Update on Assessment of Ovarian Reserve Testing.

IF 4.3 4区医学 Q1 OBSTETRICS & GYNECOLOGY

Obstetrical & Gynecological Survey Pub Date : 2024-07-01 DOI:10.1097/OGX.0000000000001284

Nasreen A Osman, Amel E Morgham

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引用次数: 0

Abstract

Importance: Women are increasingly postponing pregnancy to achieve specific goals, and as it is known, the ovarian reserve (OR) declines with age, especially after the 30s. Assessing the OR helps in managing the care of women seeking pregnancy. Several OR tests (ORTs) have been advocated for assessing OR.

Objectives: This review aims to discuss the different ORTs and the consequences of their use.

Evidence acquisition: For each topic, a PubMed search was conducted using MeSH terms. The following terms were used: ovarian reserve, ovarian reserve tests, anti-Müllerian hormone, antral follicle count, and diminished ovarian reserve. The search for further references was complemented by manual search, review, synthesis, and summarization of retrieved articles.

Results: In this review, we clarified the concept of OR and the different ORTs and provided a guide for the ultrasound to assess OR. In addition, the clinical value of ORTs was highlighted to explain the implications of the results of these tests and how they can aid in patient counseling.

Conclusion and relevance: A number of ORTs are available to the clinician. Anti-Müllerian hormone and antral follicle count are the most valuable, but as with all ORTs, they are best used as screening, not diagnostic tests for OR. Screening for OR is most helpful when applied to specific groups.

查看原文本刊更多论文

卵巢储备功能检测评估的最新进展。

重要性：众所周知，卵巢储备功能（OR）会随着年龄的增长而下降，尤其是在 30 岁以后。对卵巢储备功能进行评估有助于管理对备孕女性的护理。目前有几种卵巢储备功能检测方法（ORT）可用于评估卵巢储备功能：本综述旨在讨论不同的ORT及其使用后果：对于每个主题，均使用MeSH术语在PubMed上进行了搜索。使用了以下术语：卵巢储备功能、卵巢储备功能检测、抗穆勒氏管激素、前卵泡计数和卵巢储备功能减退。此外，我们还对检索到的文章进行了人工检索、综述、归纳和总结，以进一步查找参考文献：在这篇综述中，我们澄清了OR的概念和不同的ORT，并为超声评估OR提供了指导。此外，我们还强调了ORT的临床价值，解释了这些检查结果的意义以及它们如何帮助患者咨询：临床医生可以使用多种 ORT。抗缪勒氏管激素和前卵泡计数是最有价值的检测方法，但与所有其他检测方法一样，它们最好用作筛查而非诊断手术切除的检测方法。对特殊人群进行OR筛查最有帮助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrical & Gynecological Survey 医学-妇产科学

CiteScore

2.70

自引率

3.20%

发文量

245

审稿时长

>12 weeks

期刊介绍： Each monthly issue of Obstetrical & Gynecological Survey presents summaries of the most timely and clinically relevant research being published worldwide. These concise, easy-to-read summaries provide expert insight into how to apply the latest research to patient care. The accompanying editorial commentary puts the studies into perspective and supplies authoritative guidance. The result is a valuable, time-saving resource for busy clinicians.