从卵巢储备功能减退浅析生育力保护

Analysis of Fertility Protection Based on the Decline of Ovarian Reserve

卵巢储备功能直接反映卵子的数量、质量以及女性的生育潜能。卵巢储备功能减退是影响育龄期女性生育力的一种常见慢性病,伴随潮热、出汗、性欲降低等类绝经反应,能增加心、脑血管疾病、骨质疏松等慢性病发病的风险。通过整理中、西医对卵巢储备功能减退病因病机的认识,提出应根据女性生理周期不同阶段肾中阴阳及气血的动态变化治疗本病。经后期重在滋肾阴以生癸水,促进卵泡发育;经间期气血运动旺盛,氤氲之中帮助孕卵顺利排出;经前期阳长阴消,温阳以健运黄体,以助孕卵着床。综合卵巢储备功能和疾病严重程度制定个体化治疗方案是保护患者生育力的关键。

Ovarian reserve function directly reflects the quantity and quality of eggs and the fertility potential of women.Ovarian reserve dysfunction is a common chronic disease that affects fertility of women of childbearing age.It can increase the risk of chronic diseases such as cardiac and cerebrovascular diseases,osteoporosis and so on.According to the understanding of etiology and pathogenesis of ovarian reserve dysfunction in TCM and western medicine,it is suggested that the disease should be treated according to the dynamic changes of Yin and Yang,as well as Qi and blood in Kidney in different stages of female physiological cycle.In the later stage,it should be focused on nourishing Kidney-Yin to produce Tiangui and promote the development of follicles;in the intermediate stage,Qi and blood move vigorously to help the pregnant eggs to be discharged smoothly;in the early stage,Yang grows and Yin disappears and warming Yang to transport the corpus luteum and help the pregnant eggs to be implanted.The key point is to protect the fertility of patients to make individualized treatment plan based on ovarian reserve function and disease severity.