在不孕症夫妇的子宫内授精后怀孕的预后因素的评分
Geraldo Laurus1, Agustinus Agustinus2,3, Cennikon Pakpahan2,3
1Bocah Indonesia Fertility Centre, Tanggerang, Indonesia.
The Pan African medical journal
|June 9, 2025
概括
宫内授精 (IUI) 怀孕成功受到男性BMI,女性年龄,精子数,AMH和子宫内膜厚度的影响. 一个新的评分系统预测了不孕症患者的IUI结果.
科学领域:
- 生殖医学 生殖医学
- 不孕症治疗 不孕症治疗
- 临床研究 临床研究
背景情况:
- 宫内授精 (IUI) 是一种常见的,负担得起的不孕症治疗方法.
- IUI提供每周期8.2%至15.1%的怀孕率.
- 影响IUI成功的关键因素需要进一步调查.
研究的目的:
- 确定影响子宫内授精 (IUI) 结果的预后因素.
- 为印尼IUI成功开发一个预测得分系统.
主要方法:
- 443个IUI周期 (2020-2024) 的回顾性队列研究.
- 从印度尼西亚的两个生育诊所收集的数据.
- 多变量分析以确定显著的预后因素并制定预测得分.
主要成果:
- 总体怀孕率为13.5%,占总体怀孕率的13.5%.
- 重要因素包括男性的BMI (<27.5 kg/m2),女性的年龄 (<30.5岁),精子数量 (>1581万),AMH (>3.015 ng/mL) 和子宫内膜厚度 (>9.36毫米).
- 一个开发的评分系统 (0-9) 预测了从1.31%到55.16%的怀孕概率.
结论:
- 一个新的评分系统有效地评估了IUI成功的预后因素.
- 这个工具有助于评估个体患者在IUI后怀孕的可能性.
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