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早发性卵巢功能不全风险人群的筛查、管理及生育指导
Screening, management and fertility guidance for population at risk of premature ovarian insufficiency

广西医学 页码:339-344

作者机构:曾定元,博士,主任医师,研究方向为妇科肿瘤、妇科内分泌。

基金信息:广西科技计划项目(桂科AD22035223)

DOI:10.11675/j.issn.0253⁃4304.2025.03.02

  • 中文简介
  • 英文简介
  • 参考文献

早发性卵巢功能不全(POI)指女性在40岁之前出现的卵巢功能减退,常见的临床表现包括月经不规律、生育能力下降等。该病不仅可能导致不孕,还与多种全身性疾病相关,如骨质疏松、心血管疾病、泌尿生殖系统萎缩、低雌激素症状及代谢异常等,这些问题均会对女性的心理和生理健康造成影响。目前尚无可靠且有效的手段来提升POI患者的卵巢储备能力。因此,及时识别POI风险人群并进行早期干预是改善患者卵巢功能和增强生育力的关键步骤。本文主要针对POI风险人群的筛查、管理及生育指导等方面展开综述,旨在为提升此类人群的生育力和改善其卵巢储备功能提供参考。

Premature ovarian insufficiency (POI) refers to diminished ovarian functions in women before 40 years old. The common clinical manifestations include irregular menstruation and decreased fertility, etc. This disease may not only lead to infertility, but also is associated with a variety of systemic diseases, such as osteoporosis, cardiovascular diseases, urogenital atrophy, hypoestrogenic symptoms, and metabolic abnormalities, all of which can affect women's mental and physical health. Currently, there is no reliable and effective means to improve ovarian reserve capacity of POI patients. Therefore, timely identification of POI risk population and early intervention are the key steps to improve ovarian function and enhance fertility. This paper mainly reviews the screening, management and fertility guidance of POI risk population, aiming at providing a reference for improving fertility of this population and ameliorating their ovarian reserve function.

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