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假设:通过人工容器共同移植真实胚胎和促进着床的化合物可提高子宫内膜容受性。

Hypothesis: Co-transfer of genuine embryos and implantation-promoting compounds via artificial containers improve endometrium receptivity.

作者信息

Celik Onder, Acet Mustafa, Celik Sudenaz, Sahin Levent, Koc Onder, Celik Nilufer

机构信息

Private Clinic, Obstetrics and Gynecology, Usak, Turkey.

Istanbul Medipol University Hospital, Department of Obstetrics and Gynecology, İstanbul, Turkey.

出版信息

Med Hypotheses. 2017 Jun;103:65-70. doi: 10.1016/j.mehy.2017.04.007. Epub 2017 Apr 7.

Abstract

As with other organs endometrial functions are altered with the advancing age. Age related decrease in reproductive functions leads to decline in the number of oocytes retrieved and the synthesis of endometrial receptivity molecules. Despite the significant improvement in assisted reproductive technologies we do not have so many options to enhance endometrial receptivity. Due to lack of drugs having endometrium receptivity enhancement properties, oocyte donation seems to be the only solution for women with implantation failure. The euploid oocytes come from young and healthy donors may overcome age associated endometrial receptivity defect. Nevertheless, many reasons restrict us from using oocyte donation in women with implantation failure. We, therefore, hypothesized that by mimicking a young blastocyst's effect on endometrium, the transfer of genuine embryos and implantation-promoting compounds together might be the new treatment option for infertile women with recurrent implantation failure. Artificial beads, MI or GV oocytes, and empty zona can be used as a container for intrauterine replacement of implantation-promoting compounds.

摘要

与其他器官一样,随着年龄的增长,子宫内膜的功能也会发生改变。与年龄相关的生殖功能下降导致获取的卵母细胞数量减少以及子宫内膜容受性分子的合成减少。尽管辅助生殖技术有了显著进步,但我们并没有太多方法来提高子宫内膜容受性。由于缺乏具有增强子宫内膜容受性特性的药物,卵母细胞捐赠似乎是植入失败女性的唯一解决方案。来自年轻健康供体的整倍体卵母细胞可能克服与年龄相关的子宫内膜容受性缺陷。然而,许多原因限制了我们在植入失败女性中使用卵母细胞捐赠。因此,我们假设,通过模拟年轻囊胚对子宫内膜的作用,将真正的胚胎和促进植入的化合物一起移植可能是复发性植入失败不孕女性的新治疗选择。人工珠、MI或GV卵母细胞以及空透明带可作为子宫内替代促进植入化合物的容器。

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