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卵泡期高孕激素状态下促排卵方案的应用进展

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辅助生殖技术中,控制性促排卵过程中预防内源性黄体生成素(luteinizing hormone,LH)峰的过早出现至关重要。传统的控制性促排卵方案使用促性腺激素释放激素(gonadotropin-releasing hormone,GnRH)类似物(GnRH激动剂或拮抗剂)抑制内源性LH水平,存在成本高、使用不方便等缺点。卵泡期高孕激素状态下促排卵(progestin-primed ovarian stimulation,PPOS)方案利用外源性孕激素对垂体的负反馈作用抑制LH水平,已被证实在各种人群中均可获得较好的临床结局,其子代安全性也得到初步证实。综述PPOS方案的具体机制、不同外源性孕激素类药物的应用、不同人群的应用效果及子代安全性等。
Application Progress of Progestin-Primed Ovarian Stimulation
In assisted reproductive technology,it is very important to prevent the premature endogenous luteinizing hormone(LH)peak in process of controlled ovarian stimulation.Traditional controlled ovarian stimulation protocols with gonadotropin-releasing hormone(GnRH)analogues(GnRH agonists or antagonists)to inhibit the level of endogenous LH have many disadvantages such as high cost and inconvenient use.Progestin-primed ovarian stimulation(PPOS)protocol has been proved to achieve good clinical outcomes in various populations by the negative feedback effect of exogenous progesterone on pituitary gland to inhibit LH level,and its offspring safety has also been preliminarily confirmed.In this paper,the mechanism of PPOS,application of different exogenous progesterone drugs,application effects of different populations and offspring safety of PPOS were reviewed.

Ovulation inductionReproductive techniques,assistedLuteinizing hormonePregnancy outcomePremature LH surgeProgestin-primed ovarian stimulation

李彩华、郭培培、姜小花、方有燕、周平、魏兆莲

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230000 合肥,安徽医科大学第一附属医院妇产科,国家卫生健康委配子及生殖道异常研究重点实验室,出生人口健康教育部重点实验室

排卵诱导 生殖技术,辅助 促黄体激素 妊娠结局 早发LH峰 卵泡期高孕激素状态促排卵

安徽省高校自然科学研究项目

KJ2020A0201

2024

国际生殖健康/计划生育杂志
天津市医学科学技术信息研究所

国际生殖健康/计划生育杂志

CSTPCD
影响因子:0.694
ISSN:1674-1889
年,卷(期):2024.43(1)
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