Определение дефицита андрогенов при бесплодии и сниженном овариальном резерве по данным ВЭЖХ-МС/МС и ИХЛА
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Аннотация
Дефицит андрогенов и ассоциированные состояния являются важной проблемой, влияющей на качество жизни женщин. Наиболее широко влияние андрогенов исследовано в репродуктивном периоде применительно к синдрому поликистоза яичников, но в случае сниженного овариального резерва у молодых женщин с бесплодием остается открытой дискуссия о лабораторных методах определения влияния дефицита андрогенов и его клинической манифестации. В настоящее время в клинической медицине нет однозначного мнения по поводу перечня маркеров данного состояния и нижних референсных значений. В данной работе показана перспективность использования панели стероидных гормонов для оценки уровня андрогенов у женщин репродуктивного возраста, а также проведено сравнение точности постановки диагноза на основе результатов измерений концентрации гормонов методом высокоэффективной жидкостной хроматографии в сочетании с тандемной масс-спектрометрией и иммунохимическим методом.
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