多囊卵巢综合征 Polycystic Ovary Syndrome , PCOS
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Transcript of 多囊卵巢综合征 Polycystic Ovary Syndrome , PCOS
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Polycystic Ovary SyndromePCOS
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PCOS Polycystic Ovary SyndromePCOD Polycystic Ovarian Disease Polycystic Ovarian Disorder1845Chereau 1904Frindley 1935Stein-Leventhal
SL
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--LHFSH E1>E2
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25%50%90%100%T4A DHADHAS25%50%50% 1
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2 E1 95 E1 < E2 E2 E1 E1 > E2
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FSH, LHLH/FSH > 2.5
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--SHBG
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P45017
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PCOS
GoldzieherBalenGarmina107917412401925119.21612.3-476480.89-2.742.61229.7154.36966.27037.0-34.711.247.94138.443.736.46-2.52.117.18
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Ferriman Gallway
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( )(kg)(cm)-100(kg)= (cm)-105
- Body Mass Index
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Waist hip ratio (WHR)
> 0.85
0.75
WHR0.75E1>0.85T
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20 >20 20
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,
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PCOS TDHEAS SHBG E2/E12.5-3 PRL IAUC
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BBT
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()
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2003 / 29mm1210mm 32 PCOS
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1
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21171717 ACTH 11 CAH
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DHEA2mg qid2
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2 LH
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3 PRL DHEA 5aE DHEA
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PCOS
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900~1200kcal C50%P20%F30% 960kcal/h 750kcal/h 360kcal/h 300kcal/h 90kcal/h 5-10%,40-55%
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10mg qd10d
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1 0.5mg /qd 5mg/d23
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-35 LH T DHEA-S T +SHBG 5-
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:5001500mg /d
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300mg qd
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HMG CC HCGLHCC
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FSH
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12.3/ 77.5% 61.2% 51.2% 25.0% 9.4%IVF-ET
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PCOS
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THANK [email protected]
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