打完达菲林降调针3小时后有褐色分泌物能促排吗?
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打完降调后有褐色分泌物可以正常促排,降调后阴道出现少量褐色分泌物或者月龄淋漓不尽属于正常现象,通常使用达菲林、达必佳、亮丙瑞林等药物降调的患者体内性激素会有一个明显的波动过程,在此期间一些患者就会出现阴道出血的情况,只要持续时间和出血量不超过正常月经均属于正常现象,无需过于惊慌,按照医嘱复诊即可。
打完降调后有褐色分泌物是否正常
降调在医学中的标准用语为“垂体降调节”,是试管婴儿促排卵前非常重要的一步,主要目的是通过药物抑制垂体的激素分泌,从而控制卵泡发育,使更多卵泡处于同一发育起跑线,最后可获得更多的成熟卵子。临床中常用的降调药物是醋酸曲普瑞林注射液和注射用醋酸曲普瑞林,一些患者在降调后会有褐色分泌物流出的情况,这种情况是否正常,又能否促排呢?具体解析如下:
打完降调针后阴道有褐色分泌物属于正常情况,只要血量不大且持续时间不超过正常月经周期就不会影响到接下来的促排卵,只需要按照医嘱复诊即可;
使用达菲林、达必佳、亮丙瑞林等药物降调时,会抑制垂体促性腺激素的分泌,如此明显的激素水平波动就会导致部分患者出现出血的情况,如果出血量超过正常月经血量则需要复诊处理;
降调一般需要持续30天左右,由于个体化对于药物反应的差异,部分患者会出现虚汗、骨盆痛、腹痛、阴道干燥等症状,这些症状都是正常现象,无需过于担心,如有明显不适则可前往医院检查。
根据降调时间不同分为黄体期、卵泡期降调,黄体期一般在14天左右达到降调标准,而卵泡期在28天左右达到,由于持续周期较长,在此期间无论月经是否来潮都是正常现象,部分患者也会出现阴道有少量褐色分泌物的情况。需要注意合理安排饮食,避免食用桂圆、红枣等活血类食物,以免加重出血症状。
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