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>Revistas >Ginecología y Obstetricia de México >Año 2008, No. 01


Barros DJC, Martínez BE, Moreno AC, Godines EMS, Manzur NF, Sánchez SV, Barroso VG
Inseminación intrauterina versus coito programado en ciclos de hiperestimulación ovárica controlada
Ginecol Obstet Mex 2008; 76 (01)

Idioma: Español
Referencias bibliográficas: 36
Paginas: 18-31
Archivo PDF: 198.14 Kb.

[Texto completo - PDF]

RESUMEN

Antecedentes: las técnicas de reproducción asistida se utilizan cada vez con mayor frecuencia en el tratamiento de parejas con diagnóstico de infertilidad.
Objetivo: analizar el valor de la inseminación intrauterina en pacientes a quienes se realiza hiperestimulación ovárica controlada.
Material y métodos: estudio analítico, comparativo, retrospectivo y longitudinal de casos y controles. Se analizaron los ciclos de inseminación intrauterina (grupo I) y de coito programado (grupo II) de pacientes a quienes se efectuó hiperestimulación ovárica controlada, del 1 enero del 2004 al 31 diciembre del 2006. Se incluyeron pacientes infértiles entre 24 y 42 años (grupo I) y entre 23 y 36 años de edad (grupo II). Se analizaron: edad, tipo, causa y tiempo de infertilidad, densidad y movilidad espermática poscapacitación, así como espermatobioscopia directa para coito programado; número de folículos totales y maduros, grosor endometrial, tipo y dosis de gonadotropina y día de inseminación para el grupo I o día de inicio del coito para el grupo II. Los resultados se analizaron con los programas STATA 7.0 y SPSS 12.0.
Resultados: se analizaron 873 ciclos en 539 pacientes del grupo I y 246 ciclos en 138 pacientes del grupo II. La tasa de embarazo por ciclo fue de 13.1% (inseminación intrauterina) y de 5.2% (coito programado, p›0.05). La edad promedio para inseminación intrauterina y coito programado fue de 32.9 ± 3.5 y de 31.82 ± 2.7 años, respectivamente. Hubo diferencia significativa sólo en la densidad espermática entre ambos grupos.
Conclusiones: la inseminación intrauterina no parece tener ventaja sobre el coito programado en las tasas de embarazo de pacientes que han recibido hiperestimulación ovárica controlada.


Palabras clave: inseminación intrauterina, coito programado, hiperestimulación ovárica controlada.


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>Revistas >Ginecología y Obstetricia de México >Año2008, No. 01
 

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