关键词: PCOS anovulation hypothalamic disorders ovulatory disorders ovulatory disorders classification ovulatory dysfunction pituitary disorders polycystic ovary syndrome premature ovarian insufficiency

Mesh : Humans Female Ovulation Polycystic Ovary Syndrome / classification diagnosis physiopathology Infertility, Female / classification diagnosis Anovulation / classification diagnosis Ovarian Diseases / classification diagnosis pathology

来  源:   DOI:10.1093/humupd/dmae003

Abstract:
BACKGROUND: The World Health Organization (WHO) system for the classification of disorders of ovulation was produced 50 years ago and, by international consensus, has been updated by the International Federation of Gynecology and Obstetrics (FIGO).
OBJECTIVE: This review outlines in detail each component of the FIGO HyPO-P (hypothalamic, pituitary, ovarian, PCOS) classification with a concise description of each cause, and thereby provides a systematic method for diagnosis and management.
METHODS: We searched the published articles in the PubMed database in the English-language literature until October 2022, containing the keywords ovulatory disorders; ovulatory dysfunction; anovulation, and each subheading in the FIGO HyPO-P classification. We did not include abstracts or conference proceedings because the data are usually difficult to assess.
RESULTS: We present the most comprehensive review of all disorders of ovulation, published systematically according to the logical FIGO classification.
CONCLUSIONS: Improving the diagnosis of an individual\'s ovulatory dysfunction will significantly impact clinical practice by enabling healthcare practitioners to make a precise diagnosis and plan appropriate management.
摘要:
背景:世界卫生组织(WHO)排卵障碍分类系统是在50年前产生的,根据国际共识,已由国际妇产科联合会(FIGO)更新。
目的:这篇综述详细概述了FIGOHyPO-P(下丘脑,垂体,卵巢,PCOS)分类,对每个原因进行简明描述,从而为诊断和管理提供了系统的方法。
方法:我们在英语文献中搜索了PubMed数据库中已发表的文章,直到2022年10月,其中包含关键词排卵障碍;排卵功能障碍;无排卵,以及FIGOHyPO-P分类中的每个子标题。我们没有包括摘要或会议记录,因为数据通常很难评估。
结果:我们对所有排卵障碍进行了最全面的综述,根据逻辑FIGO分类系统地出版。
结论:提高对个体排卵功能障碍的诊断将显著影响临床实践,使医疗保健从业人员能够做出精确的诊断并计划适当的管理。
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