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Treatment strategies for infertility patients undergoing ovulation induction

机译:不孕症患者诱导排卵的治疗策略

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摘要

The treatment strategy for anovulatory infertile patients depends on the cause of the anovulation. Those with hypothalamic-pituitary failure (hypogonatrophic-hypogonadism, WHO Group I) will do extremely well with either pulsatile GnRH or direct stimulation of the ovaries with gonadotrophins, both of which produce high pregnancy rates. For optimal results this group of patients, in addition to FSH, require the daily addition of small amounts of LH in order to stimulate the production of androgens which serve as the substrate for oestrogen production.
机译:无排卵性不育患者的治疗策略取决于无排卵的原因。患有下丘脑-垂体衰竭的患者(性腺功能减退-性腺功能减退症,WHO I组)在搏动性GnRH或促性腺激素直接刺激卵巢方面都非常有效,两者均会导致高妊娠率。为了获得最佳结果,除了FSH之外,这组患者还需要每天添加少量LH,以刺激雄激素的产生,而雄激素是雌激素产生的底物。

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