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基于补充和替代医学方法治疗少弱畸精子症患者及其对辅助生殖技术结局影响的病例研究

A Case Study Based on a Complementary and Alternative Medicine Approach on an Oligoasthenoteratozoospermic Patient and its Effect on Assisted Reproductive Technology Outcome.

作者信息

Patil Rupali, Jadhao Ritesh, Anjankar Namrata, More Akash, Gajabe Gauri, Shrivastava Jarul

机构信息

Clinical Embryology, School of Allied Health Sciences, Datta Meghe Institute of Higher Education and Research, Sawangi Meghe, Wardha, Maharashtra, India.

Clinical Embryology, Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Higher Education and Research, Sawangi Meghe, Wardha, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2991-S2994. doi: 10.4103/jpbs.jpbs_182_24. Epub 2024 May 29.

Abstract

A couple visited the IVF clinic to seek treatment for primary infertility. A 45-year-old quadragenarian female and her 49-year-old male partner were recommended infertility treatment after 2 years of unsuccessful attempts to conceive. The woman had a recent history of dengue and chickenpox. The male partner was advised to do a semen analysis. The report showed asthenoteratozoospermia and the semen sample viscous. On the other hand, the female was diagnosed with hypothyroidism. The male patient was given a 3-month medication treatment that included probiotic supplements and cranberry juice to treat bacterial infections and urinary tract infections. The male partner also advised medication, and regular semen analysis was performed after every 3 months. The treatment plan included intrauterine insemination (IUI), which increased the possibility of pregnancy. Fourteen days following the IUI and pregnancy test, the outcomes were positive. The case illustrates the difficulties in treating primary infertility by combining reproductive procedures, medication, and lifestyle modifications. Regularly monitoring semen quality and hormonal levels is crucial in assessing treatment success. The positive outcome of IUI suggests the effectiveness of the fertility treatment plan.

摘要

一对夫妇前往体外受精诊所寻求原发性不孕症的治疗。一名45岁的中年女性及其49岁的男性伴侣在尝试受孕2年未成功后,被建议接受不孕症治疗。该女子近期有登革热和水痘病史。男性伴侣被建议进行精液分析。报告显示为弱畸精子症且精液样本黏稠。另一方面,该女性被诊断为甲状腺功能减退。男性患者接受了为期3个月的药物治疗,包括益生菌补充剂和蔓越莓汁,以治疗细菌感染和尿路感染。男性伴侣也接受了药物治疗,每3个月进行一次常规精液分析。治疗方案包括宫内人工授精(IUI),这增加了怀孕的可能性。宫内人工授精和妊娠试验14天后,结果呈阳性。该病例说明了通过结合生殖程序、药物治疗和生活方式改变来治疗原发性不孕症的困难。定期监测精液质量和激素水平对于评估治疗成功至关重要。宫内人工授精的阳性结果表明了生育治疗方案的有效性。

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