Infertility and ART
Definition
primary infertility原发性不孕
secondary infertility继发性不孕
女人要爱惜自己
2020/12/8
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Infertility and ART
Incidence rate发病率
WHO(1990) about %~%
in China about 10%
Male or female factor
about 30%~40% for respectively
Male and female factor about 20%~30%
No demonstrable causes about 10%
女人要爱惜自己
2020/12/8
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Infertility and ART
Factors of infertility
1. oocyte卵子
abnormal ovulation ,lack of ovary reserve
排卵异常,卵巢储备缺乏
2. reproductive tract 生殖道异常
fallopian、uterus、pelvic,etc
输卵管、子宫、盆腔等异常
女人要爱惜自己
2020/12/8
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Infertility and ART
immunological causes免疫因素
repeated abortion重复流产
inherited causes遗传因素
systemic causes,etc全身全身因素等
女人要爱惜自己
2020/12/8
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Infertility and ART
Familiar Causes
abnormal oocyte卵子异常
fallopian factor输卵管因素
cervical factor宫颈因素
endometriosis(adenomyoma)内异症(子宫腺肌病)
myoma of uterus子宫肌瘤
abnormal sperm精子异常
immunological causes免疫因素
女人要爱惜自己
2020/12/8
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Infertility and ART
Other factors其它因素
21~25 is the best;
chronic disease;excessive fat or thin;
,alcohol and anaesthetic;
烟、酒和麻醉剂
factors心理因素
女人要爱惜自己
2020/12/8
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Infertility and ART
Aims目的
女人要爱惜自己
2020/12/8
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Infertility and ART
Diagnosis
Female:
history of present illness现病史
physical examination体格检查
adjuvant examination辅助检查
(B ultrasonography, HSG,AsAB,
E2,FSH,LH,T0,Prolactin,TSH)
女人要爱惜自己
2020/12/8
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Infertility and ART
Di
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