癫痫患者的辅助生殖技术结果和管理注意事项。

IF 2.6 3区医学 Q3 ENDOCRINOLOGY & METABOLISM

Current Opinion in Endocrinology & Diabetes and Obesity Pub Date : 2023-12-01 Epub Date: 2023-09-21 DOI:10.1097/MED.0000000000000838

Regan J Lemley, Paula Emanuela Voinescu

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引用次数: 0

摘要

综述目的：癫痫是有生育能力人群中常见的神经系统疾病，辅助生殖技术（ART）的应用越来越多。最近一项基于人群的研究描述了ART在这一人群中的良好结果，但其他研究表明，性激素的波动可能会影响药物浓度和癫痫发作。最近的研究结果：这篇综述讨论了激素对癫痫和月经期癫痫的影响，对癫痫妇女生育能力的考虑，新出现的ART结果，以及对接受ART的癫痫患者的管理考虑。总结：利用ART是一种有效的治疗癫痫患者渴望怀孕的方法，但可能需要更密切的监测和抗癫痫药物调整，以确保最佳结果。需要更多的研究来更好地指导ART期间的癫痫护理。

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Assisted reproductive technology outcomes and management considerations for people with epilepsy.

Purpose of review: Epilepsy is a common neurologic condition amongst people with reproductive capacity, and assisted reproductive technology (ART) is being increasingly utilized. A recent population-based study described favorable outcomes of ART in this population, but other work shows how fluctuating sex hormones may influence medication concentrations and seizures.

Recent findings: This review discusses hormonal influences on epilepsy and catamenial epilepsy, considerations regarding fertility in women with epilepsy, emerging ART outcomes, and management considerations for people with epilepsy undergoing ART.

Summary: Utilizing ART is an effective treatment for people with epilepsy desiring pregnancy, but closer monitoring and antiseizure medication adjustments may be needed to ensure the best outcomes. More research is needed to better guide epilepsy care during ART.

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来源期刊

Current Opinion in Endocrinology & Diabetes and Obesity ENDOCRINOLOGY & METABOLISM-

CiteScore

5.80

自引率

3.10%

发文量

128

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Endocrinology, Diabetes and Obesity delivers a broad-based perspective on the most recent and exciting developments in the field from across the world. Published bimonthly and featuring twelve key topics – including androgens, gastrointestinal hormones, diabetes and the endocrine pancreas, and neuroendocrinology – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.