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Ovarian function, in addition to the maintenance of female reproductive endocrine system of coordination, in the birth, the ovaries have two main functions: First, ovulation, and second, the formation of corpus luteum in early pregnancy, in order to maintain the stability of the embryo. The causes of female infertility, "ovarian dysfunction" accounted for about 30% -40%, non-ovulation can not be pregnant. In addition, because the process of early pregnancy must rely on the maintenance of progesterone, while the main source of progesterone is the ovarian corpus luteum, so if the first 7-9 weeks of pregnancy does not have enough progesterone, very easily lead to early embryo abortion. How to assess ovarian functionMedical examination by a number to get the general assessment. For example: Measurement of menstrual blood on day 3 follicle stimulating hormone (FSH) concentration, can be used to predict fertilization ability. If the FSH than 15mIU/mL, on behalf of the poor reproductive capacity, if higher than 40mIU/mL, representing clinical ovarian failure, we must add the hormone. In general, ovarian ovulation can be observed physical condition or do the appropriate checks to an initial understanding. For example: the rules female menstrual cycle, menstrual period accompanied with a little breast swelling, abdominal pain and other menstrual symptoms, which usually have normal ovulatory menstrual cycles. What factors affect the ovarian functionGynecological factors Polycystic ovary syndrome: clinical evidence of abnormal menstruation, infertility, hirsutism, obesity and other symptoms, diagnosis should be integrated with clinical manifestations, such as long periods of ovulation, male hormones are too high, the level of diagnosis to do hormone (follicle stimulating hormone, luteinizing EPO) examination and ultrasound examination, and the exclusion of other diseases. Endometriosis: The patient usually dysmenorrhea, dyspareunia, chronic lower abdominal pain, easily lead to long-term non-ovulatory luteal phase defect, infertility or early miscarriage to occur. Pelvic inflammatory disease: there will be abnormal vaginal discharge and lower abdominal pain, there will be severe tubal ovarian abscess and pelvic adhesions. In addition, some tumors may secrete the male hormone, the body's endocrine balance undermine women. Non-gynecological factors Age: women over the age of 35 years. Disease: pituitary and hypothalamus, such as cancer, obesity, adrenal dysfunction, thyroid disease, excessive exercise, life stress, diabetes. Prevention and treatment The gynecological diseases, polycystic ovary syndrome, the doctor's advice was mainly oral contraceptives, progesterone, etc. Without effective treatment, the patient may be secondary to heart disease, hypertension, diabetes, etc.; of patients with endometriosis, if to infertility as a major problem, conservative laparoscopic surgery is preferred; pelvic inflammatory disease is due largely to Neisseria gonorrhoeae, Chlamydia and other infections, sexually transmitted is the primary channel, so having a healthy sexual behavior, treatment with antibiotics mainly to be a serious surgical drainage, or even removal of uterus and ovaries. In short, in addition to pelvic inflammatory disease can be prevented, the above diseases, there is no effective preventive measures, so a female friend if there is any discomfort, treatment should be as soon as possible. 2010-04-02
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