排卵功能障碍是不孕症中女方的主要原因之一,不孕妇女就诊时须首先监测有无排卵、排卵时相及排卵后黄体功能如何;在治疗不孕妇女时又常采用监测排卵的方法提示精确的排卵日期,指导易受孕期或进行人工授精,甚至采卵供作试管婴儿。事实上卵泡发育是受内、外环境的影响而发生变化,内在因素中又有神经内分泌、遗传与免疫等因素干扰,外在因素有药物、毒物等,总的表现为卵子生长缺陷与甾体激素及促性腺激素合成,分泌不足。排卵监测也就是对以上两个方面的监测,目前常用的手段各有其长处与不足,因此造成监测精确排卵日期的难度。一、排卵监测的方法1.基础体温:又称静息体温,正常有排卵月经周期的基础体温表现为月经后温度较低,在36.5℃以下,在相当排卵前,体温稍下降,并再迅速上升0.3～0.5℃维持14天。一般认为基础体温的最低点或上升 Ovulation dysfunction is one of the main causes of infertility in women. Infertility women should first monitor ovulation, ovulation phase and ovulation after luteal function; treatment of infertile women are often used to monitor ovulation method Prompt accurate ovulation date, easy to guide pregnancy or artificial insemination, or ovulation for test tube baby. In fact follicular development is affected by the internal and external environment changes, there are internal factors neuroendocrine, genetic and immune interference, external factors such as drugs, poisons, the overall performance of the egg growth defects and steroids Hormone and gonadotropin synthesis, lack of secretion. Ovulation monitoring is the monitoring of the above two aspects, the commonly used means have their own strengths and weaknesses, thus resulting in the difficulty of monitoring the exact date of ovulation. First, ovulation monitoring methods 1. Basal body temperature: also known as resting body temperature, normal ovulation menstrual cycle, the basic body temperature showed lower temperature after menstruation, below 36.5 ℃, before considerable ovulation, body temperature decreased slightly, and then quickly Increase 0.3 ~ 0.5 ℃ for 14 days. Generally considered the basal body temperature the lowest point or rise