妇产
词汇介绍
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解析
clomiphene 英 ['klɒməfi:n] 美 ['kloʊməfin]
释 义 n. 克罗米酚,舒经酚(一种合成的助生育药)
例 句 The most commonly prescribed ovulation drug is clomiphene citrate ( CC ). 最常用的排卵药是克罗米酚 ( CC )。
citrate 英 ['sɪtreɪt] 美 ['sɪtreɪt]
释 义 n. 柠檬酸盐
例 句 Levels of serum estradiol and progesterone were statistically significantly higher in the clomiphene citrate group. 在克罗米芬治疗组,血清雌激素和孕酮的水平明显升高。
概述
来曲唑与枸橼酸氯米芬治疗不明原因不孕症的比较: 系统回顾和荟萃分析。
发表时间:2019-03-10
影响因子:5.0
作者: Ashley M. Eskew
期刊:Obstet Gynecol
Oral ovarian stimulation agents such as clomiphene citrate, a selective estrogen receptor modulator, and letrozole, an aromatase inhibitor, are effective, have fewer adverse side effects, and lower cost than injectable gonadotropins. After a basic infertility workup, oral ovulation induction is often the first step in treatment before referral to reproductive endocrinology. Clomiphene citrate is the standard first line agent for ovarian stimulation. However, studies have shown that clomiphene citrate may alter surrogate parameters of uterine receptivity and cervical mucus, which may explain why pregnancy rates are often lower than expected from observed ovulation rates. Letrozole lacks the antiestrogenic effects of clomiphene citrate on the endometrium and has a shorter half-life, contributing to reduced side effects. Additionally, use of aromatase inhibitors appears to improve endometrial thickness compared to clomiphene citrate and may be less likely to result in multiple gestations. Letrozole use also resulted in higher live birth rates compared to clomiphene citrate in patients with PCOS.
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