《不孕症与辅助生殖技术》-精选·课件.ppt

Infertility and Assisted Reproductive Technologies 不孕症与辅助生殖技术 XIN LU Obstetrics Gynecology Hospital Fudan University 2006-5-11/19 Contents Infertility Definition; Causes; Examinations and Diagnosis; Treatment; Assisted Reproductive Technologies (ART) ; Intrauterine insemination ( IUI); In vitro fertilization and embryo transfer (IVF-ET); Intracytoplasmic sperm injection (ICSI); Gamete intrafallopian transfer (GIFT); DEFINITION of Infertility 不孕症定义 What is Infertility? Infertility is defined two years of unprotected intercourse without pregnancy. (WHO, one year) Primary Infertility : no previous pregnancies 原发不孕 have occurred; Secondary Infertility: a prior pregnancy has 继发不孕 occurred; Female Reproductive duct anatomy 女性生殖道解剖 Female ovary 卵巢 fallopian 输卵管 uterus 子宫 cervix 宫颈 Vagina 阴道 Female Reproductive Physiology 女性生殖生理 1. 下丘脑-垂体-卵巢轴内分泌调节 Femal Male ( H-P-O) (H-P-T) GnRH GnRH FSH,LH FSH,LH E/P T 4. 3.输卵管 2. 卵巢周期性排卵 5. 宫颈 6. 下生殖道 Causes 原因 Causes Percentage Female factors 40-55 % Male factors 25-40 % Both male and female factors 20 % Immunologic unexplained factors 10 % Female Factors 女方因素 Ovulatory