最近审阅: 6 十一月 2020
最近更新: 15 五月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 盆腔手术既往史
  • 月经周期不规律
  • 多毛症
  • 痤疮
  • 可触及的子宫异常
  • 附件异常
  • 溢乳

其他诊断因素

  • 性交疼痛
  • 陷凹异常

危险因素

  • 年龄 > 35 岁
  • 性传播疾病史
  • 极高体脂
  • 极低体脂
  • 吸烟
  • 自身免疫性疾病
  • 阑尾炎病史
  • 精神病
  • 物质滥用
  • 饮酒
  • 咖啡因摄入
  • 压力

诊断性检查

首要检查

  • 精液分析
  • 黄体期孕酮
  • 尿黄体生成素(Luteinising Hormone, LH)
  • 经阴道超声扫描
  • 子宫输卵管造影片
  • 子宫输卵管造影超声检查 (HyCosY)
更多 首要检查

需考虑的检查

  • 基础卵泡刺激素(Follicle-stimulating Hormone, FSH)
  • 血清 LH
  • 血清雌二醇
  • 游离血清睾酮
  • 血清 TSH
  • 血清催乳素
  • 氯米芬激发试验
  • 盐水注射超声波图
  • 三维超声
  • 盆腔 MRI
  • 腹腔镜和宫腔镜检查
  • 染色体核型分析
更多 需考虑的检查

新兴检查

  • 血清抑制素
  • 囊状卵泡计数
  • 血清抗苗勒管激素 (AMH)
更多 新兴检查

治疗流程

撰稿人

Consultant Gynaecologist

Subspecialist in Reproductive Medicine

Newcastle Fertility Centre

Newcastle upon Tyne

UK

利益声明

JAS is an honorary secretary of the British Fertility Society; she is also the head of a large NHS fertility service.

Dr Jane A. Stewart would like to gratefully acknowledge Dr Jared C. Robins, a previous contributor to this topic. JCR declares that he has no competing interests.

同行评议者展开全部内容

Professor of Clinical Obstetrics and Gynecology

University of Cincinnati College of Medicine

Cincinnati

OH

利益声明

DW declares that he has no competing interests.

Assistant Clinical Professor

Division of Reproductive Endocrinology

University College of Medicine

Cincinnati

OH

利益声明

MA declares that she has no competing interests.

Assistant Clinical Professor

Department of Obstetrics and Gynecology

University of North Dakota School of Medicine

Fargo

ND

利益声明

SD declares that she has no competing interests.

Consultant Gynaecologist

Subspecialist in Reproductive Medicine

Liverpool Women's NHS Foundation Trust

School of Reproductive and Developmental Medicine

Liverpool

UK

利益声明

AD declares that he has no competing interests.

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