乙型肝炎病毒感染,不孕不育和辅助生殖
Lingjian Zhang1, Fangfang Zhang2, Zhiyuan Ma3
1Department of Infectious Diseases, Affiliated Hangzhou First People's Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China.
Journal of Zhejiang University. Science. B
|August 19, 2024
概括
乙型肝炎病毒 (HBV) 感染会对生育产生负面影响,并可能增加辅助生殖治疗 (ART) 中的妊娠并发症. 谨慎的查和管理对于防止在ART期间HBV的重新激活至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 生殖医学 生殖医学
- 病毒学 病毒学
背景情况:
- 乙型肝炎病毒 (HBV) 是一个全球性的健康问题,导致肝脏疾病和癌症.
- 乙型肝炎病毒感染会影响生育能力,导致不育夫妇寻求辅助生殖技术 (ART).
- 关于HBV对ART结果的影响的数据有限且相互矛盾.
研究的目的:
- 综合审查HBV对生育能力的影响.
- 分析HBV对ART妊娠结果,垂直传播,并发症和病毒活性的影响.
主要方法:
- 在PubMed的文献中搜索有关HBV感染和ART的研究.
- 包括1996年至2022年间发表的研究.
主要成果:
- 肝炎病毒感染会对男性和女性的生育能力产生负面影响.
- 在ART期间,HBV可能会增加怀孕并发症风险.
- ART似乎不会增加HBV垂直传播,但数据有限.
- 在ART治疗中,尤其是免疫抑制治疗中,HBV复激活 (HBVr) 的风险增加.
结论:
- 定期的HBV查和HBVr风险管理对于ART至关重要.
- 最佳的预防性抗HBV治疗时间和策略需要进一步研究.
相关概念视频
Infertility in Males
256
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...
256
Spermatogenesis
102.3K
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...
102.3K
Infertility in Females
288
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...
288
In Vitro Fertilization
234
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...
234
Sexually Transmitted Infections
290
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
290


