Evaluation of Infertility

J. Zolton, A. DeCherney
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Abstract

In 2009, the World Health Organization formally recognized infertility as a disease of the reproductive system. This designation serves to ease access to infertility evaluation and treatment. Infertility is a disease of both men and women, and proper evaluation of both partners is necessary. Common causes of infertility are ovulatory dysfunction, tubal and pelvic pathology, unexplained infertility, and male factor. A complete history and physical examination may uncover the underlying etiology, although verification of tubal patency and normal semen analysis is warranted. This period also offers an opportunity to perform preconception testing and optimize women’s health before conception. Treatment for infertility is aimed to restore normal reproductive function and anatomy. In addition, patient education and counseling is indeed a very important aspect of infertility care. This review contains 5 figures, 5 tables and 60 references Key Words: anovulation, Antimullerian hormone, antral follicle count, hysterosalpingogram, infertility, infertility evaluation, ovarian reserve testing, polycystic ovarian syndrome, saline infusion sonohysterography
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不孕症评估
2009年,世界卫生组织正式承认不孕症是一种生殖系统疾病。这个名称是为了方便获得不孕症的评估和治疗。不孕症是男性和女性共同的疾病,对伴侣双方进行适当的评估是必要的。不孕的常见原因有排卵功能障碍、输卵管和盆腔病变、不明原因不孕和男性因素。完整的病史和体格检查可以发现潜在的病因,但需要确认输卵管通畅和正常精液分析。这一时期还提供了进行孕前检查和优化妇女孕前健康的机会。治疗不孕症的目的是恢复正常的生殖功能和解剖结构。此外,患者教育和咨询确实是不孕症护理的一个非常重要的方面。关键词:无排卵,抗苗勒管激素,卵泡计数,子宫输卵管造影,不孕症,不孕症评估,卵巢储备检测,多囊卵巢综合征,生理盐水输注超声宫腔镜
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