2013 NICE 156 临床指南:生育管理指南(评估治疗生育障碍)
Fertility :Assessment and treatment for people with fertility problems (NICE clinical guideline 156)
2013-02-20
This guideline offers best practice advice on assisting people of reproductive age who haveproblems conceiving.It is estimated that infertility affects 1 in 7 heterosexual couples in the UK. Since the originalNICE guideline on fertility published in 2004 there has been a small increase in the prevalence offertility problems, and a greater proportion of people now seeking help for such problems.The main causes of infertility in the UK are (percent figures indicate approximate prevalence):unexplained infertility (no identified male or female cause) (25%)ovulatory disorders (25%)tubal damage (20%)factors in the male causing infertility (30%)uterine or peritoneal disorders (10%).In about 40% of cases disorders are found in both the man and the woman. Uterine orendometrial factors, gamete or embryo defects, and pelvic conditions such as endometriosis mayalso play a role.