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卵巢过度刺激综合征在预测多囊卵巢综合征且拟行体外受精女性妊娠结局中的价值:一项病例对照研究

The value of ovarian hyperstimulation syndrome in predicting pregnancy outcome in women with polycystic ovarian syndrome and candidate for in vitro fertilization: A case-control study.

作者信息

Pilehvari Shamim, Radnia Nahid, Ahmadiani Somayeh, Talebi-Ghane Elaheh, Alimohammadi Neda, Mousaei Tokaldani Zahra

机构信息

Clinical Research Development Unit of Fatemieh Hospital, Department of Gynecology, Hamadan University of Medical Sciences, Hamadan, Iran.

Modeling of Non-Communicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Int J Reprod Biomed. 2023 Dec 19;21(11):921-928. doi: 10.18502/ijrm.v21i11.14655. eCollection 2023 Nov.

Abstract

Ovarian hyperstimulation syndrome (OHSS) as a known complication in women with polycystic ovarian syndrome (PCOS) may occur following inducible fertility treatments such as in vitro fertilization (IVF) and can affect the sequels of these treatments. This study aimed to assess the effects of OHSS on pregnancy outcomes through IVF in women with PCOS. Also, we assessed the value of baseline sexual hormones to predict the pregnancy's success. This case-control study was conducted on 180 consecutive women suffering from PCOS who were candidates for IVF at Fatemieh hospital in Hamadan, Iran, from May-July 2022. The women were assigned to the case group (with OHSS, n = 129) and the control group (without OHSS, n = 51). Measuring the sexual hormones was performed using the enzyme-linked immunosorbent technique. In the multivariable logistic regression model, OHSS could not predict the likelihood of clinical or chemical pregnancy following IVF. None of the baseline sexual hormones could predict the successful chemical or clinical pregnancy in PCOS women following IVF. OHSS may not influence IVF-related outcomes in PCOS women. The values of sexual hormones may not also determine the pointed outcome.

摘要

卵巢过度刺激综合征(OHSS)作为多囊卵巢综合征(PCOS)女性已知的一种并发症,可能发生在体外受精(IVF)等诱导生育治疗之后,并会影响这些治疗的后续情况。本研究旨在评估OHSS对PCOS女性通过IVF获得的妊娠结局的影响。此外,我们评估了基础性激素对预测妊娠成功的价值。这项病例对照研究于2022年5月至7月在伊朗哈马丹法特米耶医院对180例连续的PCOS女性进行,这些女性均为IVF候选者。将这些女性分为病例组(有OHSS,n = 129)和对照组(无OHSS,n = 51)。使用酶联免疫吸附技术测定性激素。在多变量逻辑回归模型中,OHSS无法预测IVF后临床妊娠或生化妊娠的可能性。在PCOS女性IVF后,没有一种基础性激素能够预测生化妊娠或临床妊娠成功。OHSS可能不会影响PCOS女性与IVF相关的结局。性激素的值也可能无法确定预期的结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3c1/10823122/10a425c9c551/ijrb-21-921-g001.jpg

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