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基于身体、超声和激素参数的不孕女性卵巢储备分析。

Ovarian reserve analysis in subfertile women based on physical, ultrasound and hormonal parameters.

机构信息

Department of Anatomy, Saveetha Medical College, Chennai, India.

出版信息

Gynecol Endocrinol. 2023 Dec;39(1):2214616. doi: 10.1080/09513590.2023.2214616.

Abstract

Despite the availability of several markers for the evaluation of ovarian reserve, the correlation between the markers has not been reported clearly in the existing studies. Therefore, this study investigated the level of subfertility by comparing the physical parameters such as age and BMI in the subfertile women. In addition, the study compared the ultrasound and hormonal parameters with the physical parameters in subfertile women. A total of 200 subfertile patients presented to outpatient department were considered in this study. The selected candidate was 29 to 39 years old and was investigated after two years of unprotected sexual intercourse. A consecutive enumerative sampling method has been employed for data collection. The collected data are processed to determine correlation and regression coefficients using Statistical Package for Social Sciences (SPSS) version 20.0. The results revealed that follicle stimulating hormone (FSH) level and anti-Mullerian hormone (AMH) values varied among the above 30 age group of respondents with BMI values 25-30. There is no relationship between the respondents' right and left ovarian volume by comparing age within BMI. In conclusion, there is a strong relationship between the FSH level, AMH and physical parameters age and BMI. The reproductive age of women will be older than or younger than the actual age of the women. The reproductive age will be calculated with the ovarian volume, ovarian reserve, ovary size and time to menopause.

摘要

尽管有几种标志物可用于评估卵巢储备功能,但现有研究并未清楚地报告这些标志物之间的相关性。因此,本研究通过比较不孕妇女的身体参数(如年龄和 BMI)来评估不孕的程度。此外,该研究还比较了超声和激素参数与不孕妇女的身体参数。本研究共纳入了 200 名不孕患者。入选患者年龄在 29 至 39 岁之间,在无保护性行为两年后进行了调查。采用连续枚举抽样法收集数据。使用统计软件包(SPSS)版本 20.0 处理收集的数据,以确定相关性和回归系数。结果表明,在 BMI 值为 25-30 的受访者中,年龄在 30 岁以上的人群中卵泡刺激素(FSH)水平和抗苗勒管激素(AMH)值有所不同。在比较 BMI 内的年龄时,受访者的左右卵巢体积之间没有关系。总之,FSH 水平、AMH 与身体参数年龄和 BMI 之间存在很强的相关性。女性的生育年龄将大于或小于女性的实际年龄。生育年龄将根据卵巢体积、卵巢储备、卵巢大小和绝经时间来计算。

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