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体外受精与胚胎移植后唾液中的孕酮和雌二醇

Progesterone and estradiol in saliva after in vitro fertilization and embryo transfer.

作者信息

Cedard L, Guichard A, Janssens Y, Tanguy G, Boyer P, Zorn J R

出版信息

Fertil Steril. 1987 Feb;47(2):278-83. doi: 10.1016/s0015-0282(16)50006-5.

DOI:10.1016/s0015-0282(16)50006-5
PMID:3817174
Abstract

The importance of the luteal function to ensure adequate implantation prompted us to assay salivary estradiol (SE2) and salivary progesterone (SP) concentration serially after embryo transfer by simple and rapid radioimmunoassays to allow a noninvasive easily repeatable approach. SE2, which has fallen 1 day after human chorionic gonadotropin injection, increased after reimplantation (day 3), plateaued during approximately 1 week, and returned to basal levels before menstruation in absence of conception or in chemical pregnancy, whereas it increased steadily in successful pregnancy. SP increased in all the cases, formed a plateau, and returned progressively to basal levels before menstruation, whereas in ongoing pregnancy there was a transitory decline in the midluteal phase followed by a rapid and continuous increase, with a significantly higher ratio day 13/day 10 in successful pregnancy.

摘要

黄体功能对于确保充分着床至关重要,这促使我们通过简单快速的放射免疫分析法,在胚胎移植后连续检测唾液雌二醇(SE2)和唾液孕酮(SP)浓度,以实现一种非侵入性且易于重复的方法。人绒毛膜促性腺激素注射后1天下降的SE2,在再次着床后(第3天)升高,在大约1周内保持平稳,在未受孕或化学妊娠时月经前恢复至基础水平,而在成功妊娠时则持续升高。SP在所有病例中均升高,形成一个平台期,并在月经前逐渐恢复至基础水平,而在持续妊娠中,黄体中期有一个短暂下降,随后迅速持续升高,成功妊娠时第13天/第10天的比值显著更高。

相似文献

1
Progesterone and estradiol in saliva after in vitro fertilization and embryo transfer.体外受精与胚胎移植后唾液中的孕酮和雌二醇
Fertil Steril. 1987 Feb;47(2):278-83. doi: 10.1016/s0015-0282(16)50006-5.
2
Sequential use of clomiphene citrate, human menopausal gonadotropin, and human chorionic gonadotropin in human in vitro fertilization. II. Study of luteal phase adequacy following aspiration of the preovulatory follicles.克罗米芬柠檬酸盐、人绝经期促性腺激素和人绒毛膜促性腺激素在人类体外受精中的序贯使用。II. 排卵前卵泡抽吸后黄体期充足性的研究。
Fertil Steril. 1984 Sep;42(3):360-5. doi: 10.1016/s0015-0282(16)48073-8.
3
Serum progesterone concentrations on the day after human chorionic gonadotropin administration and progesterone/oocyte ratios predict in vitro fertilization/embryo transfer outcome.人绒毛膜促性腺激素给药后次日的血清孕酮浓度及孕酮/卵母细胞比值可预测体外受精/胚胎移植结局。
J Assist Reprod Genet. 1994 Jan;11(1):17-23. doi: 10.1007/BF02213692.
4
Salivary oestradiol and progesterone after in vitro fertilization and embryo transfer using different luteal support regimens.使用不同黄体支持方案进行体外受精和胚胎移植后的唾液雌二醇和孕酮
Reprod Fertil Dev. 1990;2(4):351-8. doi: 10.1071/rd9900351.
5
Salivary oestradiol in spontaneous and stimulated menstrual cycles.自然月经周期和刺激月经周期中的唾液雌二醇
Hum Reprod. 1989 Aug;4(6):625-8. doi: 10.1093/oxfordjournals.humrep.a136955.
6
Estradiol in saliva for monitoring follicular stimulation in an in vitro fertilization program.唾液中的雌二醇用于监测体外受精程序中的卵泡刺激。
Fertil Steril. 1985 Sep;44(3):322-7. doi: 10.1016/s0015-0282(16)48855-2.
7
The effect of clomid induced superovulation on human follicular and luteal function for extracorporeal fertilization and embryo transfer.克罗米酚诱导超排卵对体外受精和胚胎移植中人类卵泡及黄体功能的影响。
Clin Reprod Fertil. 1983 Jun;2(2):129-42.
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[Superovulation-induced transient hyperprolactinemia in human in vitro fertilization and embryo transfer].
Nihon Sanka Fujinka Gakkai Zasshi. 1987 Jan;39(1):113-20.
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Inhibin and estradiol responses to ovarian hyperstimulation: effects of age and predictive value for in vitro fertilization outcome.
J Clin Endocrinol Metab. 1990 Feb;70(2):358-64. doi: 10.1210/jcem-70-2-358.
10
Progesterone/estradiol ratio <0.25 on the day of human chorionic gonadotropin administration is associated with adverse pregnancy outcomes in prolonged protocols for in vitro fertilization/intracytoplasmic sperm injection.在人绒毛膜促性腺激素给药当天,孕酮/雌二醇比值<0.25与体外受精/卵胞浆内单精子注射长方案中的不良妊娠结局相关。
Taiwan J Obstet Gynecol. 2017 Feb;56(1):27-31. doi: 10.1016/j.tjog.2016.05.013.

引用本文的文献

1
The impact of high progesterone levels in the follicular phase of in vitro fertilization (IVF) cycles: a comparative study.
J In Vitro Fert Embryo Transf. 1989 Feb;6(1):11-4. doi: 10.1007/BF01134575.
2
Trial of support treatment with human chorionic gonadotrophin in the luteal phase after treatment with buserelin and human menopausal gonadotrophin in women taking part in an in vitro fertilisation programme.参与体外受精项目的女性在使用布舍瑞林和人绝经期促性腺激素治疗后,于黄体期用人绒毛膜促性腺激素进行支持治疗的试验。
BMJ. 1989 Jun 3;298(6686):1483-6. doi: 10.1136/bmj.298.6686.1483.