抗抑郁药的使用和辅助生殖技术治疗结果:丹麦全国范围的基于登记册的队列研究
Line Riis Jølving1, Trine Munk-Olsen2, Ola Torseth3
1Center for Clinical Epidemiology, Odense University Hospital, Odense, Denmark; Research Unit of Clinical Epidemiology, University of Southern Denmark, Odense, Denmark.
Fertility and sterility
|February 27, 2026
概括
在接受辅助生殖技术 (ART) 的女性中,抗抑郁药的使用没有影响临床怀孕或活产率. 这项研究表明,在使用抗抑郁药的女性和不使用抗抑郁药的女性中,ART同样成功.
科学领域:
- 生殖医学 生殖医学
- 药理学 药理学是指药理学的学科.
- 临床流行病学临床流行病学
背景情况:
- 轻度至中度抑郁症在接受辅助生殖技术 (ART) 的女性中很常见.
- 抗抑郁药使用对ART结果的影响仍然是临床医生和患者的担忧.
研究的目的:
- 研究抗抑郁药的使用与临床怀孕和胚胎移植后活产的成功率与轻度至中度抑郁症妇女之间的关联.
主要方法:
- 丹麦 (2006-2019) 全国基于登记的观察性研究包括44 542名接受ART的妇女.
- 用多层混合效应模型对当前抗抑郁药使用者,最近使用者和未接触女性的结果进行比较.
主要成果:
- 与非使用者相比,当前或最近的抗抑郁药使用者没有观察到临床怀孕或活产率的显著差异.
- 对临床怀孕和活产的混调整后的相对风险对于当前和最近的使用者来说仍然无意义.
结论:
- 目前或最近在胚胎移植中使用抗抑郁药与减少临床怀孕或活产机会在ART中无关.
- 使用抗抑郁药的女性和不使用抗抑郁药的女性之间的ART成功率是可比的.
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