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接受低剂量可变长度雌激素替代疗法治疗卵巢早衰的女性胚胎移植后的妊娠结果。

Pregnancy results following embryo transfer in women receiving low-dosage variable-length estrogen replacement therapy for premature ovarian failure.

作者信息

Leeton J, Rogers P, Cameron I, Caro C, Healy D

机构信息

Monash University Department of Obstetrics and Gynaecology Monash Medical Centre, Clayton, Victoria, Australia.

出版信息

J In Vitro Fert Embryo Transf. 1989 Aug;6(4):232-5. doi: 10.1007/BF01132871.

DOI:10.1007/BF01132871
PMID:2614218
Abstract

This study was undertaken to evaluate the effectiveness of a new, constant low-dose, variable-length estrogen replacement therapy in preparing the endometrium of women suffering premature ovarian failure for embryo implantation. Five of 10 patients receiving the new regime became pregnant following a total of 14 embryo transfers. This study proves the efficacy of low-dosage variable-length estrogen replacement therapy for preparing the endometrium for embryo implantation in patients suffering premature ovarian failure. These studies confirm earlier observations that sequentially increasing doses of estrogen during the follicular phase are unnecessary for implantation and that the length of the follicular phase within certain undefined limits is not critical. A second important observation arising from this study concerns the relative effectiveness of the route of administration of progesterone. Five of seven patients became pregnant after receiving vaginal pessaries, compared to none of seven following intramuscular injections.

摘要

本研究旨在评估一种新的、持续低剂量、可变长度的雌激素替代疗法在为卵巢早衰女性准备子宫内膜以进行胚胎植入方面的有效性。接受新方案治疗的10名患者中有5名在总共14次胚胎移植后怀孕。本研究证明了低剂量可变长度雌激素替代疗法在为卵巢早衰患者准备子宫内膜以进行胚胎植入方面的疗效。这些研究证实了早期的观察结果,即在卵泡期依次增加雌激素剂量对于植入并非必要,并且在某些未明确界定的范围内卵泡期的长度并不关键。本研究得出的第二个重要观察结果涉及孕酮给药途径的相对有效性。接受阴道栓剂治疗的7名患者中有5名怀孕,而接受肌肉注射的7名患者中无人怀孕。

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J In Vitro Fert Embryo Transf. 1989 Aug;6(4):232-5. doi: 10.1007/BF01132871.
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Reprod Med Biol. 2021 Feb 13;20(2):208-214. doi: 10.1002/rmb2.12370. eCollection 2021 Apr.
2
Ovum donation--an overview.卵子捐赠——概述
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Preparation of the endometrium for egg donation.
J Assist Reprod Genet. 1993 Oct;10(7):459-61. doi: 10.1007/BF01212932.

本文引用的文献

1
The establishment and maintenance of pregnancy using in vitro fertilization and embryo donation in a patient with primary ovarian failure.一名原发性卵巢功能衰竭患者通过体外受精和胚胎捐赠实现妊娠的建立与维持。
Nature. 1984;307(5947):174-5. doi: 10.1038/307174a0.
2
The use of donor eggs and embryos in the management of human infertility.供体卵子和胚胎在人类不孕症治疗中的应用。
Aust N Z J Obstet Gynaecol. 1984 Nov;24(4):265-70. doi: 10.1111/j.1479-828x.1984.tb01508.x.
3
Absorption and metabolism of oral progesterone when administered twice daily.
Fertil Steril. 1986 Sep;46(3):402-7.
4
Effect on plasma gonadotropins of cyclic steroid replacement in women with premature ovarian failure.循环类固醇替代对卵巢早衰女性血浆促性腺激素的影响。
J Clin Endocrinol Metab. 1986 Feb;62(2):419-23. doi: 10.1210/jcem-62-2-419.
5
The endocrine requirements for implantation and early embryogenesis in women.女性着床和早期胚胎发育的内分泌需求。
J Reprod Fertil Suppl. 1988;36:17-25.
6
Simplified treatment for ovum donation.简化的卵子捐赠治疗方法。
Lancet. 1987 Mar 21;1(8534):687-8. doi: 10.1016/s0140-6736(87)90451-x.
7
Oocyte donation and gamete intrafallopian transfer as treatment for premature ovarian failure.卵母细胞捐赠和配子输卵管内移植治疗卵巢早衰。
Lancet. 1987 Mar 21;1(8534):687. doi: 10.1016/s0140-6736(87)90450-8.