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卵巢衰老是指随着年龄增长,卵巢内卵泡数量及质量不断下降。卵巢功能衰退导致生育障碍及内分泌发生改变,严重影响女性身心健康,因此需准确评估及预测卵巢功能,制定合理的治疗方案。近年研究发现,血清抗苗勒管激素水平、窦状卵泡数可较好地评价卵巢储备功能,为制定临床个体化治疗方案提供依据,但其评估及预测能力尚存争议。目前激素治疗、中医疗法等可有效缓解更年期症状,但仍有一定的风险,需进一步研究。本文就卵巢衰老的诊断及治疗方面做一综述。
Ovarian aging means that with age, the number and quality of ovarian follicles continue to decline. Ovarian function decline lead to fertility disorders and endocrine changes, seriously affecting the physical and mental health of women, it is necessary to accurately assess and predict ovarian function, develop a reasonable treatment. In recent years, the study found that serum anti-Mullerian hormone levels, sinus follicles can better evaluate the function of ovarian reserve for the development of clinical individualized treatment programs to provide a basis, but its assessment and prediction capabilities are still controversial. At present, hormone therapy and traditional Chinese medicine therapy can effectively relieve the symptoms of menopause, but there are still some risks that need further study. This article reviews the diagnosis and treatment of ovarian aging.