不排卵原因多多 介入刺破单刀直入Do not ovulate causes more involved in puncturing a single knife straight into转载2008-07-09

不排卵原因多种多样，但表现都一样，不管是自然周期，还是药物促排卵，都有一部分人卵泡发育到超过2cm后仍然不排出，继续增长，甚至超过4-6cm，个别的到了下个月经周期仍然没有排卵，医学上称为黄素化卵泡不破裂综合征(LUFs)，为什么会有此种现象呢，有的人甚至一连几个月的监测都是如此，成为很多医患的不解之谜。

There are many reasons for not ovulating, but the performance is the same. Whether it is a natural cycle or a drug promoting ovulation, some people's follicles still do not discharge after they have developed beyond 2cm, continue to grow, and even exceed 4-6cm. Individuals who still do not ovulate in the next menstrual cycle, medically known as luteinized follicles not rupture syndrome(LUFs), why there is such a phenomenon, some people even for several months of monitoring is so, become many The mystery of doctors and patients.

临床上发现有些人存在着明显的原发病，如子宫内膜异位症、多囊卵巢综合征或垂体或下丘脑疾病，这些人只要治疗原发病就好了;还有的是多囊卵巢综合症手术后遗症，即卵巢打孔后排卵正常了，体内过高雄激素仍存在于皮下脂肪中，所以导致不排卵，用强的松或螺旋内酯治疗有效;

Clinically, some people have obvious primary diseases, such as endometriosis, polycystic ovary syndrome, or pituitary or hypothalamus disease. These people only need to treat the primary disease. There are also surgical sequelae of polycystic ovary syndrome, that is, ovulation is normal after perforation of the ovary, and Kaohsiung hormone is still present in subcutaneous fat in the body, so it leads to non-ovulation, and treatment with prednisone or helicolactone is effective;

而有些人就不易很快找到原因，这就给治疗带来困难，关于这部分原因不明的不排卵，安太医院发明了介入疗法，即跟踪监测卵泡，一旦成熟立刻用超声引导刺破卵泡，然后人工授精，多能达到本月怀孕的目的，等生完小孩再慢慢寻找原发病予以治疗，

Some people do not easily find the reason quickly, which brings difficulties in treatment. Regarding this part of the reason for not ovulating, Antai Hospital invented intervention therapy, that is, tracking and monitoring follicles. Once mature, it immediately uses ultrasound to guide the puncture follicles., and then artificial insemination, More can achieve the purpose of this month's pregnancy, wait until the child is born, and then slowly seek treatment for the primary disease.

其实，排卵机制很复杂，特别是排卵的瞬间，激素和卵巢局部的变化很微妙，首先是LH必须出现峰值，其次是卵泡张力足够大。一般自然周期只有一个卵泡，LH的量在90左右就能排卵，如果不足就会lufs;而促排卵由于多个卵泡发育，自体本身产生的LH是不足以引起排卵的，必须靠外源给HCG(含50%的LH)才能排卵，一般的每个卵给1000单位为宜，最多不要超过15000单位，如果外源HCG不够也会导致lufs。还有一个助推因素，那就是性交，女性高潮的瞬间LH大量释放，子宫强烈收缩有助于成熟卵破裂。

In fact, the ovulation mechanism is complex, especially at the moment of ovulation. The local changes in hormones and ovaries are very subtle. The first is that LH must peak, and the second is that the follicle tension is large enough. In general, there is only one follicle in the natural cycle. The amount of LH can ovulate at about 90, and if it is insufficient, it will lufs; However, due to the development of multiple follicles, the self-produced LH is not enough to cause ovulation. It must be given to HCG(including 50 % LH) from an external source to ovate. It is advisable for each egg to give 1000 units. Do not exceed 15,000 units, If the external HCG is not enough, it will also lead to lufs. Another contributing factor is sexual intercourse, when the female orgasm is released in large quantities, and the strong contraction of the uterus helps mature eggs break.

临床上不排卵主要有两类，一是黄素化卵泡不破裂综合征(LUFs), 另一类是排卵延迟,就是卵泡破裂的时间后延了，卵子过熟，两种情况都不会怀孕，但是哪种情况都可以用介入刺破助孕。

There are two main types of clinical non-ovulation. One is luteinized follicular non-rupture syndrome(LUFs), and the other is delayed ovulation. The time for follicle rupture is delayed, and the egg is overripe. Both conditions will not be pregnant. But in either case, the intervention can be used to stimulate pregnancy.

这正是：急则治标，缓则治本!

This is exactly: urgent treatment of the symptoms, slow treatment of the root cause!