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通过长期低剂量给予促卵泡激素逆转多囊卵巢疾病中持续的无排卵状态。

Reversal of persistent anovulation in polycystic ovarian disease by administration of chronic low-dose follicle-stimulating hormone.

作者信息

Kamrava M M, Seibel M M, Berger M J, Thompson I, Taymor M L

出版信息

Fertil Steril. 1982 Apr;37(4):520-3. doi: 10.1016/s0015-0282(16)46159-5.

DOI:10.1016/s0015-0282(16)46159-5
PMID:6802679
Abstract

Low doses of follicle-stimulating hormone (FSH) were administered once daily to two consecutive patients with polycystic ovarian disease (PCOD) for therapy of infertility. Serial blood samples were obtained for gonadotropins and ovarian steroid determinations during the period of FSH administration. Exogenous FSH resulted in an initial and concomitant decrease in serum androstenedione (A), estrone (E1), and luteinizing hormone (LH), with an increase in estradiol (E2) and FSH. Subsequent changes in the above-mentioned hormonal levels were typical of a normal ovulatory cycle, with the exception of FSH, which continued to rise in the second half of the follicular phase. This was attributed to the exogenous administration of FSH. Both patients became pregnant in their first induced ovulatory cycle by administration of chronic low-dose FSH. These preliminary data demonstrate (1) a correction of the biochemical imbalance characteristic of PCOD, (2) successful ovulation induction, and (3) restoration of fertility in PCOD treated with chronic low-dose FSH.

摘要

对两名连续的多囊卵巢疾病(PCOD)不孕患者每天一次给予低剂量促卵泡激素(FSH)进行不孕症治疗。在给予FSH期间采集系列血样以测定促性腺激素和卵巢类固醇。外源性FSH导致血清雄烯二酮(A)、雌酮(E1)和促黄体生成素(LH)最初同时下降,而雌二醇(E2)和FSH升高。上述激素水平随后的变化是正常排卵周期的典型变化,但FSH除外,其在卵泡期后半期持续升高。这归因于外源性给予FSH。两名患者通过给予慢性低剂量FSH在其第一个诱导排卵周期均成功怀孕。这些初步数据表明:(1)纠正了PCOD特有的生化失衡;(2)成功诱导排卵;(3)慢性低剂量FSH治疗的PCOD恢复了生育能力。

相似文献

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Reversal of persistent anovulation in polycystic ovarian disease by administration of chronic low-dose follicle-stimulating hormone.通过长期低剂量给予促卵泡激素逆转多囊卵巢疾病中持续的无排卵状态。
Fertil Steril. 1982 Apr;37(4):520-3. doi: 10.1016/s0015-0282(16)46159-5.
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引用本文的文献

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The polycystic ovary syndrome: the first 150 years of study.多囊卵巢综合征:研究的前150年
F S Rep. 2022 Dec 22;4(1):2-18. doi: 10.1016/j.xfre.2022.12.002. eCollection 2023 Mar.
2
Infertility in polycystic ovary syndrome: focus on low-dose gonadotropin treatment.多囊卵巢综合征中的不孕症:聚焦于低剂量促性腺激素治疗。
Endocrine. 2006 Aug;30(1):27-33. doi: 10.1385/ENDO:30:1:27.
3
Low multiple pregnancy rates and reduced frequency of cancellation after ovulation induction with gonadotropins, if eventual supernumerary follicles are aspirated to prevent polyovulation.
如果最终抽吸多余卵泡以防止多排卵,那么使用促性腺激素进行排卵诱导后,多胎妊娠率较低且取消治疗的频率降低。
J Assist Reprod Genet. 1998 Mar;15(3):111-6. doi: 10.1023/a:1023000719569.
4
Progress in ovulation induction with gonadotropins.促性腺激素诱导排卵的进展
Bull N Y Acad Med. 1989 Jun;65(5):574-82.