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本文介绍一例无卵巢妇女经移植人工授精的胚胎而怀孕。一名结婚8年的26岁妇女曾因卵巢囊肿于17岁时切除一侧卵巢。手术中发现先天缺乏另一卵巢。此后她闭经了。她接受雌激素-孕酮替代治疗,按供者行经第一天开始每天服2.5mg复方雌激素(Premarin),从供者排卵这天起再每天肌注7.5mg孕酮(黄体酮制剂)。这种治疗连续不断。供者是一位月经周期正常的23岁妇女,其在3年前剖腹产过一名健康婴儿。患者的丈夫是位29岁健康男性,其精子数为40×10~6/ml,动力50%,形态异常精子占35%。供者排卵期由超声波监测,排卵时用患者丈夫的精液人工授精。排卵后第5天,冲洗子宫,用经子宫颈导管找到囊胚,立即将其移植
This article describes a case of oviparous women transplanted with artificial insemination embryos and pregnancy. A 26-year-old woman who had been married for 8 years had ovariectomized at the age of 17 for ovarian cysts. Surgery found congenital absence of another ovary. She was amenorrhea afterwards. She was given estrogen-progesterone replacement therapy and started taking 2.5 mg of compound daily on day one of the donor’s regimen, and another 7.5 mg of progesterone (progesterone) intramuscularly on the day her donor ovulated. This treatment is continuous. The donor was a 23-year-old woman with a normal menstrual cycle who had a healthy baby by caesarean section three years earlier. The patient’s husband was a 29-year-old healthy man with 40 × 10 ~ 6 / ml of sperm, 50% motility, and 35% of morphologically abnormal sperm. Ovulation period by the donor ultrasound monitoring, ovulation, artificial insemination with the patient’s husband’s semen. On the 5th day after ovulation, the uterus is washed and the blastocyst is found through the cervical canal and immediately transplanted