新 疆医科大学第一临床医学院妇产科学课件 不孕症.pptVIP

概 念 凡婚后未避孕，有正常性生活，同居2年而未妊娠者，称为不孕症 。 约25%的夫妇在生育期会面临不孕的问题,不孕的发病率随年龄增加而增高 What is infertility? A couple is said to be infertile if pregnancy does not result after 1 year of normal sexual activity without contraceptives. About 25% of couples experience infertility at some point in their reproductive lives; The incidence of infertility increases with age. 病因causes 原因 Causes Percentage 女性因素 40-55 % 男性因素 25-40 % 双方因素 10 % 不明原因 10 % Causes of Infertility Causes Percentage Causes of female 40-55 % Causes of male 25-40 % Causes of couples 10 % Unexplained infertility 10 % 女性不孕因素 排卵障碍（占40%） 输卵管和盆腔病变（占40%） 解剖异常或甲状腺疾病（约10%） 不明原因 （约10%） Causes of female Failure to ovulation is the major problem in approximately 40% of female infertility; another 40% is due to Tubal and pelvic pathology ; less than 10% is due to problems such as anatomic abnormalities or thyroid disease. Unexplained infertility —— 10% 男性因素 Causes of male 25% -40%of infertility is wholely or in part due to a male facts. There is no doubt that a substantial percentage of infertility due to deficiencies in the semen. Diagnosis 卵巢功能检查 基础体温 子宫内膜病检 宫颈粘液 B 超 女性激素 Ovarian function test Basal body temperature Endometrial Biopsy Cervical mucus B ultrasound Hormone measurements 男方检查——精液分析 Sperm analysis The WHO suggests the following for normal: Sperm analysis Treatment 不孕症的治疗 Causes Treatment 诱发排卵； 输卵管再造术 显微外科手术 药物、免疫抑制 Treatment Causes Treatment