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人绒毛膜促性腺激素治疗少弱精子症:激素水平及治疗结果

Treatment of oligoasthenospermia with human chorionic gonadotropin: hormonal profiles and results.

作者信息

Margalioth E J, Laufer N, Persistz E, Gaulayev B, Shemesh A, Schenker J G

出版信息

Fertil Steril. 1983 Jun;39(6):841-4. doi: 10.1016/s0015-0282(16)47127-x.

DOI:10.1016/s0015-0282(16)47127-x
PMID:6406275
Abstract

Forty-seven oligoasthenospermic patients were treated with human chorionic gonadotropin, 5000 IU twice weekly for 12 to 15 weeks. Only three patients impregnated their wives following treatment. Sperm concentration subsequent to treatment decreased in 26 patients, increasing in only 8 cases. Sperm motility improved in 36% of the patients and deteriorated in 30%. During treatment, mean testosterone levels rose by 72%, mean estradiol levels rose by 140%, and mean follicle-stimulating hormone levels decreased by 80%. Mean prolactin levels remained unaltered. The disappointing results with human chorionic gonadotropin treatment fail to make it a recommendable therapy for patients with idiopathic oligoasthenospermia.

摘要

47名少弱精子症患者接受了人绒毛膜促性腺激素治疗,每周两次,每次5000国际单位,持续12至15周。治疗后只有3名患者使妻子受孕。治疗后26名患者的精子浓度下降,只有8例上升。36%的患者精子活力改善,30%恶化。治疗期间,平均睾酮水平上升72%,平均雌二醇水平上升140%,平均促卵泡激素水平下降80%。平均催乳素水平保持不变。人绒毛膜促性腺激素治疗令人失望的结果使其无法成为特发性少弱精子症患者的推荐疗法。

相似文献

1
Treatment of oligoasthenospermia with human chorionic gonadotropin: hormonal profiles and results.人绒毛膜促性腺激素治疗少弱精子症:激素水平及治疗结果
Fertil Steril. 1983 Jun;39(6):841-4. doi: 10.1016/s0015-0282(16)47127-x.
2
Endocrinology of male infertility.男性不育症的内分泌学
Br Med Bull. 1979 May;35(2):187-92. doi: 10.1093/oxfordjournals.bmb.a071568.
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The hormonal response to HCG stimulation in patients with male infertility before and after treatment with hochuekkito.男性不育患者在服用补中益气汤治疗前后对人绒毛膜促性腺激素刺激的激素反应。
Am J Chin Med. 1992;20(2):157-65. doi: 10.1142/S0192415X92000163.
4
[Gonadotrophin therapy (author's transl)].
MMW Munch Med Wochenschr. 1981 May 15;123(20):837-40.
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[A hormone assay as a therapeutic choice in male sterility].[激素测定作为男性不育症的一种治疗选择]
J Gynecol Obstet Biol Reprod (Paris). 1990;19(7):881-8.
6
[Combined administration of human chorionic gonadotropin and human menopausal gonadotropin in idiopathic male infertility].
Hinyokika Kiyo. 1984 Feb;30(2):279-84.
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Treatment of severe oligospermia with human chorionic gonadotropin/human menopausal gonadotropin: a placebo-controlled, double blind trial.
J Clin Endocrinol Metab. 1987 Dec;65(6):1081-7. doi: 10.1210/jcem-65-6-1081.
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[Treatment of oligozoospermia with HMG and HCG in normogonadotropic men].[用HMG和HCG治疗促性腺激素正常男性的少精子症]
Hautarzt. 1977 Sep;28(9):478-80.
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Treatment of asthenozoospermia with HCG.用绒毛膜促性腺激素治疗弱精子症。
Andrologia. 1986 Mar-Apr;18(2):201-7. doi: 10.1111/j.1439-0272.1986.tb01763.x.
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Treatment of male infertility with human gonadotrophins: selection of cases, management and results.人促性腺激素治疗男性不育症:病例选择、管理及结果
Andrologia. 1979 Sep-Oct;11(5):331-6. doi: 10.1111/j.1439-0272.1979.tb02216.x.

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