BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 年龄 < 40 岁
  • 原发性卵巢衰竭家族史
  • 暴露于有毒物品
  • 月经不调

其他诊断因素

  • 热潮红
  • 睡眠障碍
  • 易激惹
  • 阴道干涩

危险因素

  • 卵巢早衰 (POF) 家族史
  • 暴露于化疗或辐射
  • 自身免疫性疾病
  • 脆性 X 染色体综合征家族史

诊断性检查

首要检查

  • 妊娠试验
  • 血清 FSH 水平
  • 血清 LH 水平
  • 血清雌二醇水平
全部具体信息

需要考虑的检查

  • 甲状腺过氧化物酶抗体
  • 空腹血清葡萄糖水平
  • 电解质、尿素、肌酐
  • 核型
全部具体信息

治疗流程

急性

贡献者

Professor of Obstetrics and Gynaecology

Academic Unit of Reproductive & Developmental Medicine

The University of New South Wales

Sydney

Australia

利益冲突披露
WL declares that he has no competing interests.

Fellow in Reproductive Endocrinology

Reproductive Medicine

Royal Hospital for Women

Sydney

Australia

利益冲突披露
RR declares that she has no competing interests.

Dr William Ledger would like to gratefully acknowledge Dr William Hurd, Dr Rebecca Flyckt, and Dr Nichole Giannios, the previous contributors to this monograph. WH, RF, and NG declare that they have no competing interests.

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Professor and Director

Division of Reproductive Endocrinology and Infertility

Department of Obstetrics and Gynecology

University of Michigan Health System

Ann Arbor

MI

利益冲突披露
JFR declares that he has no competing interests.

Consultant

Honorary Senior Lecturer and Clinical Director

Department of Obstetrics and Gynaecology

Norfolk and Norwich University Hospital

Norwich

UK

利益冲突披露
EM declares that he has no competing interests.

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