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Updated: May 31, 2025

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Human Egg Maturity Assessment and Its Clinical Application
Published on: August 19, 2019
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在IVF周期中触发最终的卵泡成熟.
1Infertility and IVF Unit, Department of Obstetrics and Gynecology, Chaim Sheba Medical Center (Tel Hashomer), Ramat Gan, 52621, Israel. raoul.orvieto@sheba.health.gov.il.
Reproductive biology and endocrinology : RB&E
|January 23, 2025
概括
在受控的卵巢过度刺激 (COH) 中,最终的卵泡成熟可以由人类胆性淋巴激素 (hCG) 或GnRH激动剂 (GnRHa) 触发. 本综述分析了COH的不同触发方法,以优化特定患者群体的结果.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 不孕症治疗方法 不孕症治疗方法
- 辅助生殖技术 辅助生殖技术
背景情况:
- 控制性卵巢过度刺激 (COH) 通常使用人类胆性腺激素 (hCG) 进行最终的卵泡成熟.
- 激发GnRH激活剂 (GnRHa) 与GnRH抗剂的同时治疗用于减轻卵巢过度刺激综合征并增强卵细胞/胚胎产量.
- 将GnRHa与hCG触发器相结合是最近的一种临床方法.
研究的目的:
- 分析和讨论已发表的关于触发最终毛囊成熟的各种方法的研究.
- 阐明不同触发方法对于COH中特定患者亚组的适当性.
主要方法:
- 系统地审查和讨论已发表的文献.
- 对比COH中不同最终成熟触发协议的研究分析.
主要成果:
- 对hCG与GnRHa触发的疗效和安全性的评估.
- 对联合GnRHa和hCG触发协议的评估.
- 确定可能受益于特定触发策略的患者子组.
结论:
- 对于COH的最终卵泡成熟的不同触发策略具有明显的优点和缺点.
- 触发剂 (hCG,GnRHa或组合) 的选择应根据患者的特征和治疗目标进行个性化.
- 优化触发选择可以改善COH结果,包括卵细胞产量,胚胎质量和安全性.
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