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女性卵巢储备及相关生育力保护手段

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卵巢储备是指卵巢内原始卵泡数量和卵母细胞质量,代表女性生育力水平,卵巢储备的消耗是生育力下降的主要原因.在生理状态下,原始卵泡的周期性募集和卵母细胞质量降低导致卵巢储备逐年下降,并在绝经后耗竭.病理状态下,卵巢储备的过早耗竭导致排卵提前停止,雌激素缺乏,女性患骨质疏松症和心血管疾病的风险增加.因此,卵巢储备对于女性健康至关重要.随着女性生育年龄的推迟以及对自身生育力保护意识的增强,女性生育力保护的社会需求日益增加.因此,围绕卵巢储备讨论相关的生育力保护措施不可或缺.本文综述了卵巢储备的变化规律,卵巢储备下降引起的疾病,卵巢储备下降的分子机制和相关的生育力保护手段,旨在为女性生育力保护提供支持.
Ovarian reserve and fertility preservation
Ovarian reserve refers to the quantity of primordial follicles and the quality of oocytes residing in the ovary,indicating female fertility.The depletion of ovarian reserve is the primary cause of fertility decline.Under physiological conditions,the cyclical recruitment of primordial follicles and the decline in oocyte quality gradually decrease the ovarian reserve until menopause.Under pathological conditions,premature depletion of ovarian reserve leads to early cessation of ovulation,estrogen deficiency,and increased risk of osteoporosis and cardiovascular diseases.Therefore,the ovarian reserve is crucial for female health.As the average age of childbearing increases and awareness of fertility preservation grows,there is a growing social demand for protecting female fertility.Thus,discussing the methods of fertility preservation related to the ovarian reserve is vital.Here,we review the dynamics of ovarian reserve,the diseases caused by declining ovarian reserve,the mechanisms of ovarian reserve depletion,and the relevant fertility preservation methods.

ovarian reservemechanisms of ovarian reserve depletionfemale fertility preservationstem cell therapy

涂婉、郭致远、何北佳、王红梅、闫龙

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中国科学院动物研究所,干细胞与生殖生物学国家重点实验室,北京 100101

中国科学院干细胞与再生医学创新研究院,北京 100101

中国科学院大学,北京 100049

北京干细胞与再生医学研究院,北京 100101

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卵巢储备 卵巢储备下降机制 女性生育力保护 干细胞治疗

国家重点研发计划国家重点研发计划

2019YFA01109002022YFA1104100

2024

中国科学(生命科学)
中国科学院

中国科学(生命科学)

CSTPCD北大核心
影响因子:0.725
ISSN:1674-7232
年,卷(期):2024.54(1)
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