Self-identification of the clinical fertile window and the ovulation period
Self-identification of the clinical fertile window and the ovulation period
复制标题
DOI：
10.1016/j.fertnstert.2015.01.031
复制
发表时间：
2015-05-01
影响因子：
6.7
通讯作者：
Vigil, Pilar
中科院分区：
文献类型：
--
作者：
Ecochard, Rene;Duterque, Olivia;Vigil, Pilar
目的：评估自我确定的生育窗口的敏感性和特异性。设计：观察性研究。设置：不适用。患者：共107名妇女。干预：妇女在接受每日卵巢超声检查时，每日记录宫颈粘液观察结果和基础体温。主要结果测量：生物生育窗口，定义为排卵日之前的6天（包括排卵日）;结果：通过观察任何类型的宫颈粘液自我鉴定生物学生育窗的敏感性为100%，但特异性较差，临床生育窗为11天。然而，通过峰值粘液（定义为与雌激素相关的透明、光滑或有弹性的粘液）鉴定生物学可育窗口产生了96%的灵敏度和提高的特异性。在不到10%的周期中，高峰粘液的出现先于生物可育窗口。同样，这种类型的粘液确定排卵窗口与88%sensitivity.Conclusions（S）：这些结果表明，当感知准确，更准确的临床自我检测的可育窗口，可以通过识别峰值粘液。这可能会改善对有生育问题的夫妇在生育期进行性交的努力。(C)2015年，美国生殖医学会（American Society for Reproductive Medicine）
Objective: To assess the sensitivity and specificity of the self-identified fertile window.Design: Observational study.Setting: Not applicable.Patient(s): A total of 107 women.Intervention(s): Women recorded cervical mucus observation and basal body temperature daily while undergoing daily ovarian ultrasound.Main Outcome Measure(s): The biological fertile window, defined as the 6 days up to and including the day of ovulation; and the 2-day ovulation window, defined as the day before and the day of ovulation.Result(s): The self-identification of the biological fertile window by the observation of any type of cervical mucus provides 100% sensitivity but poor specificity, yielding a clinical fertile window of 11 days. However, the identification of the biological fertile window by peak mucus (defined as clear, slippery, or stretchy mucus related to estrogen) yielded 96% sensitivity and improved specificity. The appearance of the peak mucus preceded the biological fertile window in less than 10% of the cycles. Likewise, this type of mucus identified the ovulation window with 88% sensitivity.Conclusion(s): These results suggest that, when perceived accurately, more accurate clinical self-detection of the fertile window can be obtained by identification of peak mucus. This may improve efforts to focus intercourse in the fertile phase for couples with fertility concerns. (C) 2015 by American Society for Reproductive Medicine.