Polycystic ovary syndrome on the sequential therapy.docVIP

 PAGE \* MERGEFORMAT 12 Polycystic ovary syndrome on the sequential therapy [Keywords:] sequential therapy with polycystic ovary syndrome Polycystic ovary syndrome (polycystic ovary syndrom, PCOS) is a function of reproductive endocrine and metabolic abnormalities caused by ovulation disorders, is the most common cause of anovulatory infertility, accounting for anovulatory infertility, 50% of patients ~ 70%. the principle of treatment is to induce a single follicle ovulation and reduce ovarian hyperstimulation syndrome (ovarian hyperstimulation syndrome, OHSS), reduce the miscarriage rate and multiple pregnancy rate. At present, the treatment reported in China are too numerous and there is no uniform, safe treatment method and process, and a single ovulation method ovulation rate and pregnancy rate is still low. hospital since the beginning of July 2003 prepared by our hospital specialist infertility diagnosis and treatment of PCOS and infertility procedures, to obtain more good ovulation and pregnancy rates, are reported below. Subjects and methods 1. Target: July 2003 to July 2007 in our hospital’s infertility specialist clinic 217 patients with PCOS and infertility patients, diagnostic criteria revised in 2003 Rotterdam meeting the diagnostic criteria: (1) thinning hair ovulation or no ovulation; (2) clinical hyperandrogenism and (or) biochemical signs; (3) ultrasound showed polycystic [one or both ovaries with more than 12 2 ~ 9 mm in diameter of small follicles, and (or ) ovarian volume greater than 10 ml)], consistent with the above item 2 item 3, and the exclusion of other causes of hyperandrogenism [1]. patients aged 21 to 36 years old, an average of (28.13 + -3.07) years old, 145 cases of infertility, secondary infertility in 72 cases; infertility period 1 to 7 years; according to body mass index in patients with PCOS were divided into obese [body mass index (BMI)gt; = 25, fasting insulingt; = 15 mIU / L ] and non-obese. 69 cases of obesit