卵巢低反应的评估和治疗策略新进展

New progress in the assessment and treatment strategies of poor ovarian response

近年来,我国不孕不育率持续攀升,现代辅助生殖技术的发展解决了很多不孕不育患者的生育问题,但是卵巢低反应(poor ovarian response,POR)仍然是生殖领域需要解决的难题之一。我国三胎政策的放开,学业、生活、工作等压力使越来越多的女性生育年龄推迟,这将造成有生育需求的卵巢低反应患者数量增加。因此,准确预测卵巢低反应的发生、制定个体化的治疗方案在临床诊治中具有重要意义。本文就卵巢低反应发生的预估及其治疗策略新进展进行综述,为临床上卵巢低反应患者的诊治提供参考。

In recent years,China’s infertility rate has continued to rise,and the continuous development of modern assisted reproductive technology has solved the fertility problems of many infertility patients,but the poor ovarian response(POR)is still one of the problems that need to be solved in the reproductive field. At present,China’s three-child policy is liberalized,the pressure of study,life,work and so on makes more and more women postpone the age of childbearing,which has caused the increased number of patients with POR with fertility needs. Therefore,it is of great significance to accurately predict the occurrence of POR and formulate individualized treatment plans in clinical diagnosis and treatment. This paper reviews the prediction of the occurrence of POR and the new progress of its treatment strategies,so as to provide reference for the diagnosis and treatment of patients with POR.