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用达那唑“治疗”不明原因的不孕症。

The "treatment" of unexplained infertility with danazol.

作者信息

van Dijk J G, Frŏlich M, Brand E C, van Hall E V

出版信息

Fertil Steril. 1979 May;31(5):481-5. doi: 10.1016/s0015-0282(16)43989-0.

DOI:10.1016/s0015-0282(16)43989-0
PMID:376355
Abstract

In order to investigate the possible stimulating effect of danazol on fertility, a randomized clinical trial was performed on 40 women with unexplained infertility. Of these 40 women, 21 received 200 mg of danazol daily for 100 days and 19 received a placebo treatment during the same period. Serum levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), prolactin, estrone, estradiol, progesterone, and testosterone were followed before, during, and after treatment. Danazol administration induced anovulation in all women, with prompt resumption of normal ovulatory function after discontinuation of the drug. No influence was seen on serum LH, FSH, and testosterone levels, but serum estrone, estradiol, and progesterone levels decreased significantly during treatment. Serum prolactin levels also decreased, but not significantly. No pregnancies occurred in the placebo group during a 6-month follow-up period. In the danazol group, five pregnancies occurred, of which two were ectopic and three went to term. The difference in pregnancy rate between both groups was statistically significant (P less than 0.05).

摘要

为了研究达那唑对生育能力可能的刺激作用,对40例不明原因不孕症女性进行了一项随机临床试验。在这40名女性中,21名每天接受200毫克达那唑治疗,持续100天,19名在同一时期接受安慰剂治疗。在治疗前、治疗期间和治疗后跟踪监测血清促黄体生成素(LH)、促卵泡生成素(FSH)、催乳素、雌酮、雌二醇、孕酮和睾酮的水平。服用达那唑导致所有女性无排卵,停药后排卵功能迅速恢复正常。未观察到达那唑对血清LH、FSH和睾酮水平有影响,但治疗期间血清雌酮、雌二醇和孕酮水平显著下降。血清催乳素水平也有所下降,但不显著。在6个月的随访期内,安慰剂组未发生妊娠。在达那唑组,有5例妊娠,其中2例为异位妊娠,3例足月分娩。两组妊娠率的差异具有统计学意义(P小于0.05)。

相似文献

1
The "treatment" of unexplained infertility with danazol.用达那唑“治疗”不明原因的不孕症。
Fertil Steril. 1979 May;31(5):481-5. doi: 10.1016/s0015-0282(16)43989-0.
2
Treatment of unexplained infertility with danazol.用达那唑治疗不明原因的不孕症。
Postgrad Med J. 1979;55 Suppl 5:79-80.
3
Serum hormone and steroid hormone receptor levels during luteal-phase and long-term treatment with danazol.黄体期及达那唑长期治疗期间的血清激素和类固醇激素受体水平
Fertil Steril. 1983 Nov;40(5):585-9. doi: 10.1016/s0015-0282(16)47413-3.
4
Danazol in the treatment of infertility.达那唑治疗不孕症。
Drugs. 1980 May;19(5):362-9. doi: 10.2165/00003495-198019050-00006.
5
Laparoscopic findings and hormonal patterns in the treatment of endometriosis by danazol.达那唑治疗子宫内膜异位症的腹腔镜检查结果及激素变化模式
Acta Eur Fertil. 1987 Mar-Apr;18(2):85-9.
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Sex steroid levels during treatment of endometriosis.子宫内膜异位症治疗期间的性类固醇水平。
Obstet Gynecol. 1979 Oct;54(4):448-50.
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LRF and TRF test during long-term danazol treatment: increase of the LH and FSH responses but decrease of the prolactin and TSH responses.长期达那唑治疗期间的促性腺激素释放激素(LRF)和促甲状腺激素释放激素(TRF)试验:促黄体生成素(LH)和促卵泡生成素(FSH)反应增强,但催乳素和促甲状腺激素(TSH)反应减弱。
Acta Endocrinol (Copenh). 1983 Sep;104(1):1-5.
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Is danazol a useful treatment in unexplained primary infertility?达那唑对不明原因的原发性不孕症是否是一种有效的治疗方法?
Eur J Obstet Gynecol Reprod Biol. 1989 Aug;32(2):115-21. doi: 10.1016/0028-2243(89)90192-5.
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Hormonal, metabolic and clinical effects of danazol in the treatment of endometriosis.达那唑治疗子宫内膜异位症的激素、代谢及临床效应
Postgrad Med J. 1979;55 Suppl 5:14-20.
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Danazol in the treatment of endometriosis and infertility.达那唑治疗子宫内膜异位症和不孕症。
Prog Clin Biol Res. 1982;112 Pt B:167-86.

引用本文的文献

1
Reduced expression of alphavbeta3 integrin in the endometrium of unexplained infertility patients with recurrent IVF-ET failures: improvement by danazol treatment.不明原因不孕且反复体外受精-胚胎移植失败患者子宫内膜中αvβ3整合素表达降低:达那唑治疗可改善
J Assist Reprod Genet. 2003 Jan;20(1):13-20. doi: 10.1023/a:1021254620888.
2
Danazol in the treatment of infertility.达那唑治疗不孕症。
Drugs. 1980 May;19(5):362-9. doi: 10.2165/00003495-198019050-00006.