臨床婦人科産科71巻9号

2017年09月発行

今月の臨床 着床不全・流産をいかに防ぐか─PGS時代の不妊・不育症診療ストラテジー 母体・子宮側因子による流産・不育症

子宮内膜異常と黄体機能不全症

著者： 丸山哲夫¹

所属機関： ¹慶應義塾大学医学部産婦人科学教室

ページ範囲：P.853 - P.858

●不育症における子宮内膜異常の病的意義や治療意義については，限られた疾患以外は不明な点が多く，いまだ研究途上の分野である．

●不育症における黄体機能不全の病的意義や（特に原因不明不育症に対する）黄体補充療法の有効性を支持する報告もあるが，推奨レベルでのエビデンスはない．

●総合的・系統的な不育症の原因検索を行ったうえで，子宮内膜異常や黄体機能不全の原因としての重み付けを行い，それに基づいた個別的な対応が求められる．

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