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状细胞疾病妇女的功能性卵巢储备:系统性审查
Caroline Santos Silva1, Nathália Muraiviechi Passos2, Anna Paloma Martins Rocha Ribeiro1
1Public Health Department of State University of Feira de Santana, UEFS, Feira de Santana, Bahia, Brazil.
JBRA assisted reproduction
|December 3, 2024
概括
患有状细胞疾病 (SCD) 的女性可能有较低的功能性卵巢储备. 基尿素治疗似乎进一步降低了卵巢储备,尽管证据仍然有限.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 血液学 血液学 血液学
- 妇女健康 妇女健康
背景情况:
- 改善状细胞疾病 (SCD) 的存活率强调生殖健康是关键问题.
- 功能性卵巢储备评估对于患有SCD的女性至关重要.
研究的目的:
- 系统地审查有关SCD妇女功能性卵巢储备的证据.
- 评估抗穆勒尔激素 (AMH) 水平作为卵巢储备的指标.
主要方法:
- 对电子数据库,预印服务器和参考清单进行系统审查.
- 包括2015-2021年期间发表的四项研究 (横截面或病例控制)
- 尽管证据质量很低,但使用纽卡斯尔-太华尺度进行偏差评估的风险很低.
主要成果:
- 这四项研究都报告了与对照组相比,SCD女性的AMH水平较低.
- 对于仅接受支持性护理的SCD年轻女性来说,AMH水平处于正常范围内.
- 水氧尿素的使用与卵巢储备的减少有关.
结论:
- 在患有SCD的女性中存在较低卵巢储备的趋势,AMH水平表明.
- 目前没有足够的证据支持SCD和卵巢储备减少之间的因果关系.
- 未来的研究应该专注于对卵巢储备评估的成像和生化参数.
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