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[肥胖与生殖:文献综述]

[Obesity and reproduction: a literature review].

作者信息

Le Goff S, Lédée N, Bader G

机构信息

Unité d'Assistance médicale à la procréation, service de gynécologie-obstétrique et médecine de la reproduction, centre hospitalier intercommunal de Poissy-Saint-Germain-en-Laye, 10, rue du Champ-Gaillard, 78303 Poissy, France.

出版信息

Gynecol Obstet Fertil. 2008 May;36(5):543-50. doi: 10.1016/j.gyobfe.2008.03.005. Epub 2008 May 6.

Abstract

Obesity is a growing public health problem because of the morbimortality factors linked to it. In obstetrics and gynecology, consequences on fertility and contraception are notable: infertility, low assisted reproductive technologies (ART) results, miscarriages, congenital abnormalities, obstetrical and neonatal complications, low hormonal contraception efficacy. These effects are partially corrected by weight loss which can be achieved by behavioural, medical or surgical treatment. Gynaecologists should always participate in a multidisciplinary management of obesity before hormonal contraception or ART.

摘要

由于与肥胖相关的致病致死因素,肥胖已成为一个日益严重的公共卫生问题。在妇产科领域,肥胖对生育和避孕的影响显著:不孕、辅助生殖技术(ART)成功率低、流产、先天性异常、产科和新生儿并发症、激素避孕效果差。通过行为、药物或手术治疗实现的体重减轻可部分纠正这些影响。妇科医生在进行激素避孕或ART之前,应始终参与肥胖的多学科管理。

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