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?ѼԤȤ??Ƥϡ????Ԥ?????鼣????????Ϣ?????ԤĤ??Ȥ????Ǥ??ޤ?????

 

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??ǯ??40?Ф????Ť??Ƥ???ǯ???????????ĥ?ä?蝹????̤ä????夬?????ޤ?????

̵???Ф???1?١???2?٤Ȥ????ޤ?????蝹??????Ǻ??ٷ??Ф??????ΤϤʤ??ʤ?????Ǥ???

???δ??Ԥ????????????ˤ??뤷?ƥۥ???????ˡ???Ԥ??ޤ????????θ???蝹??θ??̤??ä???????³Ū?˽?Ĵ?˼?????????³???褦?ˤʤ??ޤ?????

ǥ?????졢??Ĵ??³?????Ȥ??ꤦ?Ф????Ǥ?????蝹???ǥ????³???ɤ????̤??????ޤ????⤦?????ä?蝹???³???ޤ???

???ƥ??ʥ???ߥʡ??Ǥ??á?

???ä???ǥ?????Ƥ⡢ή???????뤳?Ȥ??ɤ??????ޤ???

?äˡ???ǥ?ɤ??ä?????????ǥ?????????硢ή?????????????ä?¿???ȴ????ޤ????????ϡ?ǥ???????ʤ??ä??????˥ۥ???????ꡢ蝹??ǥۥ????????????ǥ???????Ȥ??Ƥ⡢?л??Ǥ????ޤǤβ????ޤǤˤ⤦???⡪?Ȥ??????????ä????⤷???ޤ?????

??????ή????7???϶?ȯŪ???????Τΰ۾郎?????ȸ??????Ƥ??ޤ????Ĥޤ?ή????7???ϼ????λ??˱?̿?????ޤ롢?Ȥ??????Ȥ??????Ǥ???

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ή???ϤȤƤ??Ĥ餤???ΤǤ?????ǥ???Ǥ??????餳???????????Թ??Ǥ???????ǥ???˸????Ƽ??Ťλ?????ƨ???ʤ??Ǥۤ????Ȼפ??ޤ???

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?ֵ?????4???֤???ǥ?ɤΥ??ߥʡ??Ǥ???

?µ???1???֤??餤???ۤ??ѥ?ݥ????Ȥ??Ȥä??³ؤ?3???֤Ǥ???????????Ĺ?????ߥʡ??Ǥ??????????Ǥ??????????ޤ?????

???礫???饤?ɤ??Ҳ?ޤ???

 

ǥ?????åץ??????ս긫??

?⤦??????Υ֥���?Ǥ⤪???????Ƥ??ޤ?????WHO?????մ??ब???´????ͤǤ??뤳?Ȥ??????뤿???λ????Ǥ???

???ޥꥢ???ʰ??????ض????????θ????ݰ???ʡ?????ض????δ????????ε??Ťʸ????Ǥ???

???Ǥˤ??Ҥ?????륫?åץ??????Τˤ?ǥ?ؤ????Υѡ??ȥʡ??ˤ????ս긫??椷?????ΤǤ???

???Τǡ?1?ߥ????åȥ???????1??2???????餤?????ҤȤʤäƤ??ޤ???

?Ȥ??���??ǥ?????????ʤ???18?Ф???24?ФޤǤ???????Ĵ?٤???ʿ?Ѥ?6??800???Ȥ??????ȤǤ?????????ʿ?ѤǤ⽽ʬ??????ǻ?٤Ǥ????????????ˤ?ʿ?Ѥ??礭???????????ս긫???????????Ϥ??ǡ??????????㤨??ǥ??Ψ???礭???????Ƥ??븶???ˤʤäƤ??롢?Ȥ????ä?ޤ?????

???????????????ǹԤäƤ?????????ǥ?μ???ˡ???Ҳ?ޤ?????

 

?????β?ɽ?β??ᡦ?????β??ǵ????դ??뤳??

?Ƕ??ϡ????ޥۤΥ??ץ??ǵ?Ͽ???Ƥ???????¿???????β??Ǥ????????狼?ɤ????????ˤ???ɬ?פϤ????ޤ?????2?ؤˤʤäƤ?????OK?Ȥ??ޤ???

???????????м?????25???ʲ????????????ա???FSH????AMH??ͽ¬???졢????ǥ???Ф??????ä?Ĺ???ּ??Ť????ȼ??٤??ˤʤ뤳?Ȥ??????ޤ???

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?????ߥ??Ƴ?ˤĤ???

???????????ä????????Ԥ??ȼ????褯ǥ?????????????Ǥ??????¤????????˼??????Ƽ?????????80%?ʾ??γ?Ψ??ή?????롣
??Ÿ?Ϣ???Wilcox AJ et.al. Hum Reprod 13: 394-397, 1998??

?ʤ????嵭?ν?Ÿ?ϥ??å????ե????????ؽ??Ƕɤ????????ųؽѻ??Ǥ???

????ǥ??Ψ???⤤?Τϡ?????2?????Υ????ߥ?Ȥ??????ȤǤ??????????????????ʤ???5??̤???ˤ??ȡ????Ϥ?ή??Ψ???⤤??

????ƴ????β????⤯?ʤꡢ???Ϥ?ǥ???˴ط??ʤ????δ??ˤ????????Ԥ??ȡ?ǥ????³????????Ư???????롣
??Ÿ?Ϣ???Science 1995; 270: 630??/??Mol Hum Reprod 2006; 12: 301??/??Biol Reprod 2009; 80: 1036??/ Hum Reprod Update 2009; 15: 517 (Review)??/??J Reprod Immunol. 2010; 85:121??

?¤?¿???γؼԤθ??????̤??????ޤ???

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