在辅助生殖治疗中卵巢刺激期间的化激素样本
Hannah Verschuere1,2, Annouschka Laenen3, Sophie Debrock1
1Leuven University Fertility Center, Department of Gynecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium.
Frontiers in endocrinology
|December 19, 2024
概括
在使用对抗性协议进行卵巢刺激时,素激素 (LH) 水平显著下降,这可能会影响生育结果. 这项研究强调了在对抗剂循环中LH过度抑制的普遍性,需要进一步研究其临床意义.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 不孕症研究 不孕症研究
- 临床试验 临床试验
背景情况:
- 有限的数据存在于卵巢刺激期间的素激素 (LH) 动态.
- 过度抑制LH与降低生育能力结果有关.
研究的目的:
- 根据卵巢刺激协议来评估LH水平的变化.
- 为了更好地定义和理解在生育治疗期间LH过度抑制.
主要方法:
- 追溯分析了从2015年至2020年期间的858名患者记录.
- 使用线性混合建模的短激动剂 (SA) 和对抗剂 (A) 协议的比较.
- 定义LH过度抑制是GnRH抗剂启动后>50%降低或水平<1.2 IU/l.
主要成果:
- 在SA协议中显示,最初的LH峰值随后缓慢下降.
- 反对手协议导致GnRH抗剂启动后LH迅速下降.
- 在26.2%的治疗周期中,LH水平下降了>50%,在45.3%的治疗周期中,LH水平下降了<1.2 IU/l.
结论:
- 在SA和对抗剂协议之间,LH配置文件显著不同,在后者中观察到较低的水平.
- 在对抗剂方案中,LH过度抑制似乎很常见,因此需要进一步研究临床相关性.
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