枸橼酸克罗米酚(CC)是现在最常使用的具有良好诱发排卵效果的药剂。对CC无效的病例和多囊卵巢综合征(PCOD),作者采用地塞米松(DEX)-CC疗法取得良好疗效。最近认为高雄激素(androgen,A)血症和排卵障碍密切相关,PCOD在广义上也考虑是高A血症。兹就DEX—CC疗法的病例选择、药物应用、临床效果及作用机制加以叙述。 Clomiphene citrate (CC) is the most commonly used now with good ovulation induction effect of the agent. The case of ineffective CC and PCOD, the author of dexamethasone (DEX) -CC therapy achieved good results. It has recently been suggested that androgen (A) hyperlipidemia and ovulation disorders are closely related, and PCOD is also considered as hyperintense in a broad sense. The case selection, drug use, clinical efficacy and mechanism of action of DEX-CC therapy are described.