{"id":1579,"date":"2022-02-13T14:51:08","date_gmt":"2022-02-13T05:51:08","guid":{"rendered":"https:\/\/okawa-obgyn.com\/takasago\/?page_id=1579"},"modified":"2024-06-15T21:06:50","modified_gmt":"2024-06-15T12:06:50","slug":"%e5%8d%b5%e5%ad%90%e3%81%ae%e7%94%9f%e6%b6%af%e7%99%ba%e8%82%b2%e3%81%a8fsh-amh-afc-%e3%81%ae%e5%bd%b9%e5%89%b2","status":"publish","type":"page","link":"https:\/\/okawa-obgyn.com\/takasago\/%e4%b8%8d%e5%a6%8a%e7%97%87%e3%81%ae%e6%a4%9c%e6%9f%bb\/%e5%8d%b5%e5%ad%90%e3%81%ae%e7%94%9f%e6%b6%af%e7%99%ba%e8%82%b2%e3%81%a8fsh-amh-afc-%e3%81%ae%e5%bd%b9%e5%89%b2\/","title":{"rendered":"\u5375\u5b50\u306e\u751f\u6daf\u767a\u80b2\u3068FSH, AMH, AFC \u306e\u5f79\u5272"},"content":{"rendered":"\n<p style=\"text-align: right;\"><br><a href=\"https:\/\/okawa-obgyn.com\/takasago\/beginner\/%e5%a5%b3%e6%80%a7%e5%b9%b4%e9%bd%a2%e3%81%a8%e5%8d%b5%e5%b7%a3%e4%ba%88%e5%82%99%e8%83%bd\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u2460\u5973\u6027\u5e74\u9f62\u306b\u3088\u308b\u598a\u5b55\u529b\u306e\u5909\u5316\u3000\uff08\u5375\u5de3\u4e88\u5099\u80fd\u2460\uff09<\/a><br><a href=\"https:\/\/okawa-obgyn.com\/takasago\/%e4%b8%8d%e5%a6%8a%e7%97%87%e3%81%ae%e5%8e%9f%e5%9b%a0%e6%a4%9c%e6%9f%bb%e3%81%a8%e6%b2%bb%e7%99%82__trashed\/%e4%b8%8d%e5%a6%8a%e7%97%87%e3%81%ae%e6%a4%9c%e6%9f%bb\/%e5%8d%b5%e5%ad%90%e3%81%ae%e7%94%9f%e6%b6%af%e7%99%ba%e8%82%b2%e3%81%a8fsh-amh-afc-%e3%81%ae%e5%bd%b9%e5%89%b2\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u2461\u5375\u5b50\u306e\u751f\u6daf\u767a\u80b2\u3068FSH, AMH, AFC \u306e\u5f79\u5272\uff08\u5375\u5de3\u4e88\u5099\u80fd\u2461\uff09<\/a><br><a href=\"https:\/\/okawa-obgyn.com\/takasago\/beginner\/%e4%bd%93%e5%a4%96%e5%8f%97%e7%b2%be-ivf%e3%83%bb%e9%a1%95%e5%be%ae%e6%8e%88%e7%b2%be-icsi\/%e8%83%9a%ef%bc%88%e5%8f%97%e7%b2%be%e5%8d%b5%ef%bc%89%e3%81%ae%e9%81%b8%e5%88%a5%e3%81%a8%e4%bd%93%e5%a4%96%e5%8f%97%e7%b2%be%e3%81%ae%e5%8b%95%e5%90%91\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u2462\u4f53\u5916\u53d7\u7cbe\u306e\u52d5\u5411\uff5e\u80da\u306e\u9078\u5225\u3068\u79fb\u690d\u306e\u598a\u5a20\u7387\uff08\u5927\u5dddART\u306e\u598a\u5a20\u7387\uff09<\/a><br><span style=\"font-size: 12pt;\"><strong><span style=\"color: #666699;\">\u5927\u5ddd\u7523\u5a66\u4eba\u79d1\u30fb\u9ad9\u7802\uff08\u5927\u5dddART)\u539f\u8457&nbsp; \u3000\u3000\u3000<\/span><\/strong><\/span><span style=\"font-size: 12pt;\"><strong><span style=\"color: #666699;\"><span style=\"color: #008000;\"><a style=\"color: #008000;\" href=\"https:\/\/okawa-obgyn.com\/hosp\/about\/message\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u6587\u8cac \u540d\u8a89\u9662\u9577 \u5927\u5ddd\u6b23\u6804<\/a><\/span><\/span><\/strong><\/span><\/p>\n\n\n\n<p>\u30a2\u30eb\u30e1\u30a4\u30c0\u533b\u5831VOL. 44&nbsp; NO. 1&nbsp; \u539f\u8457<br><strong>Key Word\uff1a<\/strong>\u598a\u5b55\u6027\uff0c\u4e0d\u598a\u75c7\uff0c\u5375\u5b50\uff0c\u5375\u5de3\u4e88\u5099\u80fd\u691c\u67fb\uff08ORT, Ovarian Reserve Test\uff09\uff0cFSH\uff08Follicular Stimulation Hormone\uff0c\u5375\u80de\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\uff09\uff0cAMH\uff08Anti-Mullerian Hormone\uff0c\u6297\u30df\u30e5\u30e9\u30fc\u7ba1\u30db\u30eb\u30e2\u30f3\uff09\uff0cAFC\uff08Antral Follicle Count\uff0c\u80de\u72b6\u5375\u80de\u6570\uff09\uff0cART\uff08Assisted Reproductive Technology\uff0c\u751f\u6b96\u88dc\u52a9\u533b\u7642\uff1a\u4f53\u5916\u53d7\u7cbe\uff0c\u63a1\u5375\uff0c\u80da\u79fb\u690d\uff09<\/p>\n<div id=\"toc_container\" class=\"no_bullets\"><ul class=\"toc_list\"><li><a href=\"#i\"><span class=\"toc_number toc_depth_1\">1<\/span> \u3014\u8981\u65e8\u3015\u8d64\u3061\u3083\u3093\u304c\u6b32\u3057\u3044\u672c\u80fd\u3068\u7406\u6027<\/a><\/li><li><a href=\"#i-2\"><span class=\"toc_number toc_depth_1\">2<\/span> \u5375\u5b50\u306e\u751f\u6daf\u767a\u80b2\u904e\u7a0b<\/a><\/li><li><a href=\"#i-3\"><span class=\"toc_number toc_depth_1\">3<\/span> \u5375\u5b50\u306e\u8001\u5316<\/a><\/li><li><a href=\"#FSH_AMH_AFC\"><span class=\"toc_number toc_depth_1\">4<\/span> \u5375\u80de\u306e\u6210\u9577\u904e\u7a0b\u306b\u304a\u3051\u308bFSH, AMH, AFC \u306e\u4f4d\u7f6e\u4ed8\u3051\uff08\u56f3\uff13\uff09<\/a><\/li><li><a href=\"#_FSH_AMH_AFC\"><span class=\"toc_number toc_depth_1\">5<\/span> \u5375\u5de3\u4e88\u5099\u80fd\u691c\u67fb FSH, AMH, AFC \u306e\u7279\u9577\u3068\u9650\u754c<\/a><ul><li><a href=\"#FSH\"><span class=\"toc_number toc_depth_2\">5.1<\/span> FSH<\/a><\/li><li><a href=\"#AMH\"><span class=\"toc_number toc_depth_2\">5.2<\/span> AMH<\/a><\/li><li><a href=\"#AFC\"><span class=\"toc_number toc_depth_2\">5.3<\/span> AFC<\/a><\/li><\/ul><\/li><li><a href=\"#i-4\"><span class=\"toc_number toc_depth_1\">6<\/span> \u7d50\u8a9e<\/a><\/li><li><a href=\"#i-5\"><span class=\"toc_number toc_depth_1\">7<\/span> \u53c2\u8003\u6587\u732e<\/a><\/li><\/ul><\/div>\n<h2><span id=\"i\">\u3014\u8981\u65e8\u3015\u8d64\u3061\u3083\u3093\u304c\u6b32\u3057\u3044\u672c\u80fd\u3068\u7406\u6027<\/span><\/h2>\n\n\n\n<p>\u672a\u5a5a\u8005\u3088\u308a\u65e2\u5a5a\u8005\u306e\u65b9\u304c\u5e73\u5747\u4f59\u547d\u304c\u9577\u3044\u50be\u5411\u306b\u3042\u308b\u3053\u3068\u306f\u4ee5\u524d\u304b\u3089\u77e5\u3089\u308c\u3066\u3044\u308b\u304c1)\u3001\u6700\u8fd1\u306e\u7814\u7a76\u3067\u306f\u5b50\u3069\u3082\u306e\u6709\u7121\u3067\u3082\u5bff\u547d\u306b\u5dee\u306f\u3067\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u305f2\uff09\u30022017\u5e74\u306e\u7814\u7a76\u306f\u8a08140\u4e07\u4eba\u4ee5\u4e0a\u30b9\u30a6\u30a7\u30fc\u30c7\u30f3\u7537\u5973\u306b\u8ffd\u8de1\u8abf\u67fb\u3092\u5b9f\u65bd\u3057\u305f\u3082\u306e\u3067\u3001\u5b50\u3069\u3082\u304c\u4e00\u4eba\u4ee5\u4e0a\u3044\u308b\u4eba\u304c60\u6b73\u306b\u306a\u3063\u305f\u6642\u70b9\u3067\u306e\u5e73\u5747\u4f59\u547d\u306f\u3001\u7537\u6027\u306718.4\u5e74\u3001\u5973\u6027\u306723.1\u5e74\u3067\u3042\u3063\u305f\u3002\u305d\u3057\u3066\u3001\u5b50\u3069\u3082\u304c\u3044\u306a\u3044\u4eba\u3068\u6bd4\u3079\u3066\u3001\u7537\u6027\u30672\u5e74\u3001\u5973\u6027\u30671.5\u5e74\u307b\u3069\u9577\u751f\u304d\u3059\u308b\u30c7\u30fc\u30bf\u304c\u793a\u3055\u308c\u305f\u3002\u5b50\u4f9b\u304c\u3044\u308b\u89aa\u306b\u304a\u3044\u3066\u3001\u5b50\u4f9b\u306e\u6027\u5dee\u3001\u7537\u306e\u5b50\u3042\u308b\u3044\u306f\u5973\u306e\u5b50\u304b\u306f\u3001\u5e73\u5747\u4f59\u547d\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3055\u306a\u304b\u3063\u305f\u3002\u3057\u304b\u3057\u3001\u5b50\u4f9b\u304c\u3044\u308b\u89aa\u3067\u3082\u3001\u5b50\u4f9b\u306e\u5c45\u4f4f\u5730\u304c\u89aa\u304b\u308950km\u4ee5\u4e0a\u96e2\u308c\u308b\u3068\u3001\u5e73\u5747\u4f59\u547d\u304c\u77ed\u7e2e\u3059\u308b\u3053\u3068\u3082\u5224\u660e\u3057\u305f\u3002\u5b50\u3069\u3082\u306e\u5b58\u5728\u304c\u8001\u5f8c\u306e\u751f\u6d3b\u306b\u3068\u3063\u3066\u52a9\u3051\u3068\u306a\u308b\u53ef\u80fd\u6027\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3082\u306e\u3068\u8003\u3048\u3089\u308c\u308b\u3002\uff08\u56f3\uff11\uff09<strong>\u3000<\/strong><\/p>\n<p><strong><span style=\"color: #ff6600;\">\u53ef\u611b\u3044\u6211\u304c\u5b50\u3092\u62b1\u304d\u3057\u3081\u305f\u3044\u3068\u3044\u3046\u672c\u80fd\u3068\u5c06\u6765\u306e\u751f\u6d3b\u3092\u8003\u3048\u5b50\u4f9b\u3092\u80b2\u3066\u305f\u3044\u3068\u3044\u3046\u7406\u6027\u306f\u4eba\u9593\u306b\u672c\u6765\u5099\u308f\u3063\u3066\u3044\u308b\u306e\u3067\u3042\u308d\u3046\u304c\u3001\u6b8b\u5ff5\u306a\u304c\u3089\u6669\u5a5a\u6669\u7523\u5c11\u5b50\u5316\u3068\u3044\u3046\u73fe\u4ee3\u793e\u4f1a\u306e\u5909\u5316\u306b\u3088\u308a\u3001\u5b50\u4f9b\u306b\u6075\u307e\u308c\u306a\u3044\u30ab\u30c3\u30d7\u30eb\u304c\u5897\u52a0\u3057\u3001\u4e0d\u598a\u6cbb\u7642\u306e\u30cb\u30fc\u30ba\u3082\u5897\u3048\u7d9a\u3051\u3066\u3044\u308b\u3002\u8ca0\u62c5\u306e\u304b\u304b\u308b\u4e0d\u598a\u6cbb\u7642\u3092\u958b\u59cb\u3059\u308b\u306b\u3042\u305f\u308a\u3001\u5973\u6027\u306f\u81ea\u5206\u306e\u5375\u5de3\u5e74\u9f62\u3001\u5375\u5de3\u4e88\u5099\u80fd\u3092\u6b63\u78ba\u306b\u628a\u63e1\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3042\u308b\u3002\u305d\u3053\u3067\u3001\u6b63\u78ba\u3067\u5ba2\u89b3\u7684\u306a\u5375\u5de3\u4e88\u5099\u80fd\u306e\u691c\u67fb\u306b\u3088\u308a\u8a55\u4fa1\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u3001\u3088\u308a\u9069\u5207\u306a\u6392\u5375\u8a98\u767a\u3001\u4eba\u5de5\u6388\u7cbe\u3001\u4f53\u5916\u53d7\u7cbe\u306a\u3069\u533b\u5b66\u7684\u751f\u6b96\u88dc\u52a9\u6280\u8853\uff08ART\uff09\u306b\u3088\u308b\u6cbb\u7642\u306b\u3064\u306a\u304c\u308b\u3053\u3068\u3068\u306a\u308b\u3002\u3064\u307e\u308a\u3001\u5375\u5de3\u4e88\u5099\u80fd\u691c\u67fb;\uff08FSH, AMH, AFC\u306a\u3069\uff09\u306f\u751f\u6b96\u533b\u5b66\u306e\u81e8\u5e8a\u6cbb\u7642\u306b\u304a\u3044\u3066\u3001\u75c5\u614b\u306e\u8a55\u4fa1\u53ca\u3073\u85ac\u5264\u3092\u542b\u3081\u305f\u6cbb\u7642\u65b9\u6cd5\u306e\u9078\u629e\u306b\u304a\u3044\u3066\u91cd\u8981\u306a\u5f79\u5272\u3092\u62c5\u3063\u3066\u3044\u308b\u3068\u8a00\u3048\u308b\u3002<\/span><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"908\" src=\"\/takasago\/images\/2022\/02\/Estimated-death-risks-for-men-and-women-with-and-without-children\u65e5\u672c\u8a9e-1024x908.jpg\" alt=\"\" class=\"wp-image-1582\" srcset=\"https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Estimated-death-risks-for-men-and-women-with-and-without-children\u65e5\u672c\u8a9e-1024x908.jpg 1024w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Estimated-death-risks-for-men-and-women-with-and-without-children\u65e5\u672c\u8a9e-300x266.jpg 300w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Estimated-death-risks-for-men-and-women-with-and-without-children\u65e5\u672c\u8a9e-768x681.jpg 768w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Estimated-death-risks-for-men-and-women-with-and-without-children\u65e5\u672c\u8a9e.jpg 1392w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption> <br> <strong>\uff08\u56f3\uff11\uff09\u300060\u6b73\u306b\u306a\u3063\u305f\u6642\u70b9\u3067\u3001\u5b50\u3069\u3082\u304c\u4e00\u4eba\u4ee5\u4e0a\u3044\u308b\u3068\u3044\u306a\u3044\u7537\u6027\u3068\u5973\u6027\u306e\u305d\u306e\u5f8c\u306e\u5e73\u5747\u4f59\u547d\u3002<\/strong>K Modig et al. J Epidemiol Community Health 2017;71:424-430<a>\u3000<strong>2\uff09<\/strong><\/a> <\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"i-2\">\u5375\u5b50\u306e\u751f\u6daf\u767a\u80b2\u904e\u7a0b<\/span><\/h2>\n\n\n\n<p>\u5375\u5b50\u306e\u751f\u6daf\u767a\u80b2\u904e\u7a0b<strong>\uff08\u56f3\uff12\uff09<\/strong>\u3000\u5973\u6027\u306e\u80ce\u751f\u671f\uff14\u9031\u304b\u3089\u5375\u7956\u7d30\u80de\uff08\u4e00\u7a2e\u306e\u5e79\u7d30\u80de\u3001\u67d3\u8272\u4f53\u306f\uff12\uff4e\uff09\u306f\u767a\u751f\u3057\u3001\u4f53\u7d30\u80de\u5206\u88c2\u306b\u3088\u308a\u6570\u3092\u5897\u6b96\u3001\u80ce\u751f20\u9031\u306b\u306f\u6700\u5927\u30d4\u30fc\u30af\u3068\u306a\u308b600\uff5e700\u4e07\u306e\u4e00\u6b21\u5375\u6bcd\u7d30\u80de\u3078\u3068\u5206\u5316\u3059\u308b\u3002\u305d\u306e\u5f8c\u3001\u30a2\u30dd\u30c8\u30fc\u30b7\u30b9\u306b\u3088\u308a\u5375\u5b50\u306e\u6570\u3092\u51fa\u751f\u6642\u306e200\u4e07\u3078\u3068\u6e1b\u5c11\u3057\u3001\u540c\u6642\u306b\u4f53\u7d30\u80de\u5206\u88c2\u3092\u505c\u6b62\u3057\u3066\u6838\u304a\u3088\u3073\u7d30\u80de\u8cea\u304c\u5897\u5927\u3059\u308b\u6210\u9577\u671f\u3068\u306a\u308b\u3002\u3053\u306e\u73fe\u8c61\u306f\u601d\u6625\u671f\u306e20\u4e07\u500b\u306e\u539f\u59cb\u5375\u80de\u307e\u3067\u7d99\u7d9a\u3059\u308b\u3002\u305d\u306e\u6bb5\u968e\u306e\u7b2c\u4e00\u6b21\u5375\u6bcd\u7d30\u80de\u306f\u7b2c\u4e00\u6e1b\u6570\uff08\u6210\u719f\uff09\u5206\u88c2\u3092\u958b\u59cb\u3057\u3001\u524d\u671f\u3067\u4e00\u65e6\u4f11\u6b62\u3059\u308b(2n) \u3002<\/p>\n<p>\u3000\u601d\u6625\u671f\u306b\u306a\u308b\u3068\u300120\u4e07\u539f\u59cb\u5375\u80de\u30d7\u30fc\u30eb\u306e\u4e2d\u304b\u3089\u6bce\u67081000\u500b\u306e\u5375\u80de\u304c\u9078\u629e\u3055\u308c\u3001\u521d\u671f\u899a\u9192\u5316\uff08initial recruitment of primordial follicle)\u304c\u59cb\u307e\u308a\uff0c\u4f11\u7720\u72b6\u614b\u304b\u3089\u8131\u3057\u767a\u80b2\u3092\u958b\u59cb\u3059\u308b\u3002\u6392\u5375\u5468\u671f\u306eLH\u30b5\u30fc\u30b8\u306b\u3088\u308a\u7b2c\u4e00\u6e1b\u6570\u5206\u88c2\u524d\u671f\u3067\u505c\u6b62\u3057\u3066\u3044\u305f\u6e1b\u6570\u5206\u88c2\u304c\u518d\u958b\u3057\u3001\u4e8c\u6b21\u5375\u6bcd\u7d30\u80de\u3068\u306a\u3063\u3066\u518d\u3073\u7b2c\u4e8c\u6e1b\u6570\u5206\u88c2\u4e2d\u671f\u3067\u505c\u6b62\u3055\u305b\u3089\u308c\u308b(1n) \u3002<\/p>\n<p>\u3000\u5375\u80de\u5f62\u6210\u306f\u521d\u671f\u899a\u9192\u5316\u304b\u3089\u6392\u5375\u307e\u3067\u306b\u7d04375\u65e5\u304b\u304b\u308b\u3002\u3053\u306e\u9593\u306b13\u56de\u306e\u6708\u7d4c\uff0828\u00d713\uff1d364\u65e5\u7d041\u5e74\u9593\uff09\u304c\u3042\u308b\u3053\u3068\u306b\u306a\u308b\u304c\u300112\u56de\u6708\u7d4c\u304c\u7d4c\u904e\u3057\u305f\u3068\u3053\u308b\u3067\u3001\u899a\u9192\u6210\u9577\u3092\u59cb\u3081\u305f\u5375\u80de\u7fa4\u306e\u5927\u90e8\u5206\u306f\u6b7b\u6ec5\uff08\u9589\u9396\u3001\u30a2\u30dd\u30c8\u30fc\u30b7\u30b9\uff09\u3059\u308b\u300213\u56de\u76ee\u6708\u7d4c\u958b\u59cb\u306e\u3068\u3053\u308d\u3067\u3001\u6b8b\u3055\u308c\u305f\u4e21\u5375\u5de3\u306e\u5408\u8a08\u7d0440\u500b\u306e\u80de\u72b6\u5375\u80de\uff08\u5f53\u96623D\u81ea\u9a13\u4f8b\u5e73\u5747\u5024\u3001\u76f4\u5f842\uff5e10mm\uff09\u304c\u66f4\u306b\u9078\u5225\u3055\u308c\u3001\u6700\u7d42\u7684\u306b\uff11\u3064\u306e\u5375\u80de\u304c\u751f\u304d\u6b8b\u308b\u3002\u3053\u306e\uff11\u3064\u306e\u4e3b\u5e2d\u5375\u80de\uff08dominant follicle\uff09\u306f\u8fc5\u901f\u306b\u6210\u9577\u3057\u3066\u4e00\u6c17\u306b\u76f4\u5f8420mm\u3092\u8d85\u3048\u6392\u5375\u3059\u308b\u3002\u305d\u306e\u9803\u306e\u6210\u719f\u5375\u80de\u306f\u7b2c\u4e8c\u6e1b\u6570\u5206\u88c2\u4e2d\u671f Metaphase\u2161 \u3067\u505c\u6b62\u3057\u3001\u53d7\u7cbe\u80fd\u529b\u3092\u6709\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>\u3000\u5375\u5b50\u306e\u767a\u80b2\u671f\u9593\u306f\u6708\u7d4c\u958b\u59cb\u304b\u3089\u6392\u5375\u306b\u81f3\u308b14\u65e5\u9593\u3067\u306f\u306a\u304f\u3001\u5b9f\u306f\u539f\u59cb\u5375\u80de\u306e\u521d\u671f\u899a\u9192\u304b\u3089\u6392\u5375\u307e\u3067\u7d04\u4e00\u5e74\u9593\u304b\u304b\u308b\u3002\u5375\u5de3\u5185\u306f\u5e38\u306b\u5168\u3066\u306e\u767a\u9054\u6bb5\u968e\u306e\u5375\u80de\u304c\u540c\u6642\u306b\u5b58\u5728\u3057\u3066\u3044\u308b\u306e\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"567\" src=\"\/takasago\/images\/2022\/02\/\u5375\u5b50\u306e\u767a\u80b2excle-1024x567.jpg\" alt=\"\" class=\"wp-image-1583\" srcset=\"https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/\u5375\u5b50\u306e\u767a\u80b2excle-1024x567.jpg 1024w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/\u5375\u5b50\u306e\u767a\u80b2excle-300x166.jpg 300w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/\u5375\u5b50\u306e\u767a\u80b2excle-768x425.jpg 768w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/\u5375\u5b50\u306e\u767a\u80b2excle-1536x850.jpg 1536w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/\u5375\u5b50\u306e\u767a\u80b2excle.jpg 1886w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>  <strong>\uff08\u56f3\uff12\uff09\u5375\u5b50\u306e\u751f\u6daf\u767a\u80b2\u904e\u7a0b\u3000<\/strong>\uff08\u5404\u6587\u732e\u3001\u8af8\u8aac\u3092\u53c2\u8003\u3057\u3001\u7de8\u96c6\u3057\u305f\u56f3\u8868\uff09 <\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"i-3\">\u5375\u5b50\u306e\u8001\u5316<\/span><\/h2>\n\n\n\n<p>\u5375\u5b50\u306f\u4e00\u7a2e\u306e\u300c\u5e79\u7d30\u80de\u300d\u3001\u4f55\u5341\u5e74\u3082\u751f\u304d\u308b\u4e8b\u304c\u3067\u304d\u308b\u7279\u6b8a\u306a\u7d30\u80de\u3067\u3042\u308b\u3002\u5973\u6027\u306e\u51fa\u751f\u524d\u304b\u3089\u539f\u59cb\u5375\u80de\u306f\u4f53\u7d30\u80de\u5206\u88c2\u3092\u505c\u6b62\u3057\u305f\u307e\u307e\u3067\u3042\u308a\u3001\u65b0\u751f\u7d30\u80de\u306e\u5897\u6b96\u3084\u5165\u308c\u66ff\u3048\u306f\u884c\u308f\u308c\u306a\u3044\u3002\u6570\u306f\u6e1b\u5c11\u3057\u3066\u3044\u304f\u4e2d\u3067\u3001\u751f\u5b58\u7af6\u4e89\u3067\u751f\u304d\u6b8b\u308b\u6392\u5375\u524d\u306e\u5375\u5b50\u306e\u5e74\u9f62\u306f\u5973\u6027\u81ea\u8eab\u306e\u5e74\u9f62\u3068\u540c\u3058\u3067\u3042\u308b\u3002\u4eba\u4f5360\u5146\u500b\u7d30\u80de\u306e\u4e2d\u306b\u304a\u3044\u3066\u30011\u65e5\u306b1\u5146\u500b\u3082\u306e\u7d30\u80de\u3092\u5165\u308c\u66ff\u3048\u306a\u304c\u3089\u3001\u307b\u3068\u3093\u3069\u306e\u5668\u5b98\u7d30\u80de\uff08\u7cbe\u5b50\u7d30\u80de\u3082\u542b\u3080\uff09\u304c\u30ea\u30d5\u30ec\u30c3\u30b7\u30e5\u3057\u3066\u3044\u308b\u3002\u305d\u306e\u4e2d\u3067\u3082\u795e\u7d4c\u7d30\u80de\u3068\u5fc3\u7b4b\u7d30\u80de\u306f\u751f\u6daf\u66f4\u65b0\u3055\u308c\u306a\u3044\u3068\u8a00\u308f\u308c\u3066\u304d\u305f\u3002\u3057\u304b\u3057\u3001\u6700\u8fd1\u306e\u7814\u7a76\u306b\u3088\u308b\u3068\u30012013\u5e74Nature\u306b\u3066\u6210\u4f53\u3067\u306e\u5fc3\u81d3\u7d30\u80de\u306e\u7f6e\u63db\u304c\u767a\u898b\u3055\u308c\u3001<strong>3) <\/strong>&nbsp;2018\u5e74Newsweek\u3088\u308a\u8133\u795e\u7d4c\u7d30\u80de\u306f\u5e74\u9f62\u306b\u95a2\u4fc2\u306a\u304f\u5897\u3048\u7d9a\u3051\u308b\u3053\u3068\u304c\u5224\u660e\u3057\u305f\u3002<strong>4) <\/strong>&nbsp;\u4e00\u65b9\u3067\u3001\u6570\u5341\u5e74\u9593\u4e00\u5ea6\u3082\u66f4\u65b0\u3055\u308c\u305a\u306b\u751f\u304d\u7d9a\u3051\u308b\u5375\u5b50\u306f\u3084\u304c\u3066\u7d30\u80de\u8cea\u306e\u52a3\u5316\u3068\u30b2\u30ce\u30e0\u306e\u5909\u7570\u306b\u3088\u308a\u598a\u5b55\u6027\u306e\u4f4e\u4e0b\u3092\u5c0e\u304f\u3053\u3068\u3068\u306a\u308b\u3002\u524d\u7de8\uff08\u5973\u6027\u5e74\u9f62\u306b\u3088\u308b\u598a\u5b55\u529b\u306e\u5909\u5316\uff09\u3067\u3082\u8ff0\u3079\u305f\u304c\u3001\u73fe\u4ee3\u5973\u6027\u306e\u598a\u5b55\u529b\u306e\u5e74\u9f62\uff08\u9589\u7d4c\u5e74\u9f62\u7d0450\u624d\uff09\u306f\u3001\u3053\u306e\u6570\u767e\u5e74\u9593\u306b\u3042\u307e\u308a\u4f38\u3073\u3066\u3044\u306a\u3044\u304c\u3001\u9589\u7d4c\u5f8c\u306e\u5bff\u547d\u306f\u5927\u5e45\u306b\u4f38\u3073\u3066\u3044\u308b\u3002\u305d\u308c\u306f\u5375\u5b50\u4ee5\u5916\u306e\u7d44\u7e54\u7d30\u80de\u304c\u5e38\u306b\u7d30\u80de\u5206\u88c2\u306b\u3088\u308a\u5165\u308c\u66ff\u308f\u308a\u3001\u6804\u990a\u3068\u885b\u751f\u306e\u9032\u6b69\u306b\u3088\u308b\u30ea\u30d5\u30ec\u30c3\u30b7\u30e5\u304c\u3067\u304d\u308b\u3053\u3068\u306b\u3088\u308b\u3082\u306e\u3068\u8003\u3048\u308b\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"FSH_AMH_AFC\"><a>\u5375\u80de\u306e\u6210\u9577\u904e\u7a0b\u306b\u304a\u3051\u308b<\/a>FSH, AMH, AFC \u306e\u4f4d\u7f6e\u4ed8\u3051\uff08\u56f3\uff13\uff09<\/span><\/h2>\n\n\n\n<p><strong>AMH<\/strong>\uff08Anti-Mullerian Hormone\u3001\u6297\u30df\u30e5\u30e9\u30fc\u7ba1\u30db\u30eb\u30e2\u30f3)\u3000\u3000<\/p>\n<p>AMH\u306f\u57fa\u672c\u7684\u306b\u5375\u80de\u306e\u9846\u7c92\u819c\u7d30\u80de\u304b\u3089\u5206\u6ccc\u3055\u308c\u308b\u3002\u80ce\u751f\u671f\u306e\u5375\u6bcd\u7d30\u80de(Primary follicle)\u304b\u3089\u7523\u751f\u3057\u306f\u3058\u3081\u3001\u4e00\u6b21\u5375\u80de\u3001\u4e8c\u6b21\u5375\u80de\u3001\u80de\u72b6\u5375\u80de\u306e\u9032\u5316\u306b\u3064\u308c\u3066\u9846\u7c92\u819c\u7d30\u80de\u3082\u591a\u91cd\u5316\u3057\u3001AMH\u306e\u7523\u751f\u91cf\u3082\u4e0a\u6607\u3059\u308b\u3002\u8840\u4e2dAMH\u5024\u306f\uff0c\u5375\u5de3\u306b\u5b58\u5728\u3059\u308b\u524d\u80de\u72b6\u5375\u80de\u3068\u80de\u72b6\u5375\u80de\u306e\u6570\u3092\u53cd\u6620\u3057\uff0c\u305d\u306e\u7d50\u679c\u3068\u3057\u3066\u5375\u5de3\u4e88\u5099\u80fd\u306e\u8a55\u4fa1\u3068\u3057\u3066\u6709\u7528\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002<\/p>\n<p><strong>AFC<\/strong>\uff08Antral Follicle Count, \u80de\u72b6\u5375\u80de\u6570)\u3000\u3000<\/p>\n<p>\u524d\u80de\u72b6\u5375\u80de\u306f\u7d99\u7d9a\u7684FSH\u3092\u53d7\u3051\u767a\u80b2\u3057\u3001\u5375\u80de\u6db2\u306e\u5206\u6ccc\u3088\u308a\u7a7a\u6d1e\u3092\u5f62\u6210\u3059\u308b\u3002\u3084\u304c\u3066\u6708\u7d4c\u5468\u671f(Cyclic recruitment) 3\u65e5\u76ee\u524d\u5f8c\u306b\u76f4\u5f842mm\u4ee5\u4e0a\u306e\u80de\u72b6\u5375\u80de\u306b\u306a\u308b\u3002\u8d85\u97f3\u6ce2\u3067\u89b3\u5bdf\u3055\u308c\u308b\u76f4\u5f84\uff12\uff5e\uff11\uff10mm\u306e\u80de\u72b6\u5375\u80de\u306e\u6570\uff08AFC\u80de\u72b6\u5375\u80de\u6570)\u3000\u304c\u591a\u3044\u307b\u3069\u5375\u5de3\u306e\u53cd\u5fdc\u6027\u304c\u9ad8\u3044\u3068\u3055\u308c\u3001AMH\u3068\u3082\u9ad8\u3044\u6b63\u306e\u76f8\u95a2\u3092\u3057\u3081\u3059\u3002\u5f93\u6765\u3088\u308areal-time 2D (two-dimensional) Ultrasound\u3067\u8a08\u6e2c\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u6700\u8fd1 3D Ultrasound \u306b\u3088\u308a\u4e09\u6b21\u5143\u7684\u89b3\u5bdf\u304c\u53ef\u80fd\u3068\u306a\u308a\u3001\u7cbe\u5bc6\u306a\u6570\u91cf\u7684\u8a55\u4fa1\u306b\u57fa\u3065\u304f\u81e8\u5e8a\u7684\u5fdc\u7528\u304c\u671f\u5f85\u3055\u308c\u308b\u3002\uff08\u56f3\uff13 AFC\u306e\u5199\u771f\u306f\u5f53\u9662\u81ea\u9a13\u4f8b\uff09<\/p>\n<p><strong>FSH<\/strong>\uff08Follicular Stimulation Hormone\u3001\u5375\u80de\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\uff09\u3000\u3000\u3000<\/p>\n<p>\u901a\u5e38\u3001GnRH\u306f\u4e0b\u5782\u4f53\u524d\u8449\u3092\u523a\u6fc0\u3057\u3001FSH\u3068LH\u3092\u5206\u6ccc\u3055\u305b\u3066\u3001\u5375\u80de\u306e\u767a\u80b2\u3092\u4fc3\u9032\u3059\u308b\u3002\u80de\u72b6\u5375\u80de\u304b\u3089\u6210\u719f\u5375\u80de\u3078\u3068\u6210\u9577\u3057\u3001\u591a\u5c64\u306e\u9846\u7c92\u5c64\u7d30\u80de\u3088\u308a Estradiol&nbsp; \u304c\u65fa\u76db\u306b\u5206\u6ccc\u3055\u308c\u308b\u3002\u305d\u306e\u9ad8\u3044Estradiol \u306e\u8840\u4e2d\u6fc3\u5ea6\u306fFSH\u3092\u6291\u5236\u3059\u308b\uff08\u8ca0\u306e\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\uff09\u3002\u3057\u304b\u3057\u3001\u5375\u5de3\u6a5f\u80fd\u4f4e\u4e0b\u6642\u3001\u3064\u307e\u308a\u5375\u80de\u306e\u9846\u7c92\u819c\u7d30\u80de\u304b\u3089Estradiol \u306e\u5206\u6ccc\u304c\u5c11\u306a\u3044\u6642\u306b\u3001<u>\u8ca0\u306e<\/u>\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3088\u308aFSH\u3092\u5206\u6ccc\u3055\u305b\u3066\u9ad8\u5024\u306b\u306a\u308b\u3002\u5f93\u3063\u3066\u3001FSH\u9ad8\u5024\u306f\u57fa\u672c\u7684\u306b\u5375\u5de3\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u304a\u308a\u3001\u5375\u80de\u3078\u306e\u523a\u6fc0\u3092\u4e0a\u3052\u308b\u5fc5\u8981\u6027\u3092\u793a\u3057\u3066\u3044\u308b\u3002<\/p>\n<p>\u3000<strong>Inhibin B<\/strong> (\u30a4\u30f3\u30d2\u30d3\u30f3\uff22\uff09\u3000\u5375\u80de\u9846\u7c92\u5c64\u7d30\u80de\u306f\uff0cEstradiol \u4ee5\u5916 Inhibin B \u3082\u5206\u6ccc\u3059\u308b\u3002Inhibin B \u306f\u6bd4\u8f03\u7684\u80de\u72b6\u5375\u80de\u671f\u306e\u65e9\u671f\u306b\u5206\u6ccc\u3055\u308c\u3001FSH\u3092\u6291\u5236\u3057\u59cb\u3081\u308b\u3002<strong>5\uff09\u3000FSH<\/strong>\u53d7\u5bb9\u4f53\u7dcf\u6570\u306e\u5c11\u306a\u3044\u5375\u80de\u306f\u3053\u306eFSH\u306e\u6b20\u4e4f\u3092\u4e57\u308a\u5207\u308c\u305a\u306b\u9589\u9396\u3057\u3066\u3057\u307e\u3046\u3002\u6700\u7d42\u7684\u306b\u305f\u3063\u305f\u3072\u3068\u3064\u306e\u5375\u80de\u304c\u751f\u304d\u6b8b\u3063\u3066\u4e3b\u5e2d\u5375\u80de\uff08dominant follicle\uff09\u3068\u306a\u308b\u3002\u4e3b\u5e2d\u5375\u80de\u306e\u9078\u629e\u306fInhibin B \u304c\u95a2\u4e0e\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u3082\u8a00\u308f\u308c\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"712\" src=\"\/takasago\/images\/2022\/02\/AMH-is-secreted-by-Pre-antral-Antral-Follicles-1-1024x712.jpg\" alt=\"\" class=\"wp-image-1584\" srcset=\"https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/AMH-is-secreted-by-Pre-antral-Antral-Follicles-1-1024x712.jpg 1024w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/AMH-is-secreted-by-Pre-antral-Antral-Follicles-1-300x209.jpg 300w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/AMH-is-secreted-by-Pre-antral-Antral-Follicles-1-768x534.jpg 768w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/AMH-is-secreted-by-Pre-antral-Antral-Follicles-1-1536x1069.jpg 1536w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/AMH-is-secreted-by-Pre-antral-Antral-Follicles-1.jpg 1831w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>  <strong>\uff08\u56f3\uff13\uff09 \u5375\u80de\u306e\u6210\u9577\u904e\u7a0b\u306b\u304a\u3051\u308bFSH, AMH, Inhibin B, AFC\u306e\u4f4d\u7f6e\u4ed8\u3051\u3068\u305d\u306e\u76f8\u4e92\u95a2\u4fc2\u3002<\/strong> <\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"_FSH_AMH_AFC\"><strong>\u5375\u5de3\u4e88\u5099\u80fd\u691c\u67fb FSH, AMH, AFC \u306e\u7279\u9577\u3068\u9650\u754c<\/strong><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"FSH\"><strong>FSH<\/strong><\/span><\/h3>\n\n\n\n<p>FSH \u306f\u6708\u7d4c\u5468\u671f\u5185\u3067\u8840\u4e2d\u6fc3\u5ea6\u304c\u5909\u52d5\u3057\uff0c\u6708\u7d4c2\uff5e5\u65e5\u76ee\u306f\u6700\u4f4e\u5024\u3067Basal FSH\uff08FSH\u306e\u57fa\u790e\u5024)\u3068\u547c\u3070\u308c\u30013\uff5e8mIU\/ml\u304c\u7406\u60f3\u7684\u306a\u5024\u3067\u3042\u308b\u3002\u5375\u80de\u30d7\u30fc\u30eb\u304c\u8ca7\u5f31\u306e\u5834\u5408\u306b\u306f\u3001Inhibin B\u3068 Estradiol\u306e\u5206\u6ccc\u91cf\u306f\u5c11\u306a\u304f\u3001Negative feedback \u3088\u308aFSH\u304c\u591a\u91cf\u306b\u5206\u6ccc\u3055\u308c\u308b\u3002\uff08\u56f3\uff13\uff09\u3000\u5f93\u3063\u3066\u3001Basal FSH\u8840\u4e2d\u6fc3\u5ea6\u304c\u9ad8\u3044\uff08\u7279\u306b12\uff5e20mIU\/ml\u4ee5\u4e0a\uff09\u5834\u5408\u306f\u3001\u5375\u5de3\u4e88\u5099\u80fd\u304c\u4f4e\u304f\u3001\u4f53\u5916\u53d7\u7cbe\u6642\u306e\u5375\u5de3\u523a\u6fc0\u306b\u5bfe\u3059\u308b\u53cd\u5fdc\u6027\u304c\u4f4e\u4e0b\u3057\u3001FSH\u88fd\u5264\u306e\u5897\u91cf\u6295\u4e0e\uff08\u4f8b\u3048\u3070150iu\u2192225iu\u2192300iu\/d) \u304c\u5fc5\u8981\u3068\u306a\u308a\u3001\u63a1\u308c\u308b\u5375\u5b50\u6570\u3068\u826f\u597d\u80da\u3078\u306e\u767a\u80b2\u3082\u6e1b\u5c11\u3059\u308b\u3002<\/p>\n<p>\u3000\u3000\u4e00\u65b9\u3001AFC\u3001AMH\u3068\u9055\u3063\u3066\u3001FSH\u306fOHSS\uff08\u5375\u5de3\u904e\u523a\u6fc0\u75c7\u5019\u7fa4\uff09\u306b\u306f\u4e88\u77e5\u3059\u308b\u6307\u6a19\u3068\u306f\u306a\u3089\u306a\u3044\u3002\u307e\u305f\u3001FSH\u306f\u5375\u5de3\u6a5f\u80fd\u304c\u3042\u308b\u7a0b\u5ea6\u4f4e\u4e0b\u3057\u306a\u3044\u3068\u4e0a\u6607\u3057\u306a\u3044\u3068\u3044\u3046\u6027\u8cea\u3082\u3042\u308a\u3001\u5375\u5de3\u6a5f\u80fd\u306e\u308f\u305a\u304b\u306a\u5909\u5316\u306e\u6307\u6a19\u3068\u306f\u306a\u3089\u306a\u3044\u3002\u5f53\u9662\u81ea\u9a13\u4f8b\u306b\u304a\u3044\u3066\u3001FSH\u306f\u30013D-AFC\u3001AMH\u3068\u306e\u4e2d\u7a0b\u5ea6\u306e\u9006\u76f8\u95a2( r= &#8211; 0.516, r = &#8211; 0.443 )\u304c\u898b\u3089\u308c\u308b\u3002<strong>6<\/strong><strong>\uff09<\/strong><\/p>\n<p>\u3000FSH\u304c\u304b\u306a\u308a\u9ad8\u5024\u306e\u5834\u5408\u306f\uff0c\u5375\u80de\u30d7\u30fc\u30eb\u304c1000\u500b\u307e\u3067\u6e1b\u5c11\u3057\u3001\u6392\u5375\u304c\u3067\u304d\u306a\u304f\u9589\u7d4c\u306b\u306a\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u3001FSH &gt; 30mIU\/mL \u304a\u3088\u3073Estradiol &lt; 20 pg\/mL \u306b\u3088\u308a\u8a3a\u65ad\u306f\u78ba\u5b9a\u3059\u308b\u3002\u3053\u306e\u73fe\u8c61\u306f40\u6b73\u672a\u6e80\u306e\u5973\u6027\u306b\u304a\u3044\u3066\u65e9\u767a\u5375\u5de3\u4e0d\u5168\uff08premature ovarian insufficiency\u307e\u305f\u306fpremature ovarian failure\uff09\u3068\u8a3a\u65ad\u306b\u9069\u3059\u308b\u3002\u5375\u80de\u67af\u6e07\u306e\u8a3a\u65ad\u306b\u304a\u3051\u308b\u7279\u7570\u5ea6\u306f\u9ad8\u3044\u3068\u8a00\u3048\u308b\uff0e\uff08\u524d\u7de8\uff1a\u5973\u6027\u5e74\u9f62\u306b\u3088\u308b\u598a\u5b55\u529b\u306e\u5909\u5316\u306e\u8868\uff13\u306b\u3082\u3054\u53c2\u7167\uff09<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"AMH\"><strong>AMH<\/strong><\/span><\/h3>\n\n\n\n<p>AMH\u306f\uff0c\u4e3b\u306bFSH\u306b\u5bfe\u3059\u308b\u53cd\u5fdc\u6027\u3092\u793a\u3057\u3001\u4e00\u6b21\u5375\u80de\uff0c\u524d\u80de\u72b6\u5375\u80de\uff0c\u80de\u72b6\u5375\u80de\u306e\u591a\u5c64\u5316\u3057\u305f\u9846\u7c92\u819c\u7d30\u80de\u3088\u308a\u7523\u751f\u3055\u308c\u308b\u3002<strong>\uff08\u56f3\uff12\uff09\uff08\u56f3\uff13\uff09<\/strong>AMH\u306f\u5375\u5de3\u5185\u306e\u5375\u80de\u6570\u3092\u92ed\u654f\u306b\u53cd\u6620\u3057\u3001\u5404\u7a2e\u691c\u67fb\u306e\u4e2d\u3067\u306f\u6700\u3082\u7d20\u65e9\u304f\u5375\u5de3\u4e88\u5099\u80fd\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/p>\n<p>&nbsp; Thomas W. Kelsey \u3089\u306f\u53d7\u80ce\u304b\u3089\u66f4\u5e74\u671f\u307e\u3067\u5404\u7814\u7a76\u306eAMH\u5024\u3092\u96c6\u7d04\u5206\u6790\u3057\u3001\u80ce\u751f\u671f\u3088\u308a\u7523\u751f\u304c\u78ba\u8a8d\u3055\u308c\u5c0f\u5150\u671f\u306b\u306f\u4f4e\u5024\u3067\u601d\u6625\u671f\u3092\u8fce\u3048\u308b\u3068AMH\u304c\u4e0a\u6607\u76db\u3093\u306a\u5375\u80de\u767a\u80b2\u3092\u53cd\u6620\u3059\u308b\u304c\u300124.5\u6b73\u306b\u30d4\u30fc\u30af\u306e\u4e2d\u9593\u5024\u7d04 5ng\/ml \u3092\u8fce\u3048\u305f\u5f8c\u306f\u4e0b\u964d\u3057\u300151\u624d\u9589\u7d4c\u671f\u4ee5\u5f8c\u306b\u306f\u691c\u51fa\u3055\u308c\u306a\u304f\u306a\u308b\u3053\u3068\u3092\u5831\u544a\u3057\u305f\u3002<strong>\uff08\u56f3<\/strong><strong>5<\/strong><strong>\uff09\u3000<\/strong><strong>7<\/strong><strong>\uff09<\/strong><\/p>\n<p>\u3000 \u80de\u72b6\u5375\u80de\u6db2\u5185\u306eAMH\u6fc3\u5ea6\u3092\u8abf\u3079\u308b\u3068\u3001\u5c0f\u5375\u80de\u307b\u3069\u6fc3\u5ea6\u304c\u9ad8\u304f\uff083mm : 1124ng\/ml)\u3001\u5927\u304d\u304f\u306a\u308b\u3068\u6fc3\u5ea6\u304c\u4f4e\u304f\u306a\u308b (\u226710mm : \u2266100ng\/ml) <strong>8<\/strong><strong>\uff09<\/strong>\u3002\u8840\u4e2dAMH\u6fc3\u5ea6\u3082\u540c\u69d8\u50be\u5411\u304c\u898b\u3089\u308c\u30018mm\u3092\u8d8a\u3059\u80de\u72b6\u5375\u80de\u304b\u3089\u306e\u7523\u751f\u306f\u4f4e\u4e0b\u3059\u308b\u3068\u3044\u308f\u308c\u3066\u3044\u308b\u3002 <strong>9<\/strong><strong>\uff09\u3000<\/strong>\u3088\u3063\u3066\u3001\u5375\u80de\u671f\u5f8c\u534a\u306b\u304a\u3044\u3066\u5375\u80de\u304c\u5927\u304d\u304f\u767a\u80b2\uff088mm\u304b\u308920mm\u4ee5\u4e0a\uff09\u3057\u3066\u3082AMH\u3092\u5206\u6ccc\u3057\u306a\u3044\u306e\u3067\u3001\u6708\u7d4c\u5468\u671f\u5185\u306b\u8840\u4e2d\u6fc3\u5ea6\u306e\u5909\u52d5\u304c\u5c11\u306a\u304f\uff0c\u6e2c\u5b9a\u6642\u671f\u306b\u3088\u308b\u5f71\u97ff\u3092\u53d7\u3051\u306b\u304f\u3044\u306e\u3067\u3042\u308b\u3002<\/p>\n<p>\u3000 \u8840\u6e05AMH\u5024\u306f\u5e74\u9f62\u3068\u8ca0\u306e\u76f8\u95a2\u3092\u8a8d\u3081\uff0cART\u306e\u63a1\u5375\u6570\u3068\u5f37\u3044\u6b63\u306e\u76f8\u95a2\u3092\u8a8d\u3081\u305f\u3002Jure Knez \u3089\u306e\u7814\u7a76\u3067\u306f\u3001\u63a1\u5375\u657018\u500b\u4ee5\u4e0a\u306e Excessive response \u3068\u63a1\u5375\u65703\u500b\u4ee5\u4e0b\u306ePoor response \u306e\u4e88\u6e2c\u306b\u5bfe\u3059\u308b\u6709\u7528\u6027\u3092ROC\u66f2\u7dda\u3092\u7528\u3044\u3066\u691c\u8a0e\u3057\u305f\u3068\u3053\u308d\uff0cAMH\u306f\u5e74\u9f62\u3088\u308a\u3082\u826f\u597d\u3067\u3042\u308b\u50be\u5411\u3092\u8a8d\u3081\u3066\u3044\u305f( Excessive response: ROC area: AMH vs Age = 0.882 vs 0.667 ) ; ( Poor response: ROC area: AMH vs Age = 0.816 vs 0.624) \u3002 <strong>10<\/strong><strong>\uff09\u3000<\/strong>\u4e00\u65b9\u3001Haiyan Zheng \u3089\u30014017\u5468\u671f\u306e\u7814\u7a76\u306b\u3088\u308b\u3068, &nbsp;AMH, day3 FSH \u3068Age \u304b\u3089\u63a1\u5375\u6570\u3068\u306e\u76f4\u7dda\u76f8\u95a2\u3092\u691c\u8a0e\u3057\u305f\u3068\u3053\u308b\u3001AMH\u306fday3 FSH\u3068Age\u3088\u308a\u512a\u308c\u308b\u76f8\u95a2\u95a2\u4fc2\u4fc2\u6570 (r) \u3092\u8a8d\u3081\u305f( r : AMH vs Age vs day3 FSH = 0.526 vs -0.232 vs -0.243 )\u3002\u4f46\u3057\u300130\u624d\u4ee5\u4e0b\u306e\u60a3\u8005\u306b\u3064\u3044\u3066\u306f\u3001AMH\u3068\u63a1\u5375\u6570\u3068\u306e\u5f31\u3044\u76f8\u95a2\u3057\u304b\u898b\u3089\u308c\u306a\u304b\u3063\u305f( r=0.289 )\u3002<strong>11<\/strong><strong>\uff09<\/strong><\/p>\n<p>\u3000 \u4e0d\u598a\u75c7\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u3001AMH\u306f\u6b20\u304b\u305b\u306a\u3044\u691c\u67fb\u306b\u306a\u308a\u3064\u3064\u3042\u308b\u304c\u3001\u904e\u4fe1\u306f\u7981\u7269\u3067\u3042\u308b\u3002AMH\u306f\u5375\u80de\u306e\u6570\u3092\u53cd\u6620\u3059\u308b\u304c\u3001\u5375\u80de\u306e\u8cea\u3068\u30b2\u30ce\u30e0\u306e\u72b6\u614b\u306f\u53cd\u6620\u3067\u304d\u306a\u3044\u3002\u307e\u305f\u3001AMH\u306e\u5024\u306f\u5e83\u3044\u7bc4\u56f2\u306b\u5206\u5e03\u3057\u3001\u3070\u3089\u3064\u304d\u306f\u5927\u304d\u304f<strong>12) 13)<\/strong>\u3001\u50be\u5411\u304c\u898b\u3089\u308c\u3066\u3082\u76f4\u63a5\u306e\u56e0\u679c\u95a2\u4fc2\u306e\u5224\u5b9a\u306f\u96e3\u3057\u3044\u3002\u4f8b\u3048\u3070\u3001\u82e5\u3044\u5973\u6027\u306eAMH\u304c\u4f4e\u304f\u3066\u3082\u598a\u5b55\u6027\u306f\u5341\u5206\u671f\u5f85\u3067\u304d\u308b\u3068\u3044\u3048\u308b\u3002PCO, OHSS, Menopause\u3092\u4e88\u6e2c\u3059\u308b\u5834\u5408\u306b\u3001AMH\u306f\u5358\u72ec\u3067\u306f\u306a\u304fAFC\u53ca\u3073\u305d\u306e\u4ed6\u306e\u30db\u30eb\u30e2\u30f3\u5024\u3068\u4f75\u7528\u3055\u305b\u308c\u3070\u3001\u826f\u3044\u6307\u6a19\u306b\u306a\u308a\u3046\u308b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"654\" src=\"\/takasago\/images\/2022\/02\/Serum-Anti-M\u00fcllerian-Hormone-from-Conception-to-Menopause\u65e5\u672c\u8a9e-1024x654.jpg\" alt=\"\" class=\"wp-image-1585\" srcset=\"https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Serum-Anti-M\u00fcllerian-Hormone-from-Conception-to-Menopause\u65e5\u672c\u8a9e-1024x654.jpg 1024w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Serum-Anti-M\u00fcllerian-Hormone-from-Conception-to-Menopause\u65e5\u672c\u8a9e-300x192.jpg 300w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Serum-Anti-M\u00fcllerian-Hormone-from-Conception-to-Menopause\u65e5\u672c\u8a9e-768x491.jpg 768w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Serum-Anti-M\u00fcllerian-Hormone-from-Conception-to-Menopause\u65e5\u672c\u8a9e-1536x981.jpg 1536w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Serum-Anti-M\u00fcllerian-Hormone-from-Conception-to-Menopause\u65e5\u672c\u8a9e.jpg 2032w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption>  <strong>\uff08\u56f35\uff09 <\/strong>Thomas W. Kelsey \u3089\u306f\u53d7\u80ce\u304b\u3089\u66f4\u5e74\u671f\u307e\u3067\u5404\u7814\u7a76\u306e3260\u75c7\u4f8b\u306eAMH\u5024\u3092\u96c6\u7d04\u5206\u6790\u3057\u3001\u80ce\u751f\u671f\u3088\u308a\u7523\u751f\u304c\u78ba\u8a8d\u3055\u308c\u5c0f\u5150\u671f\u306b\u306f\u4f4e\u5024\u3067\u601d\u6625\u671f\u3092\u8fce\u3048\u308b\u3068AMH\u304c\u4e0a\u6607\u76db\u3093\u306a\u5375\u80de\u767a\u80b2\u3092\u53cd\u6620\u3059\u308b\u304c\u300124.5\u6b73\u306b\u30d4\u30fc\u30af\u306e\u4e2d\u9593\u5024\u7d04 5ng\/ml \u3092\u8fce\u3048\u305f\u5f8c\u306f\u4e0b\u964d\u3057\u300151\u624d\u9589\u7d4c\u671f\u4ee5\u5f8c\u306b\u306f\u691c\u51fa\u3055\u308c\u306a\u304f\u306a\u308b\u3053\u3068\u3092\u5831\u544a\u3057\u305f\u3002 <\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span id=\"AFC\"><strong>AFC<\/strong><\/span><\/h3>\n\n\n\n<p>\u539f\u59cb\u5375\u80de\u304c\u521d\u671f\u899a\u9192 (initial recruitment) \u3057\u3066300\u65e5\u4ee5\u4e0a\u7d4c\u3063\u305f\u9803<strong>\uff08\u56f3<\/strong><strong>3<\/strong><strong>\uff09<\/strong>\u3001\u4e8c\u6b21\u5375\u80de\u306e\u9846\u7c92\u7d30\u80de\u304c\u591a\u5c64\u5316\u3057\u3001\u5375\u80de\u6db2\u304c\u4e0a\u76ae\u7d30\u80de\u9593\u306b\u8caf\u7559\u3057\u3066\u5375\u80de\u6d1e\u3092\u5f62\u6210\u3057\u30662mm\u4ee5\u4e0a\u306e\u5375\u80de\u304c\u8d85\u97f3\u6ce2\u306b\u3066\u89b3\u5bdf\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308b\u3002\u6708\u7d4c\u5468\u671f\u306e2\u301c4\u65e5\u76ee\u306e\u5375\u5de3\u4e21\u5074\u306b\u304a\u3051\u308b2\uff5e10mm\u306e\u5375\u80de\u6570\u306e\u5408\u8a08\u3092AFC\uff08Antral Follicle count)\u3068\u547c\u3076\u3002<\/p>\n<p>\u7cbe\u5ea6\u306e\u9ad8\u3044\u8d85\u97f3\u6ce2\u3068\u719f\u7df4\u306e\u624b\u6280\u306a\u3089\u7c21\u5358\u8fc5\u901f\u306bAFC\u3092\u6e2c\u5b9a\u3057\u3001\u5375\u5de3\u4e88\u5099\u80fd\u3092\u3059\u3070\u3084\u304f\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u7279\u306b\u4f53\u5916\u53d7\u7cbe\u6642\u306b\u8abf\u6574\u5375\u5de3\u523a\u6fc0\u306e\u53cd\u5fdc\u6027\u3068\u4e88\u5f8c\u3092\u4e88\u6e2c\u3059\u308b\u305f\u3081\u306bAMH,FSH\u3068\u3068\u3082\u306b\u5e45\u5e83\u304f\u7528\u3044\u3089\u308c\u3066\u3044\u308b\u3002<\/p>\n<p>\u3000 2011\u5e74Jan Holte \u3089\u306f\u30014308\u4f53\u5916\u53d7\u7cbe\u5468\u671f\uff08PCO\u306e\u75c7\u4f8b\u3092\u542b\u3080\u3001\u51cd\u7d50\u80da\u79fb\u690d\u3092\u9664\u5916\uff09\u306b\u304a\u3044\u3066\u30012D\u306eAFC\u3068\u6cbb\u7642\u7d50\u679c\u306e\u95a2\u4fc2\u3092\u5206\u6790\u3057\u305f\u3002AFC\u30924\u7fa4\u306b\u5206\u3051<strong>\uff08\u56f3\uff16\uff09<\/strong>\u3001AFC\u6700\u5927\u7fa4\uff08AFC&gt;23\uff09\u306e\u751f\u7523\u7387(live-birth rates\/OPU) \u306f\u3001\u5404\u5e74\u9f62\u5c64\u3068\u3082\u3001AFC\u6700\u5c0f\u7fa4\uff08AFC &lt;5)\u3088\u308a50\uff05\u306e\u5897\u52a0\u304c\u898b\u3089\u308c\u3066\u3044\u305f\u3002\u540c\u69d8\u306b\u5e74\u9f62\u8abf\u6574\u5f8c\u306e\u63a1\u5375\u6570\u3001\u598a\u5a20\u7387\u3001\u80da\u306e\u8cea\u3082AFC\u304c\u5927\u304d\u3051\u308c\u3070\u6210\u7e3e\u3082\u826f\u304f\u306a\u3063\u3066\u3044\u305f\u3002\u305d\u306e\u4e2dPCO\u306e634\u75c7\u4f8b\uff08\u6392\u5375\u4f8b519\u4f8b\u306eAFC=30.9 \u00b1 7.8 ,\u975e\u6392\u5375\u4f8b115\u4f8b\u306eAFC=42.1 \u00b1 13.3)\u306f\u3001\u5e74\u9f62\u3068BMI\u3092\u8abf\u6574\u5f8c\u3082\u6700\u826f\u306e\u6210\u7e3e\u3092\u793a\u3057\u3066\u3044\u305f\u3002\uff08\u6392\u5375\u4f8b\u3068\u975e\u6392\u5375\u4f8b\u306e\u9593\u306b\u5dee\u306f\u306a\u3044\u3002<strong>14<\/strong><strong>\uff09<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/okawa.xrea.jp\/Okawa%20ART\/ART%20HP\/ART%20ivf-et\/Ovarian%20Reserve%20and%20AFC.html\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"424\" height=\"269\" src=\"\/takasago\/images\/2022\/02\/Antral-follicle-counts-are-strongly-associated-with-live-birth-rates.jpg\" alt=\"\" class=\"wp-image-1586\" srcset=\"https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Antral-follicle-counts-are-strongly-associated-with-live-birth-rates.jpg 424w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Antral-follicle-counts-are-strongly-associated-with-live-birth-rates-300x190.jpg 300w\" sizes=\"auto, (max-width: 424px) 100vw, 424px\" \/><\/a><figcaption>  <strong>\uff08\u56f3\uff16\uff09<\/strong>\u30004308\u4f53\u5916\u53d7\u7cbe\u5468\u671f\u306b\u304a\u3044\u3066\u3001AFC\u30924\u7fa4(&lt;5, 6\u201311, 12\u201323, and >23 )\u306b\u5206\u3051\u3001\u305d\u308c\u305e\u308c3\u7fa4\u306e\u5e74\u9f62\u5225(&lt;34; 34\u201338; >38\u624d)\u306e\u6cbb\u7642\u7d50\u679c\uff08\u751f\u7523\u7387\/\u63a1\u5375\u5468\u671f\u3001live-birth rates\/OPU)\u3068\u306e\u95a2\u4fc2\u3092\u5206\u6790\u3057\u305f\u3002<strong>14\uff09<\/strong> <br> <a href=\"http:\/\/okawa.xrea.jp\/Okawa%20ART\/ART%20HP\/ART%20ivf-et\/Ovarian%20Reserve%20and%20AFC.html\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"AFC \u80de\u72b6\u5375\u80de\u6570  (opens in a new tab)\"><strong>AFC<\/strong> \u80de\u72b6\u5375\u80de\u6570 <\/a><\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"> 3D AFC (Three Dimensional Antral Follicle Count) <\/h4>\n\n\n\n<p>\u5f93\u6765AFC\u306f2D (Two dimensional)\u8d85\u97f3\u6ce2\u3067\u8a08\u6e2c\u3057\u3066\u3044\u305f\u3002\u3057\u304b\u3057\u3001\u6b63\u78ba\u306b\u8a08\u6e2c\u3059\u308b\u306b\u306f\u591a\u5c64\u65ad\u9762\u3092\u624b\u52d5\u8a08\u7b97\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u305a\u3001\u591a\u5927\u306e\u6642\u9593\u3068\u52b4\u529b\u3092\u8cbb\u3084\u3059\u3002\u305d\u306e\u4e0a\u3001\u5730\u533a\u3001\u4eba\u7a2e\u3001\u8d85\u97f3\u6ce2\u306e\u7cbe\u5ea6\u3088\u308a\u3001\u5404\u65bd\u8a2d\u9593\u306eAFC\u306e\u504f\u5dee\u306f\u5927\u304d\u3044\u306e\u304c\u73fe\u72b6\u3067\u3042\u308b\u3002<strong>\uff08\u56f3\uff17\uff09<\/strong>\u6700\u8fd1\u3001\u8d85\u97f3\u6ce2\u306e\u753b\u50cf\u7cbe\u5ea6\u3068\u89e3\u6790\u80fd\u529b\u304c\u5411\u4e0a\u3057\u30013D(three-dimensional) \u8d85\u97f3\u6ce2\u3092\u7528\u3044\u3066\u8a08\u6e2c\u89e3\u6790\u3059\u308b\u3053\u3068\u3067\u3001\u5b9f\u7528\u7684\u306a\u30ec\u30d9\u30eb\u3068\u306a\u3063\u3066\u3044\u308b\u3002\u6211\u3005\u306e\u30c7\u30fc\u30bf\u306b\u3088\u308b\u30682D-AFC\u3088\u308a3D-AFC\u306e\u65b9\u304cAFC\u306f\u591a\u3044\u50be\u5411\u304c\u898b\u3089\u308c\u3001AMH\u3068\u306e\u76f4\u7dda\u76f8\u95a2\u3082\u3088\u308a\u3088\u3044\u76f8\u95a2\u304c\u898b\u3089\u308c\u308b\u3002 ( 2D : r2=0.729, 3D : r2=0.782)\u3000\u66f4\u306b\u5375\u80de\u306f<strong>\u56f3\uff18<\/strong>\u306e\u3088\u3046\u306b\u30b5\u30a4\u30ba\u5225\u306b\u89e3\u6790\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<strong>6<\/strong><strong>\uff09<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"970\" height=\"367\" src=\"\/takasago\/images\/2022\/02\/2D-AFC\u30683D-AFC\u306e\u8a08\u6e2c\u306e\u6bd4\u8f03.png\" alt=\"\" class=\"wp-image-1587\" srcset=\"https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/2D-AFC\u30683D-AFC\u306e\u8a08\u6e2c\u306e\u6bd4\u8f03.png 970w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/2D-AFC\u30683D-AFC\u306e\u8a08\u6e2c\u306e\u6bd4\u8f03-300x114.png 300w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/2D-AFC\u30683D-AFC\u306e\u8a08\u6e2c\u306e\u6bd4\u8f03-768x291.png 768w\" sizes=\"auto, (max-width: 970px) 100vw, 970px\" \/><figcaption> <strong>\u56f37 <\/strong>2D-AFC\u30683D-AFC\u306e\u8a08\u6e2c\u306e\u6bd4\u8f03\u3002\u5de6\u53f3\u306e\u5199\u771f\u306f\u540c\u4e00\u5375\u5de3\u30012D-AFC\u3088\u308a3D-AFC\u306e\u65b9\u304c\u591a\u3044\u50be\u5411\u304c\u898b\u3089\u308c\u308b\u3002\uff08\u5f53\u9662\u81ea\u9a13\u4f8b\uff09\u3000 <\/figcaption><\/figure>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>\u5de6\u5199\u771f\uff1a 2D-AFC\u306e\u8a08\u6e2c\u306f2D\u3067\u9332\u753b\u3057\u3001\u518d\u751f\u3057\u306a\u304c\u3089\u591a\u5c64\u65ad\u9762\u306e\u5404\u65ad\u9762\u306e\u5375\u80de\u306e\u76f4\u4ea4\u9577\u77ed\u5f84\u306e\u5e73\u5747\u5024\u306f2.0\uff5e10.0 mm\u4ee5\u5185\u306e\u5375\u80de\u6570\u3092\u5408\u8a08\u3057\u305f\u3002PCO\u306a\u3069\u591a\u6570\u5375\u80de\u306e\u5834\u5408\u306f\u591a\u5927\u306e\u6642\u9593\u3068\u52b4\u529b\u3092\u8cbb\u3084\u3059\u3002\u307e\u305f\u3001\u5375\u80de\u5965\u884c\u304d\u306e\u914d\u616e\u306f\u56f0\u96e3\u3002<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>\u53f3\u5199\u771f\uff1a 3D-AFC\u306e\u8a08\u6e2c\u306f3D \u8d85\u97f3\u6ce2\u3088\u308afollicle \u3092 scane \u3057\u3001SonoAVC\u2122 for AFC\u306esoft\u3092\u7528\u3044\u3001\u5404\u5375\u80de\u306eX,Y,Z \u8ef8\u3067\u9577\u65b9\u5f62\u306e\u4f53\u7a4d\u3092\u6c42\u3081\u3001\u540c\u4f53\u7a4d\u306e\u6b63\u65b9\u5f62\u3092\u63db\u7b97\u3057\u3001\u305d\u306e\u6b63\u65b9\u5f62\u306e\uff11\u8fba\u306e\u9577\u3055\u3092\u5375\u80de\u306e\u5e73\u5747\u76f4\u5f84\u3068\u3057\u3067\u81ea\u52d5\u7684\u76f4\u5f84\u3001\u5bb9\u7a4d\u3068\u5375\u80de\u6570\u3092\u89e3\u6790\u3057\u305f\u3002Volume of each follicle(cm3) =(Diameter(mm)\/2\/10) 3*4\/3*\u03c0<\/p>\n<\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1007\" height=\"781\" src=\"\/takasago\/images\/2022\/02\/Antral-follicle-\u306e\u76f4\u5f84-2mm10mm-\u3092\uff14\u7b49\u5206.png\" alt=\"\" class=\"wp-image-1588\" srcset=\"https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Antral-follicle-\u306e\u76f4\u5f84-2mm10mm-\u3092\uff14\u7b49\u5206.png 1007w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Antral-follicle-\u306e\u76f4\u5f84-2mm10mm-\u3092\uff14\u7b49\u5206-300x233.png 300w, https:\/\/okawa-obgyn.com\/takasago\/images\/2022\/02\/Antral-follicle-\u306e\u76f4\u5f84-2mm10mm-\u3092\uff14\u7b49\u5206-768x596.png 768w\" sizes=\"auto, (max-width: 1007px) 100vw, 1007px\" \/><figcaption> <strong>\u56f38<\/strong><br> Antral follicle \u306e\u76f4\u5f84 (2mm~10mm) \u3092\uff14\u7b49\u5206\u3057\u305fAFC\u306e\u914d\u5206\u6bd4\u91cd(\uff05)<br> \u5de6\u5375\u5de3\uff1a2.0~4.0mm 79.2%, 4.1~6.0mm 16.0%, 6.1~8.0mm 4.5%, 8.1~10.0mm 0.3%<br> \u53f3\u5375\u5de3\uff1a2.0~4.0mm 73.3%, 4.1~6.0mm 21.6%, 6.1~8.0mm 4.3%, 8.1~10.0mm 0.8%<br> \u5c0f\u3055\u3044\u5375\u80de(2mm~4mm)&nbsp; \u6570\u306e\u914d\u5206\u306f70\uff05\u4ee5\u4e0a\u3068\u5727\u5012\u7684\u591a\u304f\u3001\u5927\u304d\u3044\u5375\u80de(8mm~10mm)&nbsp; \u6570\u306e\u914d\u5206\u306f1\uff05\u672a\u6e80\u3068\u50c5\u304b\u306e\u3053\u3068\u3092\u5224\u660e\u3057\u305f\u3002\uff08\u5f53\u9662\u81ea\u9a13\u4f8b\uff09\u3000 <\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-video\"><video height=\"1080\" style=\"aspect-ratio: 1920 \/ 1080;\" width=\"1920\" controls src=\"\/takasago\/images\/2019\/12\/3D-AFC-1.mp4\"><\/video><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"i-4\">\u7d50\u8a9e<\/span><\/h2>\n\n\n\n<p>\u5375\u5b50\u306e\u767a\u80b2\u904e\u7a0b\u306b\u304a\u3044\u3066FSH, AMH, AFC \u306e\u751f\u7406\u7684\u6027\u8cea\u306f\u3001\u6b8b\u308a\u306e\u5375\u80de\u6570\u3084\u5375\u5de3\u4e88\u5099\u80fd\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\u3002\uff08\u56f3\uff13\uff09\u5375\u5de3\u4e88\u5099\u80fd\u691c\u67fbFSH, AMH, AFC \u306f\u3001\u81ea\u7136\u598a\u5a20\u306e\u78ba\u7387\u3084\u598a\u5b55\u529b\u306e\u4f4e\u4e0b\u3001\u9589\u7d4c\u671f\u306e\u5230\u6765\u3001\u65e9\u767a\u6027\u5375\u5de3\u6a5f\u80fd\u4e0d\u5168\u3001\u5375\u5de3\u640d\u50b7\uff08\u6297\u304c\u3093\u5264\u3001\u624b\u8853\u3001\u5b50\u5bae\u52d5\u8108\u585e\u6813\uff09\u306a\u3069\u306e\u4e88\u6e2c\u3068\u8a55\u4fa1\u306b\u975e\u5e38\u306b\u6a5f\u80fd\u7684\u306a\u65b9\u6cd5\u3067\u3042\u308b\u3002\u7d50\u5a5a\u3068\u4ed5\u4e8b\u3001\u598a\u6d3b\u3068\u51fa\u7523\u306a\u3069\u4eba\u751f\u306e\u8a2d\u8a08\u306b\u304a\u3044\u3066\u3001\u305d\u3057\u3066ART\u306e\u6cbb\u7642\u9078\u629e\u3084\u3001\u53d7\u7cbe\u80da\u51cd\u7d50\u30fb\u5375\u5b50\u51cd\u7d50\u30fb\u5375\u5b50\u306e\u63d0\u4f9b\u306a\u3069\u306e\u91cd\u5927\u306a\u5c40\u9762\u306b\u304a\u3044\u3066\u3082\u3001\u9078\u629e\u6642\u306e\u8cb4\u91cd\u306a\u53c2\u8003\u56e0\u5b50\u306b\u306a\u308b\u3002\u66f4\u306b\u3001ART\u6cbb\u7642\u3059\u308b\u969b\u306b\u5375\u5de3\u306e\u53cd\u5fdc\u6027\u3001\u63a1\u5375\u7387\u3001\u598a\u5a20\u7387\u306e\u4e88\u6e2c\u3001OHSS\u306e\u56de\u907f\u306b\u3082\u91cd\u8981\u306a\u5224\u65ad\u60c5\u5831\u306b\u306a\u308b\u3002\u4f46\u3057\u3001FSH, AMH, AFC \u306f\u4e07\u80fd\u3067\u7d76\u5bfe\u7684\u57fa\u6e96\u3067\u306f\u306a\u304f\u30012017\u5e74\u306b\u7c73\u56fdNIH\u304c\u52a9\u6210\u3057\u305f\u8ad6\u6587\u3067\u306f\u3001AMH, FSH, Inhibin B\u304b\u3089\u3001\u6bd4\u8f03\u7684\u9ad8\u9f62\u306a\u5973\u6027\u306e\u598a\u5a20\u306e\u53ef\u80fd\u6027\u3092\u4e88\u6e2c\u3067\u304d\u306a\u3044\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u305f\u3002<strong>15)<\/strong><strong>\u3000<\/strong><strong>16<\/strong><strong>\uff09\u3000<\/strong>\u3055\u3089\u306b\u305d\u306e\u4ed6\u591a\u56e0\u5b50\u3092\u7d44\u307f\u5408\u308f\u305b\u3066\u5ba2\u89b3\u7684\u3001\u7dcf\u5408\u7684\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308c\u3070\u4eca\u5f8c\u3088\u308a\u6b63\u78ba\u306a\u6307\u6a19\u3068\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u3000<\/p>\n<p>\u4e00\u65b9\u3001\u5375\u5b50\u306f\u4e00\u751f\u306e\u3046\u3061\u306b\u7d30\u80de\u5206\u88c2\u3088\u308a\u65b0\u751f\u3059\u308b\u5375\u5b50\u304c\u306a\u3044\u70ba\u3001\u52a0\u9f62\u306b\u3066\u5375\u5b50\u306f\u78ba\u5b9f\u306b\u8001\u5316\u3057\u3001\u6570\u306e\u6e1b\u5c11\u3068\u540c\u6642\u306b\u8cea\u3082\u52a3\u5316\u3059\u308b\u3002\u4e21\u65b9\u306e\u8870\u9000\u3068\u3082\u598a\u5b55\u529b\u306b\u3068\u3063\u3066\u306f\u81f4\u547d\u7684\u3067\u3042\u308b\u304c\u3001\u5375\u5b50\u306e\u8cea\u3092\u8a55\u4fa1\u3059\u308b\u65b9\u6cd5\u306f\u307e\u3060\u306a\u3044\u306e\u304c\u73fe\u72b6\u3067\u3042\u308b\u3002\u591a\u304f\u306f\u901a\u5e38\u5375\u5b50\u306e\u6570\u3068\u8cea\u306f\u6b63\u6bd4\u4f8b\u306b\u306a\u3063\u3066\u3044\u308b\u3002ART\u306e\u63a1\u5375\u6570\u304c\u6ca2\u5c71\u63a1\u308c\u308c\u3070\u3001\u305d\u306e\u4e2d\u306b\u8cea\u306e\u826f\u3044\u5375\u5b50\u304c\u5b58\u5728\u3059\u308b\u78ba\u7387\u3082\u9ad8\u3044\u3068\u306e\u610f\u898b\u3082\u3042\u308b\u3002<strong>14<\/strong><strong>\uff09<\/strong> \u3057\u304b\u3057\u3001\u6570\u3068\u8cea\u304c\u9006\u8ee2\u3059\u308b\u75c7\u4f8b\u3082\u5c11\u306a\u304b\u3089\u305a\u5b58\u5728\u3059\u308b\u3002\u305d\u306e\u70ba\u306b\u5375\u5b50\u306e\u751f\u614b\u3092\u66f4\u306b\u63a2\u7a76\u3057\u3001\u65e2\u5b58\u306eORT\uff08Ovarian reserve test)\u3092\u66f4\u306b\u9032\u5316\u3055\u305b\u3001\u3088\u308a\u8cea\u7684\u56e0\u5b50\u3092\u53cd\u6620\u3059\u308bORT\u306e\u958b\u767a\u304c\u4eca\u5f8c\u306e\u8ab2\u984c\u3067\u3042\u308b\u3002<\/p>\n<p><span style=\"font-size: 12pt;\"><strong><span style=\"color: #666699;\">\u5927\u5ddd\u7523\u5a66\u4eba\u79d1\u30fb\u9ad9\u7802\uff08\u5927\u5dddART)\u539f\u8457&nbsp; \u3000\u3000\u3000<\/span><\/strong><\/span><span style=\"font-size: 12pt;\"><strong><span style=\"color: #666699;\"><span style=\"color: #008000;\"><a style=\"color: #008000;\" href=\"https:\/\/okawa-obgyn.com\/hosp\/about\/message\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u6587\u8cac \u540d\u8a89\u9662\u9577 \u5927\u5ddd\u6b23\u6804<\/a><\/span><\/span><\/strong><\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span id=\"i-5\">\u53c2\u8003\u6587\u732e<\/span><\/h2>\n\n\n\n<p><strong>1) <\/strong>\u6027\uff0c\u914d\u5076\u95a2\u4fc2\u522520\u6b73\u6642\u53ca\u307340\u6b73\u6642\u5e73\u5747\u4f59\u547d\uff1a1955\uff5e1995\u5e74. \u56fd\u7acb\u793e\u4f1a\u4fdd\u969c\u30fb\u4eba\u53e3\u554f\u984c\u7814\u7a76\u6240: 2005\u5e74\u7248, \u8868\uff15\uff0d\uff12\uff12<\/p>\n<p><strong>2)<\/strong> K Modig, M Talb\u00e4ck, J Torssander,\u3000et al: Payback time? Influence of having children on mortality in old age. Journal of Epidemiology and Community Health. Parental status &amp; health, 2017;71:424-430.<\/p>\n<p><strong>3)<\/strong> Senyo SE1, Steinhauser ML, Pizzimenti CL, et al: Mammalian heart renewal by pre-existing cardiomyocytes. Nature, 2013: 493(7432):433-6.<\/p>\n<p><strong>4) <\/strong>Maura Boldrini, Camille A. Fulmore, Alexandria N. Tartt : Human Hippocampal Neurogenesis Persists throughout Aging , Cell Stem Cell : 2018 ; Volume 22, ISSUE 4, P589-599.<\/p>\n<p><strong>5) <\/strong>\u7530\u8c37 \u4e00\u5584 : \u30a4\u30f3\u30d2\u30d3\u30f3\u3068\u30a8\u30b9\u30c8\u30e9\u30b8\u30aa\u30fc\u30eb\u306b\u3088\u308b \u8996\u5e8a\u4e0b\u90e8\u30fb\u4e0b\u5782\u4f53\u30fb\u5375\u5de3\u8ef8\u306e\u8abf\u7bc0\u6a5f\u69cb.&nbsp; \u65e5\u672c\u751f\u6b96\u5185\u5206\u6ccc\u5b66\u4f1a\u96d1\u8a8c : 2003 ;\uff18\uff1a11 -17<\/p>\n<p><strong>&nbsp;<\/strong><strong>6<\/strong><strong>\uff09<\/strong> \u5927\u5ddd\u5f66\u5b8f, \u6709\u6751\u8ce2\u4e00\u90ce, \u68ee\u7530\u54f2\u592b \u3089\u3001\u7b2c63\u56de\u65e5\u672c\u751f\u6b96\u533b\u5b66\u4f1a\u5b66\u8853\u8b1b\u6f14\u4f1a\u3001\u65ed\u5ddd\u5e02\u30002018<\/p>\n<p><strong>7) &nbsp;<\/strong>Thomas W. Kelsey, Phoebe Wright, Scott M Nelson, et al : A Validated Model of Serum Anti-M\u00fcllerian Hormone from Conception to Menopause. PLOS ONE : July 15, 2011.<br><a href=\"https:\/\/doi.org\/10.1371\/journal.pone.0022024\">https:\/\/doi.org\/10.1371\/journal.pone.0022024<\/a><\/p>\n<p><strong>8) <\/strong>Andersen CY1, Schmidt KT, Kristensen SG, et al: Concentrations of AMH and inhibin-B in relation to follicular diameter in normal human small antral follicles. Hum Reprod : 2010 May;25(5):1282-7.<\/p>\n<p><strong>9) <\/strong>Christian Gnoth, Judith Roos, David Broomhead, et al : Antim\u20acullerian hormone levels and numbers and sizes of antral follicles in regularly menstruating women of reproductive age referenced to true ovulation day. &nbsp;&nbsp;&nbsp;&nbsp;<br>Fertility and Sterility : 2015 ; Vol. 104, No. 6, December 0015-0282<strong>&nbsp;<\/strong><\/p>\n<p><strong>10<\/strong><strong>\uff09\u3000<\/strong>Jure Knez, Borut Kova\u010di\u010d, Medved M, et al:\u3000What is the value of anti-M\u00fcllerian hormone in predicting the response to ovarian stimulation with GnRH agonist and antagonist protocols?&nbsp; Reprod Biol Endocrinol. 2015 Jun 10;13:58.<\/p>\n<p><strong>11) <\/strong>Haiyan Zheng, Shiping Chen, Hongzi Du, et al: Ovarian response prediction in controlled ovarian stimulation for IVF using anti-M\u00fcllerian hormone in Chinese women&nbsp; A retrospective cohort study. Medicine (Baltimore). 2017 Mar; 96(13):<\/p>\n<p><strong>12<\/strong><strong>\uff09<\/strong>David B. Seifer, M.D., Valerie L. Baker, M.D., Benjamin Leader, : Age-specific serum anti-M\u00fcllerian hormone values for 17,120 women presenting to fertility centers within the United States&nbsp;. Fertility and Sterility&nbsp;: 2011; Volume 95, Issue 2, Pages 747-750.<\/p>\n<p><strong>13) <\/strong>\u5e73\u621029\u5e74\u5ea6\u751f\u6b96\u30fb\u5185\u5206\u6ccc\u59d4\u54e1\u4f1a(\u59d4\u54e1\u9577:\u5927\u9808\u8cc0\u7a63) ; \u751f\u6b96\u533b\u7642\u30ea\u30b9\u30af\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u5c0f\u59d4\u54e1\u4f1a(\u59d4\u54e1\u9577\uff1a\u82db\u539f\u3000\u7a14) &nbsp;\u6297\u30df\u30e5\u30e9\u30fc\u7ba1\u30db\u30eb\u30e2\u30f3\uff08Anti-M\u00fcllerian\u200cHormon\uff1a AMH\uff09\u306e\u9069\u6b63\u306a\u53d6\u308a\u6271\u3044\u306b\u95a2\u3059\u308b\u6307\u91dd\u306e\u4f5c\u6210<\/p>\n<p><strong>14)<\/strong> &nbsp;Jan Holte, Thomas Brodin, Lars Berglund, et al : Antral follicle counts are strongly associated with live-birth rates after assisted reproduction, with superior treatment outcome in women with polycystic ovaries. 2011; Volume 96, Issue 3, Pages 594\u2013599.<\/p>\n<p><strong>15)<\/strong> Anne Z. Steiner, David Pritchard, Frank Z. Stanczyk, et al : Association Between Biomarkers of Ovarian Reserve and Infertility Among Older Women of Reproductive Age. 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