由内源性或外源性孕激素触发,包括那些用于生育治疗的孕激素.
- 由于PH的临床表现多样化,PH的诊断往往不足.
研究的目的:
- 审查孕激素过敏的多方面的方面.
- 突出PH管理的挑战,特别是在辅助生殖技术的背景下.
- 讨论PH的潜在管理策略.
主要方法:
- 关于孕激素过敏的文献综述.
- 临床表现和病理机制的分析.
- 讨论管理策略,包括降低敏感度.
主要成果:
- PH主要是IgE介导的,但可以涉及其他免疫反应.
- 外源性孕激素的使用,特别是在试管婴儿中,与报告的PH病例越来越相关.
- 用药物控制症状是通常的管理方法.
结论:
- 在接受试管婴儿的患者中,PH 存在重大挑战,原因是需要孕激素来支持黄质阶段.
- 脱敏感化是一种建议的方法,用于在需要生育治疗的患者中管理PH.
- 进一步了解和认可PH对于有效的患者护理至关重要.
相关概念视频
In Vitro Fertilization
270
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
270
Oogenesis
63.7K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.7K
Hypersensitivities
649
Hypersensitivity, also known as a hypersensitivity reaction or allergic reaction, is a condition where the body's immune system reacts abnormally to a foreign substance. Such substances, that cause hypersensitivity are referred to as an allergen, could be something typically harmless to most people, like pollen or certain foods.
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
649
Spermatogenesis
102.5K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.5K
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
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


