卵巢皮层移植后的卵泡发育恢复:什么是最早的荷尔蒙指标?
Alice Cathelain1,2, Laura Keller3, Pierre Collinet4,5
1Department of Assisted Reproductive Technologies and Fertility Preservation, Jeanne de Flandre Hospital, CHU Lille, 59000, Lille, France. alice.delaoustre@gmail.com.
Archives of gynecology and obstetrics
|November 29, 2024
概括
卵巢组织冷保存和移植可以恢复卵巢功能. 早期的荷尔蒙变化,包括FSH/LH下降和AMH/Inhibin B增加,在卵巢移植后恢复月经之前.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 在生育能力上.
- 移植医学 移植医学
背景情况:
- 卵巢组织冷保存 (OTC) 对于癌症患者的生育能力保护至关重要.
- 移植后恢复的卵巢功能通常涉及月经恢复.
- 卵巢移植后的长度激素变化需要进一步调查.
研究的目的:
- 为了研究卵巢移植和月经恢复之间的荷尔蒙波动.
- 在移植后的年轻女性中分析淋巴激素和花粉素/甲基细胞分泌物.
主要方法:
- 两名患有霍奇金淋巴瘤的年轻女性在化疗和干细胞移植后接受卵巢皮质移植的案例研究.
- 在移植前和移植后密切监测荷尔蒙分泌物 (FSH,LH,AMH,B抑制剂,雌激醇,雄激素) 和月经功能.
主要成果:
- 移植后5-7个月,月经恢复.
- 在月经开始前1-3个月,FSH和LH水平下降.
- 月经前1个月,AMH和B抑制剂的增加,持续低的AMH和绝经后的雄激素水平.
结论:
- 超敏感的AMH,Inhibin B和雌激素升高,在卵巢移植后的一个月之前经历月经.
- 卵巢移植功能成功的早期指标包括FSH/LH下降和月经前1-3个月雌激素增加.
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