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\u4f53\u5916\u53d7\u7cbe(IVF)\u3068\u306f\uff1f<\/strong><\/h2>\n\n\n\n

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\"\"<\/figure>\n\n\n\n

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\"\"<\/figure>\n\n\n\n

\u3072\u3068\u3064\u3067\u3082\u591a\u304f\u306e\u6210\u719f\u3057\u305f\u5375\u5b50\u3092\u5f97\u3089\u308c\u308b\u3088\u3046\u306b\u3059\u308b\u306b\u306f\u3001\u63a1\u5375\u306e\u5b9f\u65bd\u307e\u3067\u306b\u3055\u307e\u3056\u307e\u306a\u6e96\u5099\u304c\u5fc5\u8981\u3067\u3059\u3002\u5177\u4f53\u7684\u306b\u3069\u3046\u884c\u3063\u3066\u3044\u304f\u306e\u304b\u3001\u8a73\u3057\u304f\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n

1. \u5375\u80de\u3092\u5927\u304d\u304f\u80b2\u3066\u308b<\/strong><\/h3>\n\n\n\n

\u5185\u670d\u85ac\u3084\u6ce8\u5c04\u306a\u3069\u306e\u6392\u5375\u8a98\u767a\u5264\u3092\u4f7f\u3063\u3066\u5375\u5de3\u3092\u523a\u6fc0\u3057\u3001\u5375\u80de\u3092\u5927\u304d\u304f\u80b2\u3066\u307e\u3059\u3002\u5375\u5de3\u523a\u6fc0\u6cd5\u306b\u306f\u9ad8\u523a\u6fc0\u6cd5\u3084\u4f4e\u523a\u6fc0\u6cd5\u306a\u3069\u3001\u7a2e\u985e\u304c\u3042\u308b\u306e\u3067\u8a73\u3057\u304f\u306f\u5f8c\u8ff0\u3057\u307e\u3059\u304c\u3001\u81ea\u5206\u306b\u5408\u3063\u305f\u65b9\u6cd5\u3092\u533b\u5e2b\u3068\u76f8\u8ac7\u3057\u306a\u304c\u3089\u6c7a\u3081\u308b\u3068\u3088\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n\n\n\n

2. \u63a1\u5375\u65e5\u3092\u6c7a\u5b9a\u3059\u308b<\/strong><\/h3>\n\n\n\n

\u6b21\u306b\u3001\u7d4c\u815f\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u5375\u80de\u306e\u5927\u304d\u3055\u3092\u78ba\u8a8d\u3057\u305f\u308a\u3001\u30db\u30eb\u30e2\u30f3\u691c\u67fb\u3092\u884c\u3063\u3066\u30db\u30eb\u30e2\u30f3\u5024\u3092\u6e2c\u5b9a\u3057\u305f\u308a\u3057\u3066\u3001\u63a1\u5375\u65e5\u3092\u6c7a\u5b9a\u3057\u307e\u3059\u3002
\u63a1\u5375\u65e5\u304c\u6c7a\u307e\u308c\u3070\u3001\u63a1\u5375\u306e34\uff5e36\u6642\u9593\u524d\u306b\u30c8\u30ea\u30ac\u30fc\u3068\u306a\u308bhCG\u6ce8\u5c04\u3084\u70b9\u9f3b\u85ac\u3092\u6295\u4e0e\u3057\u3066\u3001\u4eba\u70ba\u7684\u306bLH\u30b5\u30fc\u30b8\u3092\u8d77\u3053\u3057\u3066\u5375\u80de\u3092\u6700\u7d42\u6210\u719f\u3055\u305b\u3001\u6392\u5375\u3092\u4fc3\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

3. \u63a1\u5375\u65e5\u5f53\u65e5\u306f\u9ebb\u9154\u304b\u3089\u30b9\u30bf\u30fc\u30c8\u3059\u308b<\/strong><\/h3>\n\n\n\n

\u63a1\u5375\u5f53\u65e5\u306f\u3001\u75db\u307f\u3092\u56de\u907f\u3059\u308b\u305f\u3081\u306b\u9ebb\u9154\u3092\u3057\u307e\u3059\u3002\u91dd\u3092\u815f\u304b\u3089\u5375\u5de3\u306b\u76f4\u63a5\u523a\u3057\u3066\u5375\u80de\u6db2\u3054\u3068\u5438\u3044\u53d6\u308b\u3068\u3044\u3046\u5916\u79d1\u7684\u306a\u624b\u8853\u3092\u4f34\u3046\u305f\u3081\u3067\u3059\u3002\u9ebb\u9154\u306b\u306f\u5c40\u6240\u9ebb\u9154\u3068\u9759\u8108\u9ebb\u9154\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3069\u3061\u3089\u3092\u4f7f\u3046\u304b\u306f\u305d\u308c\u305e\u308c\u306e\u30af\u30ea\u30cb\u30c3\u30af\u306e\u65b9\u91dd\u3084\u672c\u4eba\u306e\u5e0c\u671b\u306b\u3088\u308a\u7570\u306a\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u5f97\u3089\u308c\u308b\u5375\u5b50\u306e\u6570\u304c\u5c11\u306a\u3044\u3068\u60f3\u5b9a\u3055\u308c\u308b\u5834\u5408\u306f\u3001\u9ebb\u9154\u3092\u305b\u305a\u306b\u5ea7\u85ac\u306e\u307f\u3067\u63a1\u5375\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002

\u7d4c\u815f\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u6392\u5375\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u3092\u78ba\u8a8d\u3057\u305f\u306e\u3061\u3001\u7d4c\u815f\u8d85\u97f3\u6ce2\u306e\u30d7\u30ed\u30fc\u30d6\u306e\u5148\u306b\u91dd\u3092\u88c5\u7740\u3057\u3001\u815f\u306b\u633f\u5165\u3057\u3066\u5de6\u53f3\u306e\u5375\u5de3\u304b\u3089\u5375\u80de\u6db2\u3054\u3068\u5375\u5b50\u3092\u5f97\u307e\u3059\u3002
\u63a1\u5375\u5f8c\u306f\u3057\u3070\u3089\u304f\u30ea\u30ab\u30d0\u30ea\u30fc\u30eb\u30fc\u30e0\u3067\u4f11\u61a9\u3057\u305f\u306e\u3061\u3001\u533b\u5e2b\u306e\u8a3a\u5bdf\u3092\u53d7\u3051\u3066\u4f53\u8abf\u306b\u554f\u984c\u304c\u306a\u3051\u308c\u3070\u5e30\u5b85\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

4. \u691c\u5375\u3092\u884c\u3046<\/strong><\/h3>\n\n\n\n

\u63a1\u53d6\u3057\u305f\u5375\u80de\u6db2\u304b\u3089\u80da\u57f9\u990a\u58eb\u304c\u9855\u5fae\u93e1\u3067\u5375\u5b50\u3092\u63a2\u3057\u3066\u5f97\u308b\u5de5\u7a0b\u3092\u3001\u691c\u5375\u3068\u3044\u3044\u307e\u3059\u3002\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u3082\u5375\u5b50\u306e\u5b58\u5728\u306f\u78ba\u8a8d\u3067\u304d\u307e\u3059\u304c\u3001\u5b9f\u969b\u306b\u53d6\u308a\u51fa\u3057\u3066\u9855\u5fae\u93e1\u4e0b\u3067\u898b\u306a\u3051\u308c\u3070\u6b63\u78ba\u306a\u6570\u306f\u308f\u304b\u308a\u307e\u305b\u3093\u3002\u5375\u5b50\u306f\u9846\u7c92\u819c\u7d30\u80de\u3068\u3044\u3046\u7d30\u80de\u306b\u5305\u307e\u308c\u305f\u72b6\u614b\u3067\u5375\u80de\u6db2\u306e\u4e2d\u306b\u5b58\u5728\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u7d30\u80de\u6db2\u3084\u8840\u6db2\u3092\u53d6\u308a\u9664\u304d\u306a\u304c\u3089\u5375\u5b50\u3092\u5f97\u3066\u3001\u6570\u3092\u30ab\u30a6\u30f3\u30c8\u3057\u307e\u3059\u3002

\u307e\u305f\u3001\u56de\u53ce\u3057\u305f\u5375\u5b50\u306f\u5438\u5f15\u6642\u306b\u5909\u5f62\u3057\u305f\u3082\u306e\u304c\u6df7\u3056\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308b\u307b\u304b\u3001\u6210\u719f\u5ea6\u5408\u3044\u3082\u307e\u3061\u307e\u3061\u3067\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u5375\u5b50\u306e\u8cea\u3082\u80da\u57f9\u990a\u58eb\u304c\u89b3\u5bdf\u3057\u3001\u53d7\u7cbe\u80fd\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u3092\u30c1\u30a7\u30c3\u30af\u3057\u307e\u3059\u3002
\u5909\u5f62\u3057\u305f\u3082\u306e\u3084\u6210\u9577\u304c\u6b62\u307e\u3063\u3066\u3044\u308b\u3082\u306e\u306f\u53d7\u7cbe\u304c\u96e3\u3057\u3044\u305f\u3081\u7834\u68c4\u3055\u308c\u307e\u3059\u304c\u3001\u672a\u6210\u719f\u306a\u3082\u306e\u306f\u57f9\u990a\u5668\u3067\u57f9\u990a\u3057\u3066\u6210\u719f\u3059\u308b\u306e\u3092\u5f85\u3061\u307e\u3059\u3002<\/p>\n\n\n\n

\u5375\u80de\u3092\u5927\u304d\u304f\u80b2\u3066\u308b\u5375\u5de3\u523a\u6fc0\u6cd5\u306e\u7a2e\u985e<\/strong><\/h2>\n\n\n\n
\"\"<\/figure>\n\n\n\n

\u5375\u5de3\u3092\u523a\u6fc0\u3057\u3066\u5375\u5b50\u3092\u8a98\u767a\u3059\u308b\u65b9\u6cd5\u306b\u306f\u3001\u5f37\u3044\u6392\u5375\u8a98\u767a\u5264\u3092\u4f7f\u3063\u3066\u884c\u3046\u65b9\u6cd5\u304b\u3089\u3001\u307e\u3063\u305f\u304f\u85ac\u3092\u4f7f\u7528\u305b\u305a\u81ea\u7136\u306b\u4efb\u305b\u308b\u65b9\u6cd5\u307e\u3067\u3055\u307e\u3056\u307e\u3042\u308a\u307e\u3059\u3002\u3069\u306e\u65b9\u6cd5\u3092\u5229\u7528\u3059\u308b\u304b\u306f\u3001\u53d7\u8a3a\u8005\u306e\u4f53\u8cea\u3084\u3001AMH\u691c\u67fb\u3001\u5375\u5de3\u306e\u72b6\u614b\u3092\u898b\u306a\u304c\u3089\u533b\u5e2b\u3068\u76f8\u8ac7\u3057\u306a\u304c\u3089\u6c7a\u3081\u307e\u3057\u3087\u3046\u3002

\u3053\u3053\u3067\u306f\u3001\u5375\u5de3\u523a\u6fc0\u6cd5\u306e\u4e2d\u304b\u3089\u300c\u30ed\u30f3\u30b0\u6cd5\u300d\u300c\u30b7\u30e7\u30fc\u30c8\u6cd5\u300d\u300c\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u6cd5\u300d\u300cPPOS\u6cd5\u300d\u306e4\u3064\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\u30ed\u30f3\u30b0\u6cd5<\/strong><\/h3>\n\n\n\n

\u30ed\u30f3\u30b0\u6cd5\u3068\u306f\u3001\u85ac\u3092\u9577\u671f\u9593\u4f7f\u3063\u3066\u6392\u5375\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u306a\u304c\u3089\u5375\u5b50\u3092\u8a98\u767a\u3057\u300110\u500b\u7a0b\u5ea6\u306e\u63a1\u5375\u3092\u76ee\u6307\u3059\u65b9\u6cd5\u3067\u3059\u3002\u63a1\u5375\u3059\u308b\u524d\u306e\u5468\u671f\u306e\u9ad8\u6e29\u671f\u4e2d\u671f\u9803\u304b\u3089\u63a1\u5375\u307e\u3067\u3001\u6392\u5375\u3092\u4fc3\u3059\u305f\u3081\u306eGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u70b9\u9f3b\u85ac\u30921\u65e53\u56de\u3001\u6bce\u65e5\u4f7f\u7528\u3057\u307e\u3059\u3002\u6e96\u5099\u3082\u65e9\u304f\u59cb\u3081\u3089\u308c\u308b\u4e0a\u3001\u63a1\u5375\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u304c\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u3084\u3059\u304f\u3001\u591a\u304f\u306e\u5375\u5b50\u3092\u5f97\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u70b9\u304c\u30e1\u30ea\u30c3\u30c8\u3067\u3059\u3002\u305f\u3060\u3057\u3001\u85ac\u306e\u4f7f\u7528\u671f\u9593\u304c\u9577\u304f\u306a\u308a\u3001\u91cf\u3082\u591a\u304f\u306a\u308b\u306e\u3067\u8cbb\u7528\u8ca0\u62c5\u304c\u5927\u304d\u304f\u306a\u308a\u3084\u3059\u304f\u3001OHSS(\u5375\u5de3\u904e\u5270\u523a\u6fc0\u75c7\u5019\u7fa4)\u306b\u306a\u308b\u53ef\u80fd\u6027\u3082\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002

\u6708\u7d4c\u5468\u671f\u304c\u6b63\u5e38\u5468\u671f(25\uff5e38\u65e5)\u306e\u65b9\u3001\u5375\u5de3\u6a5f\u80fd\u306b\u554f\u984c\u306e\u306a\u3044\u4eba\u3001AMH(\u6297\u30df\u30e5\u30e9\u30fc\u7ba1\u30db\u30eb\u30e2\u30f3)\u5024\u304c\u9ad8\u3044\u4eba\u3001\u5e74\u9f62\u304c\u82e5\u3044\u4eba\u306b\u5411\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u30b7\u30e7\u30fc\u30c8\u6cd5<\/strong><\/h3>\n\n\n\n

\u30b7\u30e7\u30fc\u30c8\u6cd5\u3068\u306f\u3001\u6708\u7d4c\u5468\u671f\u306e\u521d\u65e5\u304b\u3089GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u70b9\u9f3b\u85ac\u3092\u4f7f\u3044\u59cb\u3081\u3001\u5375\u5b50\u3092\u8a98\u767a\u3059\u308b\u65b9\u6cd5\u3067\u3059\u3002\u30ed\u30f3\u30b0\u6cd5\u3088\u308a\u3082\u70b9\u9f3b\u85ac\u3092\u4f7f\u3046\u671f\u9593\u304c\u77ed\u3044\u305f\u3081\u3001\u30b7\u30e7\u30fc\u30c8\u6cd5\u3068\u547c\u3070\u308c\u307e\u3059\u3002
\u77ed\u671f\u9593\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u63a1\u5375\u65e5\u307e\u3067\u70b9\u9f3b\u85ac\u3068\u6ce8\u5c04\u30921\u65e5\u3082\u6b20\u304b\u3055\u305a\u306b\u7d9a\u3051\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002\u524d\u5468\u671f\u304b\u3089\u306e\u6e96\u5099\u304c\u4e0d\u8981\u3067\u85ac\u306e\u4f7f\u7528\u671f\u9593\u304c\u6bd4\u8f03\u7684\u77ed\u304f\u306a\u308b\u3053\u3068\u3001\u5e74\u9f62\u304c\u9ad8\u3081\u306e\u65b9\u3067\u3082\u3067\u304d\u308b\u3053\u3068\u304c\u30e1\u30ea\u30c3\u30c8\u3067\u3059\u3002

\u3057\u304b\u3057\u3001OHSS\u306b\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3001\u5375\u5de3\u4e88\u5099\u80fd\u304c\u4f4e\u3044\u5834\u5408\u306f\u5375\u5b50\u306e\u767a\u80b2\u304c\u60aa\u304f\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3001\u6392\u5375\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u3065\u3089\u3044\u306a\u3069\u306e\u30c7\u30e1\u30ea\u30c3\u30c8\u3082\u3042\u308a\u307e\u3059\u3002
\u6708\u7d4c\u5468\u671f\u304c\u6b63\u5e38\u5468\u671f(25~38\u65e5)\u306e\u65b9\u300140\u4ee3\u524d\u5f8c\u306a\u3069\u5e74\u9f62\u304c\u6bd4\u8f03\u7684\u9ad8\u3044\u4eba\u3001FSH(\u5375\u80de\u523a\u6fc0\u30db\u30eb\u30e2\u30f3)\u306e\u5024\u304c\u82e5\u5e72\u9ad8\u3081\u306e\u4eba\u3001\u6708\u7d4c\u5468\u671f\u521d\u671f\u306e\u80de\u72b6\u5375\u80de\u6570\u304c\u5c11\u306a\u3044\u4eba\u306a\u3069\u306b\u5411\u3044\u3066\u3044\u308b\u65b9\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n

\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u6cd5<\/strong><\/h3>\n\n\n\n

\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u6cd5\u3068\u306f\u3001\u6708\u7d4c3\u65e5\u76ee\u304b\u3089FSH\/HMG\u6ce8\u5c04\u3092\u4f7f\u3063\u3066\u5375\u5b50\u3092\u80b2\u3066\u3001\u3042\u308b\u7a0b\u5ea6\u5927\u304d\u304f\u306a\u3063\u305f\u3089\u6392\u5375\u3092\u6291\u5236\u3059\u308b\u305f\u3081\u306bGnRH\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u88fd\u5264\u3092\u4f7f\u7528\u3059\u308b\u3082\u306e\u3067\u3059\u3002
\u30ed\u30f3\u30b0\u6cd5\u3084\u30b7\u30e7\u30fc\u30c8\u6cd5\u3067\u4f7f\u7528\u3059\u308b\u70b9\u9f3b\u85ac\u306f\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u6cd5\u3067\u306f\u539f\u5247\u3068\u3057\u3066\u4f7f\u3044\u307e\u305b\u3093\u304c\u3001OHSS\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u65b9\u306b\u306f\u63a1\u53752\u65e5\u524d\u306b\u4f7f\u3046hCG\u6ce8\u5c04\u306e\u4ee3\u308f\u308a\u306b\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u70b9\u9f3b\u85ac\u3092\u4f7f\u3046\u3053\u3068\u3082\u3067\u304d\u307e\u3059\u3002

\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u6cd5\u306f\u5375\u80de\u304c\u767a\u80b2\u3057\u3084\u3059\u3044\u3001OHSS\u306b\u306a\u308a\u306b\u304f\u3044\u305f\u3081OHSS\u306e\u30ea\u30b9\u30af\u306e\u3042\u308b\u65b9\u306b\u3082\u9069\u7528\u3067\u304d\u308b\u306a\u3069\u306e\u30e1\u30ea\u30c3\u30c8\u304c\u3042\u308a\u307e\u3059\u3002\u4e00\u65b9\u3067\u3001\u6cbb\u7642\u8cbb\u304c\u9ad8\u984d\u306b\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3001\u307e\u308c\u306b\u65e9\u671f\u6392\u5375\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u3001\u6392\u5375\u6291\u5236\u5ea6\u5408\u3044\u306b\u500b\u4eba\u5dee\u304c\u3042\u308b\u306a\u3069\u304c\u30c7\u30e1\u30ea\u30c3\u30c8\u3067\u3059\u3002
\u6708\u7d4c\u5468\u671f\u304c\u6b63\u5e38\u5468\u671f(25\uff5e38\u65e5)\u306e\u4eba\u3001\u5375\u5de3\u6a5f\u80fd\u4f4e\u4e0b\u304c\u898b\u3089\u308c\u308b\u4eba\u3001AMH\u306e\u5024\u304c\u4f4e\u3044\u4eba\u306b\u5411\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

PPOS\u6cd5<\/strong><\/h3>\n\n\n\n

PPOS(Progestin-primed Ovarian Stimulation)\u6cd5\u3068\u306f\u3001\u5375\u5de3\u3092\u523a\u6fc0\u3059\u308b\u969b\u306b\u3001\u6392\u5375\u8a98\u767a\u5264\u3068\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\u5264\u3092\u4f75\u7528\u3059\u308b\u65b9\u6cd5\u3067\u3059\u3002\u300c\u9ec4\u4f53\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u6cd5\u300d\u3084\u300c\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\u4f75\u7528\u5375\u5de3\u523a\u6fc0\u6cd5\u300d\u3068\u3044\u3046\u540d\u79f0\u3067\u547c\u3070\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002
\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u88fd\u5264\u306e\u6ce8\u5c04\u304c\u4e0d\u8981\u306a\u306e\u3067\u901a\u9662\u56de\u6570\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u3001\u6cbb\u7642\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u304c\u7acb\u3066\u3084\u3059\u3044\u3001\u8cbb\u7528\u8ca0\u62c5\u304c\u6bd4\u8f03\u7684\u8efd\u3044\u3001\u30c8\u30ea\u30ac\u30fc\u306b\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u70b9\u9f3b\u85ac\u304c\u4f7f\u3048\u308b\u306e\u3067OHSS\u306e\u30ea\u30b9\u30af\u3092\u6291\u3048\u3089\u308c\u308b\u70b9\u304c\u30e1\u30ea\u30c3\u30c8\u3067\u3059\u3002

\u3057\u304b\u3057\u3001\u65b0\u9bae\u80da\u79fb\u690d\u304c\u3067\u304d\u306a\u3044\u30012014\u5e74\u306b\u767a\u8868\u3055\u308c\u305f\u6bd4\u8f03\u7684\u65b0\u3057\u3044\u65b9\u6cd5\u306a\u306e\u3067\u30c7\u30fc\u30bf\u304c\u5c11\u306a\u304f\u3001\u307e\u3060\u8a55\u4fa1\u304c\u78ba\u7acb\u3057\u3066\u3044\u306a\u3044\u70b9\u304c\u30c7\u30e1\u30ea\u30c3\u30c8\u3067\u3059\u3002
AMH(\u6297\u30df\u30e5\u30e9\u30fc\u7ba1\u30db\u30eb\u30e2\u30f3)\u306e\u5024\u304c\u9ad8\u3044\u4eba\u3084OHSS\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u4eba\u3001\u307b\u304b\u306e\u5375\u5de3\u523a\u6fc0\u6cd5\u3067\u63a1\u5375\u306b\u81f3\u3089\u306a\u304b\u3063\u305f\u4eba\u306b\u5411\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u63a1\u5375\u304b\u3089\u80da\u79fb\u690d\u307e\u3067\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb<\/strong><\/h2>\n\n\n\n

\u30ed\u30f3\u30b0\u6cd5\u3001\u30b7\u30e7\u30fc\u30c8\u6cd5\u3001\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u6cd5\u3001PPOS\u6cd5\u3001\u305d\u308c\u305e\u308c\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u306e\u4f8b\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002\u63a1\u5375\u304b\u3089\u80da\u79fb\u690d\u307e\u3067\u306e\u6d41\u308c\u306b\u3064\u3044\u3066\u3001\u8a73\u3057\u304f\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n

\u30ed\u30f3\u30b0\u6cd5\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u4f8b<\/strong><\/h3>\n\n\n\n

\u2460\u63a1\u5375\u3092\u884c\u3046\u4e88\u5b9a\u306e\u524d\u306e\u6708\u7d4c\u5468\u671f\u3067\u3001\u9ad8\u4f53\u6e29\u671f\u4e2d\u671f\u306e\u6708\u7d4c21\u65e5\u76ee\u304b\u3089\u63a1\u5375\u65e5\u307e\u3067\u3001\u6bce\u65e5\u70b9\u9f3b\u85ac\u30921\u65e53\u56de\u9f3b\u306b\u30b9\u30d7\u30ec\u30fc\u3057\u307e\u3059\u3002
\u2461\u6708\u7d4c\u5468\u671f\u306b\u306a\u3063\u305f\u3089\u30013\u65e5\u76ee\u304b\u3089\u6392\u5375\u8a98\u767a\u5264\u306eFSH\/hMG\u6ce8\u5c04\u3092\u6bce\u65e5\u6295\u4e0e\u3057\u307e\u3059\u3002\u671f\u9593\u306f6\uff5e10\u65e5\u9593\u7a0b\u3067\u3059\u3002
\u2462\u5375\u80de\u306e\u5927\u304d\u3055\u3092\u89b3\u5bdf\u3057\u3001\u5341\u5206\u306a\u5927\u304d\u3055\u306b\u80b2\u3063\u3066\u3044\u308b\u3088\u3046\u3067\u3042\u308c\u3070\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066hCG\u6ce8\u5c04\u3092\u884c\u3044\u30012\u65e5\u5f8c\u306b\u63a1\u5375\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u30b7\u30e7\u30fc\u30c8\u6cd5\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u4f8b<\/strong><\/h3>\n\n\n\n

\u2460 \u6708\u7d4c\u304c\u59cb\u307e\u3063\u305f\u65e5\u304b\u3089\u3001\u30db\u30eb\u30e2\u30f3\u5206\u6ccc\u3092\u6291\u5236\u3059\u308b\u305f\u3081\u306eGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u70b9\u9f3b\u85ac\u306e\u4f7f\u7528\u3092\u958b\u59cb\u3057\u307e\u3059\u3002\u6295\u4e0e\u306f\u63a1\u5375\u65e5\u5f53\u65e5\u307e\u3067\u7d9a\u3051\u307e\u3059\u3002
\u2461 \u6708\u7d4c3\u65e5\u76ee\u304b\u3089\u6392\u5375\u8a98\u767a\u5264\u306eFSH\/hMG\u6ce8\u5c04\u3092\u6295\u4e0e\u3057\u307e\u3059\u3002\u6295\u4e0e\u306f7\uff5e10\u65e5\u9593\u7a0b\u6bce\u65e5\u7d9a\u3051\u307e\u3059\u3002
\u2462\u5375\u80de\u306e\u5927\u304d\u3055\u3092\u89b3\u5bdf\u3057\u3001\u5341\u5206\u306a\u5927\u304d\u3055\u306b\u80b2\u3063\u305f\u3089\u3001\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066hCG\u6ce8\u5c04\u3092\u6295\u4e0e\u3057\u3066\u7fcc\u3005\u65e5\u306b\u63a1\u5375\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u6cd5\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u4f8b<\/strong><\/h3>\n\n\n\n

\u2460\u6708\u7d4c\u304c\u59cb\u307e\u3063\u305f\u30893\u65e5\u76ee\u307e\u3067\u306b\u53d7\u8a3a\u3057\u3001\u63a1\u8840\u3092\u3057\u3066\u30db\u30eb\u30e2\u30f3\u5024\u306e\u691c\u67fb\u3092\u3057\u3001\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u80de\u72b6\u5375\u80de\u6570\u3084\u524d\u5468\u671f\u306e\u6b8b\u308a\u306e\u5375\u80de\u306e\u6709\u7121\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002
\u2461\u53d7\u8a3a\u65e5\u304b\u3089\u6392\u5375\u3092\u8a98\u767a\u3059\u308b\u305f\u3081\u306eFSH\/hMG\u6ce8\u5c04\u3092\u30019\uff5e14\u65e5\u9593\u9023\u7d9a\u3067\u884c\u3044\u307e\u3059\u3002\u6bce\u65e5\u6c7a\u3081\u3089\u308c\u305f\u6642\u9593\u306b\u81ea\u5df1\u6ce8\u5c04\u3092\u884c\u3044\u307e\u3059\u3002
\u2462\u6708\u7d4c8\u65e5\u76ee\u306b\u8d85\u97f3\u6ce2\u691c\u67fb\u3092\u884c\u3044\u3001\u4e00\u756a\u5927\u304d\u306a\u5375\u80de\u304c14\uff5e16mm\u4ee5\u4e0a\u306e\u5927\u304d\u3055\u306b\u306a\u3063\u3066\u3044\u308c\u3070\u3001FSH\/hMG\u6ce8\u5c04\u3068\u3068\u3082\u306b\u6392\u5375\u3092\u6291\u5236\u3059\u308b\u305f\u3081\u306e\u30a2\u30f3\u30bf\u30b4\u30cb\u30b9\u30c8\u6ce8\u5c04\u3092\u4f75\u7528\u3057\u307e\u3059\u3002
\u2463\u6708\u7d4c11\uff5e12\u65e5\u76ee\u306b\u8d85\u97f3\u6ce2\u691c\u67fb\u3092\u884c\u3063\u3066\u5375\u80de\u306e\u767a\u80b2\u72b6\u6cc1\u3092\u89b3\u5bdf\u3057\u3001\u5375\u80de\u306e\u5927\u304d\u3055\u304c16\uff5e18mm\u4ee5\u4e0a\u306b\u306a\u3063\u3066\u3044\u308c\u3070\u3001\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066hCG\u6ce8\u5c04\u307e\u305f\u306fGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u70b9\u9f3b\u85ac\u3092\u6295\u4e0e\u3057\u3001\u63a1\u5375\u306b\u5411\u3051\u3066\u5375\u80de\u3092\u6700\u7d42\u6210\u719f\u3055\u305b\u307e\u3059\u3002\u305d\u306e2\u65e5\u5f8c\u306b\u63a1\u5375\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

PPOS\u6cd5\u306e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u4f8b<\/strong><\/h3>\n\n\n\n

\u2460\u6708\u7d4c3\u65e5\u76ee\u304b\u3089\u6392\u5375\u8a98\u767a\u5264\u3067\u3042\u308bFSH\/hMG\u306e\u6ce8\u5c04\u3092\u958b\u59cb\u3059\u308b\u3068\u540c\u6642\u306b\u3001\u6392\u5375\u3092\u6291\u5236\u3059\u308b\u305f\u3081\u306e\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\u88fd\u5264\u3092\u5185\u670d\u3057\u307e\u3059\u3002
\u2461\u8d85\u97f3\u6ce2\u691c\u67fb\u3067\u5375\u80de\u306e\u767a\u80b2\u72b6\u614b\u3092\u898b\u306a\u304c\u3089\u63a1\u5375\u65e5\u3092\u691c\u8a0e\u3057\u3001\u3042\u308b\u7a0b\u5ea6\u5927\u304d\u304f\u306a\u3063\u305f\u3089hCG\u6ce8\u5c04\u3092\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066\u6700\u7d42\u6210\u719f\u3092\u3057\u30662\u65e5\u5f8c\u306b\u63a1\u5375\u3057\u307e\u3059\u3002
\u2462PPOS\u6cd5\u3067\u306f\u4f4e\u6e29\u671f\u304b\u3089\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\u88fd\u5264\u3092\u98f2\u307f\u7d9a\u3051\u308b\u3053\u3068\u3067\u3001\u5b50\u5bae\u5185\u819c\u304c\u7740\u5e8a\u306b\u9069\u3055\u306a\u3044\u72b6\u614b\u3068\u306a\u308b\u305f\u3081\u3001\u63a1\u5375\u76f4\u5f8c\u306e\u65b0\u9bae\u80da\u79fb\u690d\u306f\u3067\u304d\u305a\u3001\u5168\u90e8\u306e\u80da\u3092\u51cd\u7d50\u4fdd\u5b58\u3059\u308b\u3053\u3068\u3068\u306a\u308a\u307e\u3059\u3002\u6b21\u56de\u306e\u6708\u7d4c\u5468\u671f\u4ee5\u964d\u306b\u51cd\u7d50\u80da\u79fb\u690d\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

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