Ramalho de Carvalho Bruno, Gomes Sobrinho David Barreira, Vieira Andréa Duarte Damasceno, Resende Manoela Porto Silva, Barbosa Antônio César Paes, Silva Adelino Amaral, Nakagava Hitomi Miura
GENESIS-Centre for Assistance in Human Reproduction, SHLS 716, Bloco "L", Salas "L" 328/331, Centro Clínico Sul, Ala Leste, 70.390 Brasília, DF, Brazil.
ISRN Obstet Gynecol. 2012;2012:576385. doi: 10.5402/2012/576385. Epub 2012 Jan 26.
The current trends to postpone motherhood and the increase in demand for assistance in reproductive medicine highlight the need for seeking guidelines for the establishment of individualized treatment protocols. Currently available ovarian reserve tests do not provide sufficient evidence to be solely considered ideal, but they may occupy important place in initial counseling, predicting unsatisfactory results that could be improved by individualized induction schemes and reducing excessive psychological and financial burdens, and adverse effects. In this paper, we revise the role of hormonal basal and dynamic tests, as well as ultrasonographic markers, as ovarian reserve markers, in order to provide embasement for propaedeutic strategies and their interpretation in order to have reproductive success.
目前推迟生育的趋势以及生殖医学辅助需求的增加凸显了寻求制定个性化治疗方案指南的必要性。目前可用的卵巢储备测试并不能提供足够的证据使其被单独视为理想的测试，但它们在初始咨询中可能占据重要地位，预测可能通过个性化诱导方案改善的不理想结果，并减轻过度的心理和经济负担以及不良反应。在本文中，我们修订了激素基础和动态测试以及超声标志物作为卵巢储备标志物的作用，以便为诊断策略及其解读提供依据，从而实现生殖成功。
