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黄体期使用雌二醇及其对采用GnRH拮抗剂的体外受精周期妊娠率的影响:一项系统评价

Estradiol use in the luteal phase and its effects on pregnancy rates in IVF cycles with GnRH antagonist: a systematic review.

作者信息

Pinheiro Lanna Marla Andrade, Cândido Priscilla da Silva, Moreto Tássia Camila, Almeida Wanessa Gonzaga Di, Castro Eduardo Camelo de

机构信息

Infertility Clinic, Faculty of Medicine, Catholic University of Goiás, Goiânia, GO, Brazil.

出版信息

JBRA Assist Reprod. 2017 Sep 1;21(3):247-250. doi: 10.5935/1518-0557.20170046.

DOI:10.5935/1518-0557.20170046
PMID:28837035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5574648/
Abstract

For all the steps of in vitro fertilization to occur successfully, factors such as the quality of retrieved oocytes and endometrial receptivity to the embryo must be ensured. Current studies have shown that endometrial receptivity can be optimized using dedicated exogenous progesterone for luteal phase support in assisted reproduction cycles. But it has not yet been established the benefits of additional use of estradiol in this support. Analyzing pituitary suppression protocols that employ GnRH antagonists, this review will address literature publications between the years 2000-2016, shedding light on this issue to answer questions about the benefits of supplementation.

摘要

为使体外受精的所有步骤都能成功进行,必须确保诸如获取的卵母细胞质量和子宫内膜对胚胎的接受性等因素。目前的研究表明,在辅助生殖周期中使用专用的外源性孕酮进行黄体期支持,可以优化子宫内膜的接受性。但在这种支持中额外使用雌二醇的益处尚未得到证实。通过分析采用GnRH拮抗剂的垂体抑制方案,本综述将探讨2000年至2016年间的文献出版物,阐明这一问题,以回答关于补充剂益处的疑问。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1234/5574648/d6a078c6218e/jbra-21-03-0247-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1234/5574648/d6a078c6218e/jbra-21-03-0247-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1234/5574648/d6a078c6218e/jbra-21-03-0247-g01.jpg

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本文引用的文献

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Luteal phase support with estradiol and progesterone versus progesterone alone in GnRH antagonist ICSI cycles: a randomized controlled study.在GnRH拮抗剂方案的卵胞浆内单精子注射(ICSI)周期中,雌二醇与孕酮联合黄体期支持与单纯孕酮黄体期支持的随机对照研究。
Hum Fertil (Camb). 2016 Jun;19(2):142-9. doi: 10.1080/14647273.2016.1200145.
2
Estrogen supplementation to progesterone as luteal phase support in patients undergoing in vitro fertilization: systematic review and meta-analysis.体外受精患者黄体期支持中补充雌激素与孕激素的比较:系统评价与荟萃分析
Medicine (Baltimore). 2015 Feb;94(8):e459. doi: 10.1097/MD.0000000000000459.
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辅助生殖技术中的黄体期支持:一项持续存在的挑战。
Int J Reprod Biomed. 2021 Oct 10;19(9):761-772. doi: 10.18502/ijrm.v19i9.9708. eCollection 2021 Sep.
4
Concordance between systematic reviews of randomized controlled trials in assisted reproduction: an overview.辅助生殖领域随机对照试验系统评价之间的一致性:一项概述
Hum Reprod Open. 2020 Dec 22;2020(4):hoaa058. doi: 10.1093/hropen/hoaa058. eCollection 2020.
5
Is there any correlation between Estradiol supplementation, as luteal phase support, and clinical pregnancy in ART cycles? A cross-sectional study.作为黄体期支持的雌二醇补充与辅助生殖技术周期中的临床妊娠之间是否存在关联?一项横断面研究。
Int J Reprod Biomed. 2020 Nov 22;18(11):969-974. doi: 10.18502/ijrm.v13i11.7964. eCollection 2020 Nov.
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7
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