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黄体期缺陷的诊断与治疗。

The diagnosis and therapy of luteal phase deficiency.

作者信息

Soules M R, Wiebe R H, Aksel S, Hammond C B

出版信息

Fertil Steril. 1977 Oct;28(10):1033-7.

PMID:908443
Abstract

Between 1973 and 1975, 16 patients evaluated for infertility at Duke University Medical Center were diagnosed as having luteal phase deficiency. A majority had had prior infertility surveys, and the average duration of their infertility exceeded 2 years. The diagnosis was suspected after study of basal body temperature charts and menstrual patterns in more than 80% of the patients. This diagnosis was established by timed endometrial biopsy. The primary method of therapy was supplementation of the luteal phase with progesterone vaginal suppositories. The pregnancy rate after therapy was 50% and pregnancy occurred after a mean of five treatment cycles. The minimal follow-up of patients who failed to conceive was 8 months. To date, the majority of these pregnancies have been completed without complication and the remainder are progressing satisfactorily. Two additional patients developed luteal phase deficiency while taking clomiphene citrate and became pregnant with progesterone supplementation.

摘要

1973年至1975年间,在杜克大学医学中心接受不育症评估的16名患者被诊断为黄体期缺陷。大多数患者此前接受过不育症检查,其不育平均持续时间超过2年。超过80%的患者通过基础体温图和月经模式研究后怀疑有该诊断。通过定时子宫内膜活检确诊。主要治疗方法是用黄体酮阴道栓剂补充黄体期。治疗后的妊娠率为50%,平均经过五个治疗周期后怀孕。未受孕患者的最短随访时间为8个月。迄今为止,这些妊娠中的大多数已顺利完成,其余情况进展令人满意。另外两名患者在服用枸橼酸氯米芬时出现黄体期缺陷,补充黄体酮后怀孕。

相似文献

1
The diagnosis and therapy of luteal phase deficiency.黄体期缺陷的诊断与治疗。
Fertil Steril. 1977 Oct;28(10):1033-7.
2
Luteal phase insufficiency.黄体期缺陷
Contrib Gynecol Obstet. 1978;4:78-113.
3
Luteal phase deficiency and infertility: difficulties encountered in diagnosis and treatment.黄体期缺陷与不孕症:诊断和治疗中遇到的困难
Obstet Gynecol. 1980 Jun;55(6):705-10.
4
Inadequate luteal phase as a cause of infertility.黄体期不足作为不孕的一个原因。
Proc R Soc Med. 1974 Sep;67(9):937-8. doi: 10.1177/003591577406700943.
5
Single midluteal progesterone assay in the management of ovulatory infertility.排卵期不孕管理中的单次黄体中期孕酮检测
J Reprod Med. 1981 Feb;26(2):85-9.
6
Luteal phase evaluation after clomiphene-chorionic gonadotrophin-induced ovulation.克罗米芬-绒毛膜促性腺激素诱导排卵后的黄体期评估。
Int J Fertil. 1983;28(2):104-6.
7
Corpus luteal insufficiency.黄体功能不全
Curr Opin Obstet Gynecol. 1994 Apr;6(2):121-7.
8
The use of clomiphene citrate.
Fertil Steril. 1977 Jul;28(7):707-17. doi: 10.1016/s0015-0282(16)42670-1.
9
[Significance and therapy of luteal insufficiency].[黄体功能不全的意义与治疗]
Ther Umsch. 1985 Jul;42(7):435-40.
10
Treatment of luteal phase defects.
J Reprod Med. 1977 Mar;18(3):159-62.

引用本文的文献

1
Luteal Phase Support in assisted reproductive technology treatment: focus on Endometrin(R) (progesterone) vaginal insert.辅助生殖技术治疗中的黄体支持:重点关注黄体酮阴道栓(Endometrin(R))。
Ther Clin Risk Manag. 2009 Aug;5(4):403-7. doi: 10.2147/tcrm.s4192. Epub 2009 Jun 4.
2
Angiogenesis in the corpus luteum.黄体中的血管生成。
Endocrine. 2000 Feb;12(1):1-9. doi: 10.1385/ENDO:12:1:1.