您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (9): 8-11.doi: 10.6040/j.issn.1671-7554.0.2022.0802

• 生育力保护专题 • 上一篇    下一篇

女性生育力评估

李萍1,2,何雪梅1,2   

  1. 1.厦门大学附属妇女儿童医院 厦门市妇幼保健院生殖医学科;2.厦门市生殖与遗传重点实验室, 福建 厦门 361000
  • 发布日期:2022-09-02
  • 通讯作者: 李萍. E-mail:1255374505@qq.com
  • 基金资助:
    国家重点研发计划(2021YFC2700404)

Fertility assessment of women

LI Ping1,2, HE Xuemei1,2   

  1. 1. Department of Reproductive Medicine, Women and Childrens Hospital, School of Medicine, Xiamen University, Xiamen 361000, Fujian, China;
    2. Xiamen Key Laboratory of Reproduction and Genetics, Xiamen 361000, Fujian, China
  • Published:2022-09-02

摘要: 随着人口老龄化和生育力的下降,我国放开了三孩政策,对有生育要求的夫妇进行生育力评估显得非常必要。女性生育力与年龄关系密切,还依赖于卵巢、输卵管、子宫等生殖器官。本文就影响女性生育力的因素进行介绍。

关键词: 生育力, 评估, 卵巢储备, 排卵功能, 输卵管通畅性, 子宫宫腔

Abstract: With the aging of the population and the decline of fertility, our country has released the three-child policy, and it is very necessary to carry out fertility assessment for couples who have fertility requirements. Female fertility is closely related to age and reproductive organs such as, ovaries, fallopian tubes and uterus. This article discusses the factors that affect female fertility.

Key words: Fertility, Assessment, Ovarian reserve, Ovulation function, Tubal patency, Uterine cavity

中图分类号: 

  • R711.6
[1] Practice Committee of the American Society for Reproductive Medicine. Fertility evaluation of infertile women: a committee opinion[J]. Fertil Steril, 2021, 116(5): 1255-1265.
[2] Definitions of infertility and recurrent pregnancy loss: a committee opinion[J]. Fertil Steril, 2020, 113(3): 533-535.
[3] Hunt S, Vollenhoven B. Assessment of female fertility in the general practice setting[J]. Aust J Gen Pract, 2020, 49(6): 304-308.
[4] 乔杰, 杨蕊. 高龄辅助生殖技术临床结局[J]. 中国实用妇科与产科杂志, 2017, 33(1): 64-67.
[5] Steiner AZ, Pritchard D, Stanczyk FZ, et al. Association between biomarkers of ovarian reserve and infertility among older women of reproductive age[J]. JAMA, 2017, 318(14): 1367-1376.
[6] Practice Committee of the American Society for Reproductive Medicine. Testing and interpreting measures of ovarian reserve: a committee opinion[J]. Fertil Steril, 2020, 114(6): 1151-1157.
[7] 韩晓霞, 左瑞菊, 马肖. 窦卵泡计数、抗苗勒管激素与性激素检测评价卵巢储备的研究[J]. 中国医药导报, 2017, 14(18): 117-120.
[8] Howard JA,Hart KN,Thompson TB.Molecular mechanisms of AMH signaling[J]. Front Endocrinol(Lausanne), 2022, 13: 927824. doi: 10.3389/fendo.2022.927824.
[9] Hager M, Ott J, Marschalek J, et al. Basal and dynamic relationships between serum anti-Müllerian hormone and gonadotropins in patients with functional hypothalamic amenorrhea, with or without polycystic ovarian morphology[J]. Reprod Biol Endocrinol, 2022, 20(1): 98.
[10] Tang Yan, Li Yanning. Evaluation of serum AMH, INHB combined with basic FSH on ovarian reserve function after laparoscopic ovarian endometriosis cystectomy[J]. Front Surg, 2022, 9: 906020. doi: 10.3389/fsurg.2022.906020.
[11] Recent advances in medically assisted conception. Report of a WHO Scientific Group[J]. World Health Organ Tech Rep Ser, 1992, 820: 1-111.
[12] Chinta P, Rebekah G, Aleyamma TK, et al. Revisiting the role of serum progesterone as a test of ovulation in eumenorrheic subfertile women: a prospective diagnostic accuracy study[J]. Fertil Steril, 2020, 114(6): 1315-1321.
[13] Guermandi E, Vegetti W, Bianchi MM, et al. Reliability of ovulation tests in infertile women[J]. Obstet Gynecol, 2001, 97(1): 92-96.
[14] Kazer RR. Endometrial biopsy should be abandoned as a routine component of the infertility evaluation[J]. Fertil Steril, 2004, 82(5): 1297-1298.
[15] Zheng D, Zhou Z, Li R, et al. Consultation and treatment behaviour of infertile couples in China: a population-based study[J]. Reprod Biomed Online, 2019, 38(6): 917-925.
[16] Maheux-Lacroix S, Boutin A, Moore L, et al. Hysterosalpingosonography for diagnosing tubal occlusion in subfertile women: a systematic review with meta-analysis[J]. Hum Reprod, 2014, 29(5): 953-963.
[17] Mandia L, Personeni C, Antonazzo P, et al. Ultrasound in infertility setting: optimal strategy to evaluate the assessment of tubal patency[J]. Biomed Res Int, 2017, 2017: 3205895. doi: 10.1155/2017/3205895.
[18] 林小娜, 黄国宁, 孙海翔, 等. 输卵管性不孕诊治的中国专家共识[J]. 生殖医学杂志, 2018, 27(11): 1048-1056. LIN Xiaona, HUANG Guoning, SUN Haixiang, et al. Chinese expert consensus on diagnosis and treatment of tubal infertility[J]. Journal of Reproductive Medicine, 2018, 27(11): 1048-1056.
[19] 杨一华, 黄国宁, 孙海翔, 等. 不明原因不孕症诊断与治疗中国专家共识[J]. 生殖医学杂志, 2019, 28(9): 984-992. YANG Yihua, HUANG Guoning, SUN Haixiang, et al. CSRM consensus on diagnosis and treatment of unexplained infertility[J]. Journal of Reproductive Medicine, 2019, 28(9): 984-992.
[20] Adesiyun AG, Cole B, Ogwuche P. Hydrotubation in the management of female infertility: outcome in low resource settings[J]. East Afr Med J, 2009, 86(1): 31-36.
[21] Zafarani F, Ghaffari F, Ahmadi F, et al. Hysterosalpingography in the assessment of proximal tubal pathology: a review of congenital and acquired abnormalities[J]. Br J Radiol, 2021, 94(1122): 20201386. doi: 10.1259/bjr.20201386.
[22] Chen LS, Zhu ZQ, Li J, et al. Hysterosalpingo-contrast-sonography vs. magnetic resonance-hysterosalpingography for diagnosing fallopian tubal patency: a systematic review and meta-analysis[J]. Eur J Radiol, 2020, 125: 108891. doi: 10.1016/j.ejrad.2020.108891.
[23] Giovanni VS, Carugno J, Riemma G, et al. Hysteroscopy for assessing fallopian tubal obstruction: a systematic review and diagnostic test accuracy meta-analysis[J]. J Minim Invasive Gynecol, 2021, 28(4): 769-778.
[24] Welie Nv, Ludwin A, Martins WP, et al. Tubal flushing treatment for unexplained infertility[J]. Semin Reprod Med, 2020, 38(1): 74-86.
[25] 侯振, 刘嘉茵. 女性生育力评估及其影响因素的评价[J].实用妇产科杂志, 2021, 37(10): 726-729.
[26] American Society for Reproductive Medicine, American College of Obstetricians and Gynecologists Committee on Gynecologic Practice. Prepregnancy counseling: Committee Opinion No. 762[J]. Fertil Steril, 2019, 111(1): 32-42.
[1] 况利,徐何雁. 从精准评估到整合干预:儿童青少年心理健康问题诊疗范式的革新与展望[J]. 山东大学学报 (医学版), 2026, 64(3): 10-16.
[2] 王莹,李怀臣,龙飞,刘铱. 基于三种统计模型的长期空气污染物混合暴露与耐药性结核病发病风险关联[J]. 山东大学学报 (医学版), 2025, 63(7): 92-101.
[3] 王苏玮,刘毅刚,安玉琴,袁树华,郝海燕,丁婷婷. 2018-2022年某县镉和铅多暴露途径的健康风险评估[J]. 山东大学学报 (医学版), 2024, 62(7): 106-113.
[4] 武姗姗,汪树仁,赵同航,张宗旺. 消化内镜手术术后疼痛分析:回顾性队列研究[J]. 山东大学学报 (医学版), 2024, 62(2): 42-50.
[5] 唐玉莹,王保珍,肖培瑞,翟玉庭,王克波,陈晨,褚遵华. 烟台市市售蔬菜中重金属污染情况及膳食暴露风险[J]. 山东大学学报 (医学版), 2024, 62(1): 95-101.
[6] 吴磊丽,蔡华丽,孙德胜,魏蔚霞. 超声引导穿刺硬化术联合地诺孕素治疗卵巢子宫内膜异位囊肿的疗效[J]. 山东大学学报 (医学版), 2023, 61(6): 65-69.
[7] 蔡强,单悌超,吴晗. 临终病情评估单预测临终患者生存期的效果[J]. 山东大学学报 (医学版), 2023, 61(5): 79-83.
[8] 阮祥燕,程姣姣,杜娟,谷牧青. 卵巢组织冷冻保存[J]. 山东大学学报 (医学版), 2022, 60(9): 24-30.
[9] 吴瑞芳,李长忠. 女性生育力保护的现状与进展[J]. 山东大学学报 (医学版), 2022, 60(9): 1-7.
[10] 石玉华,潘烨,谢燕秋. 胚胎冷冻保存技术及进展[J]. 山东大学学报 (医学版), 2022, 60(9): 12-18.
[11] 颜磊,岳彩欣,刘懿淳. 子宫内膜异位症的生育力保护[J]. 山东大学学报 (医学版), 2022, 60(9): 31-34.
[12] 林芸,谢燕秋. 乳腺癌患者生育力保护及保存[J]. 山东大学学报 (医学版), 2022, 60(9): 42-46.
[13] 郝桂敏,罗卓野,王奕卓. 生育力保存的伦理问题及思考[J]. 山东大学学报 (医学版), 2022, 60(9): 47-52.
[14] 吴日超,刘红,王泽,高姗姗,李秀芳,石玉华. 40岁及以上女性行体外受精-胚胎移植助孕的妊娠结局分析[J]. 山东大学学报 (医学版), 2022, 60(6): 35-39.
[15] 朱序理,周亮,王跃,孙庆云,曹明雅,杜元杰,曹金凤,赵志明,郝桂敏. 不同精子来源质量冷冻方式与妊娠结局的关联性分析[J]. 山东大学学报 (医学版), 2021, 59(6): 86-93.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!