Moltz L, Leidenberger F, Weise C
Frauenarztpraxis und Hormonlabor, Berlin.
Ther Umsch. 1990 Dec;47(12):926-36.
Normocyclic functional sterility can be regarded as a starting point to the common pathophysiology of different endocrinopathies. Those are finally leading to secondary amenorrhoea, as the most severe sign of ovarian insufficiency. The incidence of abnormal hormonal parameter increases parallel to the duration and the extent of the respective endocrinopathy. For a better causal classification of the endocrine disorder a complete hormonal assessment is mandatory, as characteristic historical data or significant clinical signs will often be missed in infertile patients. The completion of one single basic hormonal examination might lead to an exact differentiated diagnosis and then allows accordingly for the induction of a purposeful treatment. The pregnancy rates are considerably high proving the effectiveness of the thoughtful pretherapeutic diagnostic evaluation. The principle of cost-effectiveness is as well maintained by the follow-up of complete diagnosis and master-tailored therapy.
正常周期性功能不育可被视为不同内分泌病共同病理生理学的起点。这些最终会导致继发性闭经，这是卵巢功能不全最严重的迹象。激素参数异常的发生率与相应内分泌病的持续时间和程度平行增加。为了更好地对内分泌紊乱进行因果分类，必须进行全面的激素评估，因为不育患者往往会错过特征性的病史数据或明显的临床体征。完成一项基本激素检查可能会得出准确的鉴别诊断，从而相应地进行有针对性的治疗。妊娠率相当高，证明了深思熟虑的治疗前诊断评估的有效性。通过完整诊断和量身定制的治疗随访，也维护了成本效益原则。
