Cartwright B, Holloway D, Grace J, Robinson J, Rymer J
Menopause Research Unit, McNair Centre, Ground Floor Southwark Wing, Guy's Hospital, London SE1 9RT, UK.
J Obstet Gynaecol. 2012 May;32(4):357-61. doi: 10.3109/01443615.2012.663635.
This service evaluation aimed to characterise the referrals to the premature ovarian failure clinic, including the type of referral and patient needs, in order to plan for future service provision. The majority of women seen in the clinic experienced idiopathic premature ovarian failure, were aged 30-39 and were nulliparous at the time of diagnosis. Our service requires to be tailored to their needs. For many women, this includes a fertility consultation in the clinic and this part of the service is well used. Our data support the long-term follow-up of women both on treatment and those who initially decline treatment. Most women who initially decline treatment accept it after a few clinic visits. This may be due to consistent advice on the benefits of oestrogen treatment or due to yearly bone scans showing a change in bone density. There was a high non-attendance rate in this group: 21% of appointments were not attended.
这项服务评估旨在描述转诊至卵巢早衰诊所的情况，包括转诊类型和患者需求，以便为未来的服务提供做规划。诊所接待的大多数女性患有特发性卵巢早衰，年龄在30至39岁之间，诊断时未生育。我们的服务需要根据她们的需求进行调整。对许多女性来说，这包括在诊所进行生育咨询，这部分服务使用得很好。我们的数据支持对接受治疗的女性和最初拒绝治疗的女性进行长期随访。大多数最初拒绝治疗的女性在几次门诊就诊后会接受治疗。这可能是由于关于雌激素治疗益处的持续建议，或者是由于每年的骨扫描显示骨密度发生了变化。这个群体的未就诊率很高：21%的预约未被患者就诊。
