妇女自我检测排卵与客观检测排卵的对比研究

A Comparative Study between Women Self-Predictive Ovulation and Objective Predictive Ovulation

目的 :通过对比研究为我国妇女采取自我检测排卵用于自然生育调节提供可行性及可靠性的论证材料。方法 :对自愿受试的育龄妇女进行 12个月经周期的实验研究 ,包括以基础体温测定、自检宫颈黏液和自我感受为主的自我检测排卵 ;以B超显象 ,血、尿性激素测定为主的客观检测排卵 ,并将两种结果进行对比分析。结果 :B超证实所观察的周期均有排卵。以B超测到最大卵泡日为预计排卵日 (0日 ) ,自检宫颈黏液首次出现于- 7～ - 3日 ,平均为 - 4 2 5日 ;基础体温均为双相 ,升温于 +1～ +3日 ;75 %的周期受试者于 0日有下腹坠胀或肛门坠胀感 ;自检宫颈黏液峰与血雌二醇峰和宫颈黏液Inseler峰相吻合 ,为 - 1日。结论 :妇女自我监测排卵与客观检测结果吻合性好 ,自检宫颈黏液可于排卵前 3～ 5日提供排卵信息 。

Objective:To observe the feasibility of women self-predictive ovulation.Methods:Twelve spontaneous menstrual cycles in 10 women were instructed to self-observation of cervical mucus(CM),and measure BBT every day to predict ovulation,and compared with ultrasonography,and measurement of serum and urinary E 2?LH?P with RIA.Results:Follicles rupture was confirmed by ultrasonography in all cycles.The predictive ovulation day(0 day)was defined as the day of the largest diameter follicle has been found.The first day of pre-ovulation self-observation CM generally occur between -7～-3 day(-4 25±0 97).Self-observation Peak CM and Peak E 2?Peak Insler score were similar,on-1day.Peak LH were on 0 day.Conclusion:Women self-observation cervical mucus can provide the message of ovulation before 3～5 days of ovulation.It was suggested that women self-prediction ovulation was possible for the guidance of natural regulator reproductive.