Fertility and contraceptive issues after kidney transplantation in women
Fertility and contraceptive issues after kidney transplantation in women
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DOI：
10.1016/j.transproceed.2004.04.090
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发表时间：
2004-06-01
影响因子：
0.9
通讯作者：
Maziar, S
中科院分区：
文献类型：
--
作者：
Lessan-Pezeshki, M;Ghazizadeh, S;Maziar, S
目的：我们的目的是调查肾移植受者的生殖能力。我们研究了126名15 - 68岁的肾移植妇女，其中33名单身，93名已婚。不孕症发生率为10.4%，与一般人群相似。最常见的避孕方法是中断性交（56%），22%的患者进行了输卵管结扎术，6%的患者的丈夫进行了输精管切除术，14%的患者使用避孕套，只有2%的患者使用口服避孕药。在33例妊娠中，16例为意外妊娠（48.5%）。非意愿妊娠患者多采用中断性交方式（93.7%）。意外妊娠组中人工流产3例，自然流产或胎死宫内6例，活产7例（43.7%）。肾移植可以大大提高生育能力，因此那些不想怀孕的人应该采取有效的避孕措施。
Purpose: Our purpose was to investigate reproductive performance among kidney transplant recipients.Materials and Methods. We studied 126 kidney transplanted women 15 to 68 years of age including 33 who were single and 93 who were married.Results. Infertility was seen in 10.4% of those who desired pregnancy, a rate similar to the general population. The most common method of contraception was coitus interruptus (56%), 22% of patients had tubal ligation, 6% had husbands who had vasectomies, 14% were using condoms, and only 2% used oral contraceptives. Among 33 pregnancies, 16 were unintended (48.5%). Most of the patients with unwanted pregnancy were using coitus interruptus (93.7%). In the group with unintended pregnancy, abortion was induced in three, spontaneous abortion or intrauterine fetal death occurred in six, and only seven pregnancies resulted in a live birth (43.7%).Conclusion. Kidney transplantation greatly improves fertility, so those who do not desire pregnancy should be protected by an effective method of contraception.