Akande Valentine A, Keay Stephen D, Hunt Linda P, Mathur Rajneesh S, Jenkins Julian M, Cahill David J
Centre for Reproductive Medicine, Division of Obstetrics and Gynaecology, University of Bristol, St. Michael's Hospital, Bristol BS2 8EG, United Kingdom.
J Assist Reprod Genet. 2004 Jul;21(7):257-62. doi: 10.1023/b:jarg.0000042011.67696.85.
Chronological age, or biological age as indicated by elevated FSH levels, are related to ovarian reserve. This study addresses the likelihood of cancellation of IVF treatment due to a poor ovarian response utilising both basal serum FSH and woman's age.
A prospective cohort of 536 infertile but ovulating women were studied in their first cycle of IVF treatment. Standardised methods of pituitary desensitisation and ovarian stimulation prior to IVF treatment were employed. Treatment cycles cancelled due to a poor ovarian response to gonadotrophins were studied. A series of logistic regression models were used to explore the probabilities of cancellation in relation to age and FSH.
Both age and basal serum FSH levels were independently associated with the risk of treatment cancellation. A low risk of treatment cancellation was observed in women under the age of 35 irrespective of serum FSH, however in older women the risk of treatment cancellation was most likely in women with a high FSH.
In combination both age and FSH may serve as a valuable indicator of poor ovarian response leading to treatment cancellation. However, among older women FSH has particular importance, while less so in younger women with regular menstrual cycles.
按时间顺序计算的年龄,或由升高的促卵泡激素(FSH)水平所表明的生物学年龄,与卵巢储备有关。本研究探讨了利用基础血清FSH和女性年龄,因卵巢反应不良而取消体外受精(IVF)治疗的可能性。
对536名不孕但排卵的女性进行前瞻性队列研究,观察她们的首次IVF治疗周期。采用IVF治疗前垂体脱敏和卵巢刺激的标准化方法。研究因对促性腺激素卵巢反应不良而取消的治疗周期。使用一系列逻辑回归模型来探讨与年龄和FSH相关的取消治疗的概率。
年龄和基础血清FSH水平均与治疗取消风险独立相关。无论血清FSH如何,35岁以下女性治疗取消风险较低,然而在年龄较大的女性中,FSH水平高的女性治疗取消风险最高。
年龄和FSH相结合可作为导致治疗取消的卵巢反应不良的重要指标。然而,在年龄较大的女性中FSH尤为重要,而在月经周期规律的年轻女性中重要性较低。