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无排卵性不孕症治疗后的月经模式与生育能力

Menstrual pattern and fertility after treatment for anovulatory infertility.

作者信息

Thomas A K, Forrest M S

出版信息

Aust N Z J Obstet Gynaecol. 1983 Feb;23(1):48-50. doi: 10.1111/j.1479-828x.1983.tb00159.x.

DOI:10.1111/j.1479-828x.1983.tb00159.x
PMID:6575760
Abstract

Sixty-four patients who had been treated for anovulatory infertility and subsequently conceived were reviewed. Information was obtained on subsequent menstrual pattern, contraception used, treatment required to achieve a further pregnancy and the interval to any such pregnancy. Almost half the group had regular cycles following delivery but 2 patients had a recurrence of post oral contraceptive amenorrhoea. Most patients conceived without treatment within 2 years of the initial pregnancy but 10 again required ovulation induction. It is concluded that there is no long-term irreversible suppression of hypothalamic function in this group of patients and, once a pregnancy has been achieved, the prognosis for future fertility without therapy is good.

摘要

对64例曾接受无排卵性不孕症治疗并随后怀孕的患者进行了回顾性研究。收集了有关后续月经模式、所采用的避孕方法、再次怀孕所需的治疗以及到任何此类怀孕的间隔时间等信息。几乎一半的患者产后月经周期规律,但有2例患者出现口服避孕药后闭经复发。大多数患者在初次怀孕后的2年内未经治疗即再次怀孕,但有10例患者再次需要诱导排卵。得出的结论是,该组患者下丘脑功能不存在长期不可逆的抑制,一旦怀孕,未经治疗的未来生育预后良好。

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