宫内膜异位症在无法解释的不孕症中的患病率:一个系统性审查
Hanne Van Gestel1, Celine Bafort2, Christel Meuleman2
1Leuven University Fertility Centre, Department of Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium.
Reproductive biomedicine online
|June 29, 2024
概括
无法解释的不孕症影响了许多夫妇. 诊断性腹腔镜检查发现44%的这些患者患有子宫内膜异位症,通常是轻微的,突出显示了尽管有先进的诊断,但它的流行程度.
科学领域:
- 生殖医学 生殖医学
- 妇科 妇科 妇科 妇科
- 手术诊断手术诊断的使用方法
背景情况:
- 在初步评估后,很大一部分不孕症病例 (15-30%) 仍然无法解释.
- 改进的诊断成像和辅助生殖技术已经推进了不孕症评估.
研究的目的:
- 为了确定患有子宫内膜异位症的患病率,在接受诊断性腹腔镜检查的不明原因不孕症患者中.
- 在这个患者群体中评估其他盆腔病理.
主要方法:
- 在PubMed,Embase和Cochrane Central数据库中进行系统的文献搜索.
- 纳入标准:无法解释的不孕症 (≥12个月),正常的排卵周期,正常的精液分析.
- 在腹腔镜检查中发现的盆腔病理的数据提取.
主要成果:
- 在44%的患者中发现了子宫内膜异位症,其中74%被归类为最小或轻度.
- 管道因子和粘附分别存在于20%和16%的病例中.
- 在接受过先前生育治疗的妇女中,盆腔异常的检测率更高 (75%),而没有 (53%).
结论:
- 宫内膜异位症的患病率仍然很高 (44%),原因不明的不孕不育,即使有先进的诊断.
- 腹腔镜检查对于诊断未解释不育症的盆腔病理至关重要.
- 这些发现对于临床决策至关重要,特别是在患有并发疼痛症状的患者中.
更多相关视频
07:20Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
Published on: December 21, 2012
15.9K
11:29Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
14.1K
相关概念视频
Infertility in Females
291
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
291
Oogenesis
63.6K
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...
63.6K
Infertility in Males
259
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...
259
Disorders of the Female Reproductive System
347
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
347
