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宫颈阴道液的体积自采样:一种确定排卵时间的新方法。

Volumetric self-sampling of cervicovaginal fluid: a new approach to ovulation timing.

作者信息

Usala S J, Schumacher G F

出版信息

Fertil Steril. 1983 Mar;39(3):304-9. doi: 10.1016/s0015-0282(16)46876-7.

DOI:10.1016/s0015-0282(16)46876-7
PMID:6825865
Abstract

Cervicovaginal fluid that accumulates in the upper vagina and posterior fornix can be quantitatively correlated with the presumably fertile and infertile phases of the menstrual cycle. With a newly developed Volumetric Vaginal Aspirator that women self-administer, cervicovaginal fluid can be sampled on a daily basis and the sample volume or sample weight recorded. In a total of 18 cycles from 7 different subjects there was a striking 3- to 30-fold increase in sample volume or sample weight above early follicular phase levels that preceded the shift in basal body temperature (BBT) at midcycle. The maximum of sample volume or sample weight near midcycle was defined as "Volume Peak" or "Weight Peak." The magnitude of the Volume Peak or Weight Peak varied in the individual subjects and was between 400 and 1500 microliters or mg. The Volume Peak or Weight Peak generally occurred 1 to 2 days before or on the day of presumptive ovulation. With the BBT shift to luteal phase levels, the sample volume or sample weight sharply declined to early follicular phase levels. The results suggest that changes in sample volume or sample weight of cervicovaginal fluid measured with the self-applicable Volumetric Vaginal Aspirator can be used as an objective basis for approaches to natural family planning and for the assessment of optimal conditions for conception.

摘要

积聚在上阴道和后穹窿的宫颈阴道液可与月经周期中可能的排卵期和非排卵期进行定量关联。使用一种新开发的女性可自行操作的容积式阴道抽吸器,可以每天采集宫颈阴道液样本,并记录样本体积或样本重量。在来自7名不同受试者的总共18个周期中,在基础体温(BBT)在月经周期中期发生变化之前,样本体积或样本重量比卵泡早期水平有显著的3至30倍的增加。月经周期中期附近的样本体积或样本重量最大值被定义为“体积峰值”或“重量峰值”。体积峰值或重量峰值的大小在个体受试者中有所不同,介于400至1500微升或毫克之间。体积峰值或重量峰值通常发生在推定排卵前1至2天或当天。随着BBT转变为黄体期水平,样本体积或样本重量急剧下降至卵泡早期水平。结果表明,使用可自行操作的容积式阴道抽吸器测量的宫颈阴道液样本体积或样本重量的变化,可作为自然计划生育方法和评估受孕最佳条件的客观依据。

相似文献

1
Volumetric self-sampling of cervicovaginal fluid: a new approach to ovulation timing.宫颈阴道液的体积自采样:一种确定排卵时间的新方法。
Fertil Steril. 1983 Mar;39(3):304-9. doi: 10.1016/s0015-0282(16)46876-7.
2
The temporal relationship between vaginal fluid volumes obtained with the Rovumeter vaginal aspirator and the fertile phase of the cycle.使用Rovumeter阴道吸引器获取的阴道液体量与月经周期的排卵期之间的时间关系。
Hum Reprod. 1988 Feb;3(2):201-5. doi: 10.1093/oxfordjournals.humrep.a136677.
3
Volumetric vaginal aspirator may aid in natural family planning.容积式阴道吸引器可能有助于自然计划生育。
Netw Res Triangle Park N C. 1984 Summer;5(4):3.
4
IgG and IgA content of vaginal fluid during the menstrual cycle.月经周期中阴道分泌物的IgG和IgA含量。
J Reprod Med. 1989 Apr;34(4):292-4.
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Natural family planning indicators of ovulation.自然计划生育的排卵指标。
Clin Reprod Fertil. 1987 Jun;5(3):91-117.
6
Detection of the fertile phase from changes in cervico-vaginal fluid volume.通过宫颈阴道液量变化检测排卵期。
Int J Fertil. 1988;33 Suppl:17-23.
7
Temporal relationship between basal body temperature nadir and luteinizing hormone surge in normal women.正常女性基础体温最低点与促黄体生成素高峰之间的时间关系。
Fertil Steril. 1976 Jul;27(7):780-3.
8
Ovulation detection in the human.人类排卵检测
Clin Reprod Fertil. 1982 Mar;1(1):27-54.
9
A prospective multicentre trial of the ovulation method of natural family planning. III. Characteristics of the menstrual cycle and of the fertile phase.
Fertil Steril. 1983 Dec;40(6):773-8.
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Natural family planning. I. The peak symptom and estimated time of ovulation.自然计划生育。一、排卵高峰症状及预计时间。
Obstet Gynecol. 1978 Nov;52(5):575-82.

引用本文的文献

1
Cervical-Vaginal Mucin in Fertility Assessment: CA125 as a Predictor of the Fertile Phase of the Normal Menstrual Cycle.宫颈-阴道黏液在生育评估中的作用:CA125 作为正常月经周期生育期的预测指标。
Medicina (Kaunas). 2020 Jun 20;56(6):304. doi: 10.3390/medicina56060304.
2
Correlation of cervicovaginal fluid volume with serum estradiol levels and total follicular volume during human gonadotropin stimulation.人促性腺激素刺激期间宫颈阴道液体积与血清雌二醇水平及卵泡总体积的相关性
J Assist Reprod Genet. 1992 Feb;9(1):14-8. doi: 10.1007/BF01204108.