Fleites LA, Jiménez PS, Álvarez MMC, Vega CMP, Monteagudo BM, Cabrera BR

Language: Spanish
References: 13
Page: 399-406
PDF size: 90.60 Kb.

ABSTRACT

Introduction: infertility is a global problem. It is estimated to affect 60 to 80 million couples worldwide.
Objective: describe the behavior of some variables related to success or failure in patients who underwent artificial insemination.
Method: a retrospective descriptive study was performed at the Gynecobstetric University Hospital, Villa Clara, from January 2008 to December 2011. The universe was formed by couples who were treated for infertility reasons and the sample had 416 women by design. The study variables were age, type and duration of infertility, personal medical history, causes of infertility, and these procedure complications. Descriptive and inferential statistics were used to process information.
Results: secondary infertility in women 35 and older primed, a statistically significant association between age and length of infertility (X² = 29.13; ? = 0.000) was observed, pelvic inflammatory disease was the most frequent antecedent, tube-peritoneal factor was the most frequent and salpingitis was the most frequent complication.
Conclusions: a proper selection of patients to undergo artificial insemination considering the optimal age in relation to the time and type of infertility, timely treatment of genital tract infections contribute to avoid complications ensure the success of artificial insemination.

REFERENCES

1. Boivin J, Bunting I, Cillins JA, Nygren KG. International estimates of infertility prevalence and treatment seeking: potential need and demands for infertility medical care. Hum Reprod. 2007;22:1506-12.

2. Serpa I, Lima A, López C, Iglesias D, Legascue L, Osta M, et al. Factores de infertilidad en el ámbito público de la ciudad de Rosario. Reproducción. 2011;26:24-30.

3. Celis López A. Inseminación intrauterina en el momento actual. Rev Peru Ginecol Obstet. 2011;58:107-14.

4. Ambe Kably A, Lomas Carrera E, Carballo E, Cañas Campo JA, García Nuñez M. Resultados de la inseminación intrauterina en el centro especializado para la atención a la mujer. Ginecol Obstet Mex.2011;58:11-6.

5. Nyboe A, GoossensV, Bhattacharya S, Ferraretti AP. Assistted reproductuve technology and intrauterian insemination in Europ, 2005: resullts generated from European registers by ESHRE. The European Society of Human Reproduction and Embryology (ESHRE). Hum Reprod. 2009;24(6):1276-87.

6. Cofrades González J, Efter Linder C, Ramos Aguirre G, Nava Vilchis P,Befeler Smeke J, Martínez Navarro C, et al. Determinantes en el resultado de la inseminación intrauterina análisis de 1,040 ciclos consecutivos. Revista Mexicana de Reproducción. 2011;3(4):193-8.

7. Manzur A, Rodrigo M, Gajardo G. Inseminación intrauterina en mayores de 38 anos, ¿vale la pena? Rev Per Ginecol Obstet. 2012;58:11-6.

8. Páez G. Aspectos clínicos de la inseminación homóloga ¿es actualmente una técnica eficaz? Pers Bioét. 2011;15(1):25-39.

9. Pérez Peña E. Atención integral de la infertilidad 2da ed. México: Mcgraw Hill;2007.p. 657-69.

10. Hilario R, Dueñas J, Chávez J, Romero R, Tesén V. Tasa de embarazo de inseminación intrauterina heteróloga usando cánulas de transferencia de embriones. Rev Peru Ginecol Obstet. 2013;59:171-5.

11. Harris ID, Missmer SA, Hornstein MD. Poor success of gonadotripin-induced controlled ovarian hyperstimulation for older women. Fertil Steril. 2010;94(1):144-8.

12. Sharam S, Mittal S, Aggarwal P. Mangagement of Infertility in low resource countries. BJOG. 2009;116(1):77-83.

13. Francavilla F, Sciarreta F, Sorgentone S, Necozione S, Santucci R, Barbonetti A, et al. Intrauterine insemination with o without mild ovarian stimulation in couples with male subfertility due to aligo/astheno-and/or teratoszoospermia or antisperm antibodies: a prospective cross-over trial. Fertil Steril. 2009;92(3):1009-11.