从希望到犹:为什么夫妇在第一次咨询后无法返回不孕治疗
Camilla Scognamiglio1,2, Federico Cirillo1,3, Camilla Ronchetti1,3
1Department of Gynaecology and Reproductive Medicine, Fertility Center, Humanitas Research Hospital, IRCCS, Rozzano, Milan, Italy.
Human reproduction (Oxford, England)
|March 17, 2025
概括
由于母亲的年龄较大,卵巢储备较低或有资格进行雌激素捐献,夫妇往往不会返回进行生育治疗. 解决这些因素并提供支持可以改善治疗坚持.
科学领域:
- 生殖医学 生殖医学
- 不孕不育 治疗 坚持 不孕不育 治疗 坚持
- 患者退学因素 患者退学因素
背景情况:
- 在体外受精 (IVF) 中,高退学率与心理,财务和人口因素有关.
- 缺乏全面的理解为什么夫妇在最初的生育咨询后不回来.
- 需要进一步的研究来确定不返回生育护理的关键决定因素.
研究的目的:
- 为了确定影响夫妇决定在第一次咨询后不再返回生育治疗的关键因素.
- 分析人口统计学,生物学和患者报告的不返回生育护理的原因.
- 为改善患者在生育治疗途径中的保留提供见解.
主要方法:
- 一个单一中心的观察研究,结合了回顾性和前性组成部分.
- 分析了从2012年到2021年的24773对夫妇 (追溯) 和2021年的3214对夫妇 (前).
- 数据收集包括医疗记录 (AMH,FSH) 和不返回患者的电话问卷.
主要成果:
- 在2012-2021年期间,24.92%的夫妇在初次咨询后没有回来.
- 不复发的女性年龄较大 (37.1岁对35.6岁),AMH水平较低,FSH水平较高.
- 不返回的主要原因是:配子捐献资格 (34.09%),自发怀孕 (29.20%),并转移到另一个中心 (18.71%).
结论:
- 先进的孕产妇年龄,较低的卵巢储备和适合异种受精的资格是不回归的关键决定因素.
- 自发怀孕和在其他地方寻求治疗是停止治疗的重要原因.
- 量身定制的支持和咨询对于应对挑战和提高对生育治疗的坚持至关重要.
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