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降调节对高龄低储备导致的低反应患者是否合适

宋阳 朱依敏

生殖医学杂志2017,Vol.26Issue(11):1075-1077,3.
生殖医学杂志2017,Vol.26Issue(11):1075-1077,3.DOI:10.3969/j.issn.1004-3845.2017.11.004

降调节对高龄低储备导致的低反应患者是否合适

Down regulation in elder women with reducing ovarian reserve and low ovary response undergoing IVF-ET

宋阳 1朱依敏1

作者信息

  • 1. 浙江大学医学院附属妇产科医院,杭州310006
  • 折叠

摘要

Abstract

Female ovarian reserve declines gradually with age.The elder women always accompany with low ovary response to stimulation in IVF cycles.By inducing hypophyseal desensitization,long GnRH agonist protocols prevent premature ovulation and luteinization,and significantly reduce the cycle cancellation rate compared with the cycles without down regulation.However,down regulation can lead to the excessive pituitary suppression.A higher overall dose of gonadotrophins and a longer duration of stimulation are often required for achieving a better ovarian response in the elder women.Therefore,whether using the down-regulation regimen in low-response patients,and how to adjust dose and duration of down-regulation regimen,and choose the type and dose of Gn,as well as account the economic benefits,are the challenge for the clinicians.

关键词

高龄/降调节/辅助生殖技术

Key words

Elder women/GnRH agonist protocols/IVF-ET

引用本文复制引用

宋阳,朱依敏..降调节对高龄低储备导致的低反应患者是否合适[J].生殖医学杂志,2017,26(11):1075-1077,3.

基金项目

省卫生计生委省部共建项目(WKJ-ZJ-1522) (WKJ-ZJ-1522)

生殖医学杂志

OACSTPCD

1004-3845

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