益生菌干预可以改善女性无法解释的不孕不育吗? 一个批判性的评论评论
Alessia Favaron1, Engin Turkgeldi2, Moe Elbadawi1
1UCL School of Pharmacy, University College London, London, UK.
Reproductive biomedicine online
|February 15, 2024
概括
肠道和阴道微生物组的破坏与女性不孕症有关. 益生菌显示出恢复平衡和改善怀孕的潜力,但研究的不一致性阻碍了对疗效的明确结论.
科学领域:
- 生殖健康 生殖健康
- 微生物组研究 微生物组研究
- 妇科 妇科医生 妇科
背景情况:
- 肠道和宫性阴道微生物群的破坏与诸如不孕症之类的妇科问题有关.
- 影响全球12.6%的女性不孕症有复杂的原因,新兴的重点是微生物组的作用.
- 人们越来越认识到肠道和阴道微生物组对生殖健康的影响.
研究的目的:
- 探索女性肠道和宫性阴道微生物群与不孕不育之间的关系.
- 突出关于益生菌用于改善怀孕和辅助生殖技术成果的研究.
- 批判性地检查当前关于治疗不孕症的益生菌干预的研究中的不同发现.
主要方法:
- 文献评论和对现有研究的评论.
- 探索肠道和宫和阴道菌群之间的复杂关系.
- 对涉及治疗不孕症的益生菌 (口服/阴道) 的研究进行了批判性分析.
主要成果:
- 益生菌的管理,有时与抗生素,可以恢复共生微生物群的概念.
- 在研究中,各种益生菌物种,剂量和注射途径被不一致地使用.
- 不同的发现使得对益生菌在改善妊娠后果方面的有效性进行确的评估变得复杂.
结论:
- 肠道,宫性阴道微生物群和女性不孕症之间的相互作用需要进一步研究.
- 需要对临床研究进行协调,以最终评估益生菌对不孕症的疗效.
- 有针对性的益生菌干预有希望,但需要更一致的研究来验证.
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