2012, Number 09
Mexican National Consensus on Assisted Reproduction Treatment
Kably AA, López OCS, Serviere ZC, Velázquez CG, Pérez PE, Santos HR, Luna RM, Valerio E, Santana H, Gaviño GF
Full text
Language: Spanish
References: 3
Page: 581-624
PDF size: 1244.77 Kb.
ABSTRACT
Background: It is estimated that 15% of couples living in industrialized countries are infertile, ie have failed to conceive, reproductive age, after 12 months ormore of regular intercourse without contraception. During the past decade has increased the demand for fertility treatments because they believe are moreeffective now.Objective: To unify the therapeutic approach and service to patients and set a precedent for a Mexican Official Standard respect and support for the legislation of these procedures.
Method: Consensus by technical experts group panel with the participation of 34 national centers accredited for use in assisted reproduction. He organized seven workshops with the following themes: 1) selection of patients for assisted reproduction treatment, 2) schemes controlled ovarian stimulation for assisted reproduction techniques of high complexity, 3) preparation and egg retrieval technique, 4) transferembryo; 5) luteal phase supplementation; 6) indications and techniques of cryopreservation and 7) informed consent. Each table had a coordinator who wrote and presented the findings to the full, it made a number of observations until they reached unanimity of criteria, which are reflected in this document.
Results: Patient selection for assisted reproduction techniques is the first step of the process. Proper selection lead to success, in the same way that a bad pick up for failure. In the case of egg donation the most important recommendation is that only one to two embryos transferred in order to reduce multiple pregnancy rates and maintaining high pregnancy rates. Our best expectation is that the present Consensus can be used as a clinical guide to unify criteria on therapy and service to patients, as well as an incentive in the pursue of an official Mexican Norm, and a tool for the legislation over these procedures.
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