腺/子宫内膜异位症试管婴儿患者 - 呼吁临床关注
Mauro Cozzolino1, Birgit Alsbjerg2, Antonio Pellicer3
1IVIRMA Global Research Alliance, IVI Roma, Rome, Italy.; IVIRMA Global Research Alliance, IVI Foundation-IIS la Fe, Valencia, Spain..
Reproductive biomedicine online
|February 11, 2024
概括
对于正在接受辅助生殖的子宫内膜异位症或腺髓异位症患者来说,结合激素调整的冷全部胚胎移植策略可以通过解决孕激素耐药性来改善生殖成功.
科学领域:
- 生殖内分泌学和不孕不育问题
- 妇科病理学的病理学
背景情况:
- 子宫内膜异位症和子宫内膜异位症具有共同的病理生理特征,影响辅助生殖技术 (ART) 的结果.
- 这些情况涉及受损的雌激素和孕信号,导致局部雌激素主导和孕抵抗.
研究的目的:
- 讨论改善子宫内膜异位症或腺菌症 (E/A) 患者生殖成功的新策略.
- 突出需要在ART中专注于E/A患者的需要.
主要方法:
- 关于E/A患者荷尔蒙管理的最新科学证据和临床数据的审查.
- 讨论所有胚胎转移结政策和荷尔蒙替代疗法 (HRT) 协议.
主要成果:
- 一个结所有政策与下调的雌激醇和增加的孕激素补充剂可以克服孕激素抵抗在E/A患者.
- 芳酶抑制剂在腺菌症患者中显示出潜在的抵抗力,在HRT-FET之前对GnRH主因体下调有抵抗力.
结论:
- 针对局部高雌激素和孕激素耐药性的荷尔蒙管理对E / A患者至关重要.
- 需要进一步的研究,以优化E / A患者的ART结果.
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