卵巢低反应人群的个体化控制性卵巢刺激的研究进展
Progress of individualized controlled ovarian stimulation in people with poor ovarian response
摘要卵巢低反应(poor ovarian response,POR)人群主要表现为对促性腺激素反应不良,周期结局较差,它的管理是辅助生殖技术中面临的主要难题之一。近几年提出的基于博洛尼亚标准的波塞冬标准对POR患者进行分层,更有利于患者的个体化管理,在一定程度上有利于改善患者的妊娠结局。本文将从POR患者的诊断、排卵方案的制定、排卵的触发、个体化的辅助治疗等方面对最新的基于波塞冬标准的个体化治疗的研究进展进行总结。
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abstractsWomen with poor ovarian response (POR) is really hard to respond to controlled ovarian stimulation, which leads to lower success rates in in vitro fertilization. The management of these special group of people has been proved to be one of the main difficulties in assisted reproductive technology (ART). Compared with the Bologna Criteria, POSEIDON criteria which has suggested a new categorization of ART in patients with POR, is much better in individuation patient management and is significant to improve the pregnancy outcome of patients to some extent. The review aims to summarize recent insights on individualized management of POR patients, including the diagnosis, controlled ovarian stimulation plans, triggering of ovulation and individual assisted therapy.
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