卵巢高储备与卵巢高反应

High ovarian reserve and high ovarian response

卵巢高反应有可能发展成为卵巢过度刺激综合征(OHSS),后者是最严重的医源性并发症之一,甚至威胁患者的生命。卵巢多囊样改变或多囊卵巢综合征患者被认为卵巢处于高储备的状态,是卵巢过度反应和OHSS的高危因素,因此在超促排卵前对卵巢的反应性进行预测显得尤为重要。由于内源性和外源性因素的存在,卵巢高储备的治疗结局是可以被改善的,卵巢高储备不等于卵巢高反应。

High ovarian response,as one of the most serious iatrogenic complications,may develop into ovarian hyper-stimulation syndrome（OHSS）and threaten patients＇ life.Patients with polycystic ovary（PCO）or polycystic ovary syndrome（PCOS）are considered being high ovarian reserve,which is an important factor of ovarian high response and OHSS.As a result,it is vital to predict ovarian response before controlled ovarian stimulation（COS）.The outcome of high ovarian reserve can be improved due to the presence of some endogenous and exogenous factors.High ovarian reserve is not equal to ovarian hyper responsiveness.