elena carrillo de albornoz - rlh. cuando es necesaria - ii simposio reproducción asistida quirón

8/12/2019 Elena Carrillo de Albornoz - rLH. cuando es necesaria - II Simposio Reproduccin Asistida Quirn

1/86

HH [HETN[HN fg PGTPNFWKKHNB C[H[VHFC

LPWTN MN[THVCACPHN SWHPNB

Ac gvhfgbkhc gb ac Pgprnfukkhb CshsthfcOugvgs 04 y vhgrbgs 03 fg Ig`rgrn fg 0436

Mnsphtca Wbhvgrshtcrhn Suhrb Ecfrhf

P-AM ? KWCBFN G[ BGKG[CPHC>

Gagbc Kcrrhaan fg Ca`nrbnz Phczc.


2/86

TCTGA FG AC AM GB GA KHKAN NYCPHKN BN G[VHEWACFN

InahkuanlgbgshsGstgrnhfnlgbgshsEcfurckhb nvnkhtcrhc

Ecbtgbhehgbtn kugrpn autgn.


3/86


4/86


5/86

CKKHB FG I[M y AM GB KAWAC[ FG AC LPCBWAN[CInakuans 1 30ee

7

Pgkgptnrgs I[Mgb lrcbuansc

I[M

Kauacs fg tgkc gxtgrbc

Vgkc hbtgrbc

Kcphacrgs Ege`rcbc

Kauacs kueuaus nnpmnrus

Nnkhtn_nbc pgaukhfc

Kauacs fg lrcbuansc

Cbtrn inahkuacr

Pgkgptnrgs AM gbkauacs fg ac tgkc

AM


6/86


7/86


8/86

CKKHB FG I[M y AM GB KAWAC[ FG AC LPCBWAN[CINAKWAN[ 230ee

=

Pgkgptnrgs I[M/AMgb lrcbuansc

I[M/AM

Kauacs fg tgkc gxtgrbc

Vgkc hbtgrbc

Kcphacrgs Ege`rcbc

Kauacs kueuaus nnpmnrus

Nnkhtn_nbc pgaukhfc

Kauacs fg lrcbuansc

Cbtrn inahkuacr

Pgkgptnrgs AM gbkauacs fg ac tgkc

AM


9/86



10/86


11/86



12/86

VGNPC FG AC[ 0 KAWAC[-0 LNBCFNVPNTHBC[


13/86

Gxprgshb fhigrgbkhca fga rgkgptnr fg ac AM

Ogppgsgb gt ca. AM-Pgkgptnr Lgbg gxprgsshnb hb Muecb Lrcbuansc cbf kueuaaus kgaas

irne cbtrca cbf prgnvuactnry inaahkags.

Ga AMP bn sg gxprgsc san gb ac tgkc knen trcfhkhnbcaegbtg sg mc vgbhfn pgbscbfn

Vce`hb an mckg gb `con lrcfn gb kauacs fg ac lrcbuansc fg inakuans cbtrcags

pgqugns (9 ee)

Ac gxprgshb gs exhec gb inakuans prgnvuactnrhns (37 ee)

[ustgbtc ac pnsh`hahfcf fg kg`cfn knb AM prgvhn c ac gstheuackhb

Nirgkg `csg ihshnalhkc pcrc ans egonrgs rgsuatcfns ca ccfhr AM gb TNP

(Knkmrcbg, Enkmtcr)

Kugsthnbc mhptgshs trcfhkhnbca fg fnskauacs-fns lnbcfntrnphbcs

O Kahb Gbfnkrhbna Egtc` 0430: 8


14/86

Gxprgshb fhigrgbkhca fga rgkgptnr fg ac AM

O Kahb Gbfnkrhbna Egtc` 0430: 8


15/86

AM X MHTNLNBCFH[EN MHTNLNBCFNVPNTN

AM y I[M `cocs.I[M snac? fgscrrnaan inahkuacr shb prnfukkhb fg gstrlgbns.Fnshs?


16/86

Mhpntgshs

Ac suprgshb mhpnihscrhc knb cbanlns LbPM n knbcbtclnbhstcs LbPM prnfukhrcb bhvgags gbflgbns fg AM ansuihkhgbtgegbtg `cons knen pcrc bn knepagtcr ac ecfurckhbfga inakuan y ac ecfurgz nvnkhtcrhc.

Vrgegbfc mgtgrnlgbghfcf fg gstufhns Vhpn fg pckhgbtgs

Vhpn fg prntnknans

Euy fhikha lgbgrcahzcr

Knepcrcr acs fhigrgbtgs pn`ackhnbgs fg euogrgs Knepcrcr vcrhc`ags n pnbfgrcracs

Euy fhigrgbtgs pcutcs fg gstheuackhb rgspgktn c fnshs fghbhkhn, enfhihkckhb fg ac ehsec, fnshs tntca.

KWCBFN X KNEN AM


17/86

KWCBFN X KNEN AM

3Cbcanlns acrln y bnrenrgspugstc.

0Cbtclnbhstcs gb bnrenrgspugstc.

;Cbcanlns- cbtclnbhstcs `coc rgspugstc.

6 Cbcanlns-cbtclnbhstcs gfcf 2 ;7 cns.


18/86

KWCBFN X KNEN AM






19/86

KHKAN[ FG CBCANLN[ GBBNPENPG[TWG[VC

Mhpntgshs

Ycanrcr sh ac AM rgshfuca sgrhc suihkhgbtg pcrc knbsgluhr ubccfgkucfc gstheuackhb gb gstg lrupn fg pckhgbtgs.

Nkupckhb fg 3% fg ans rgkgptnrgs fg AM gs suihkhgbtg pcrcubc bnreca gstgrnhfnlgbgshs.


20/86

KHKAN[ FG CBCANLN[ GBBNPENPG[TWG[VC


21/86

- 33 gstufhns knb ub tntca fg 0;89 pckhgbtgs .- Cbcanlns acrln y bnrenrgspnbfgfnrcs.- Knepcrckhb fg ac gstheuackhb knb I[M snac y I[M + AM.


22/86


23/86


24/86

Ac uthahzckhb fg AM bn supnbg vgbtcoc calubc gb ans prntnknansfg gstheuackhb.

Tnfrhc mc`gr ub pgqugn gigktn pnshthvn gb kucbtn cfhsehbukhb fg acs prfhfcs lgstckhnbcags.


25/86


26/86

30-36% fg acs pckhgbtgs bnrenlnbcfntrnpcs gb prntnknan fg cbcanlnsacrln, prgsgbtcb rgspugstc cbnreca c ac gstheuackhb knb I[M snac.

Krgkhehgbtn inahkuacr hbhkhca cfgkucfn, sgluhfn fg ubc icsg fg gstc`hahzckhbgb egsgtc gb ac qug bn sg prnfukgb kce`hns shlbhihkcthvns gb ans bhvgags fgG0 bh gb ga tcecn inahkuacr.

Gstn aagvc c ubc rgspugstc ecs `coc fg an gspgrcfn knb ecynr knbsuen fgI[M.


27/86

30-36% rgspugstccbnecac c ac I[M snac


28/86


29/86


30/86

[g n`sgrv ub cuegbtn shlbhihkcthvn fga b fgnvnkhtns gb acs pckhgbtgs qug rgkh`hgrnb AM gbrgackhb c acs qug cuegbtcrnb ac fnshs fg I[M.

[hb ge`crln acs tcscs fg hepacbtckhb yge`crczn shlugb shgbfn hbigrhnrgs c acs fgalrupn knbtrna.


31/86

Sug krhtgrhn fhclbsthkn sg sgluhrhc pcrc hfgbthihkcr gstg

su`lrupn fg pckhgbtgs> -AM 13 - AM egbns ckthvc> - rgspugstc c I[M su`pthec knb b fg inakuans knb

krgkhehgbtn gb egsgtc fga fhc 7-= fg gstheuackhb nbhvgags fg G0 hbcfgkucfns. Enegbtn fg hbhkhn fg ac AM fhc =.


32/86

Gxnlgbnus autghbhzhbl mnrenbg hb knbtrnaagf nvcrhcbmypgrstheuacthnb inr csshstgf rgprnfukthnbtgkmbhqugs.Igrrcrgth ( Igrtha [tgrha 0446:=0)

Gstufhn prnspgkthvn y rcbfnehzcfn.

309 pckhgbtgs knb mhpnrrgspugstc c I[M.

; lrupns? catcs fnshs fg I[M.

AM +fnshs hbkrgegbtcfcs fg I[M.

MEL.. Lrupn knbtrna fg 76 bnrenrgspnbfgfnrcs.


33/86

Vcsc fg hepacbtckhb y ge`crczn gsgstcfsthkcegbtg shlbhihkcthvc ecynr gb ga

lrupn fg AM shgbfn shehacr ca lrupn fgbnrenrgspnbfgfnrcs.

Ga % fg bckhfn vhvn iug shehacr ca lrupn knbtrnaehgbtrcs qug gb ans ntrns fns lrupns iug fg ac

ehtcf. Egfhc fg nvnkhtns gb lrupn I[M 8,= y gb ga

lrupn fg I[M+AM 33,3.

Gxnlgbnus autghbhzhbl mnrenbg hb knbtrnaagf nvcrhcbmypgrstheuacthnb inr csshstgf rgprnfukthnbtgkmbhqugs.Igrrcrgth ( Igrtha [tgrha 0446:=0)


34/86

Gstufhn prnspgkthvn pcrc vcanrckhb fg ac cfhkkhb fg AM cahbhkhn fg ac gstheuackhb gb khkan acrln knb cbcanlns.


35/86


36/86


37/86


38/86


39/86

Ac AM pnfrhc tgbgr ub gigktn hbeubnrgluacfnr furcbtg ac

nvuackhb y ac hepacbtckhb ge`rhnbcrhc.

Ac cfhkkhb fg AM gb khkans fg bnrenrgspnbfgfnrcs knb cbanln

acrln, bn egonrc ga b tntca fg ge`rhnbgs pgrn sh ga b tntca fgge`rhnbgs fg `ugbc kcahfcf shb ge`crln bn egonrc acs tcscs fgge`crczn pgrn sh acs lgstckhnbgs gvnauthvcs.


40/86

KWCBFN X KNEN AM






41/86

MHTNVG[H[

-Ans cbtclnbhstcs knephtgb fhrgktcegbtg knb ansrgkgptnrgs fg ac LbPM prnvnkcbfn ubc

suprgshb mhpnihscrhc prniubfc g hbegfhctc.

- Gstn pnfrhc nkcshnbcr ubc fhsehbukhb `ruskcgb ans bhvgags fg AM fga khkan.

AM GB KHKAN[ KNB CBVCLNBH[VC[


42/86


Egtcbcahshs fg @cruiih ( Pgprnf @hnegf Nbahbg 044


43/86


44/86


45/86


46/86


Ac supagegbtckhb knb AM gb khkans knbcbtclnbhstcs bn pcrgkg egonrcr ans rgsuatcfnsrgspgktn c ac cfehbhstrckhb fg I[M snac bh gb

tcsc fg bckhfn vhvn, bh gb tcscs fg lgstckhb bhgb ga buegrn fg nvnkhtns rgkupgrcfns.

[hb ge`crln ga buegrn fg gstufhns gs snan ; y

sg bgkgshtc ecs gstufhns knb ub buegrnecynr fg pckhgbtgs.


47/86

KWCBFN X KNEN AM






48/86

AM GB AC @COC PG[TWG[VC

MHTNVG[H[

AM pcpga iubfcegbtca gb ac sbtgshs nvrhkc fg cbfrlgbns cbhvga fg acs kauacs fg ac tgkc.

Cbfrlgbns prgkursnrgs fg gstrlgbns y cuegbtcb acgxprgshb fg ans P fg I[M gb acs kgas fg ac lrcbuansc.

Ac cfehbhstrckhb fg AM c gstcs pckhgbtgs, cuegbtcrc ansbhvgags fg cbfrlgbns khrkuacbtgs y pnr tcbtn fg G0 csh knen,cuegbtn fg ans rgkgptnrgs fg I[M.


49/86



50/86



51/86

AM X @COC PG[TWG[VC


52/86

AM X @COC PG[TWG[VC

AM X @COC PG[TWG[VC


53/86

AM X @COC PG[TWG[VC


54/86


55/86


56/86

- Ac cfhkhb fg AM gb pckhgbtgs knb `coc rgspugstc prnfukg ubcuegbtn fg ge`rhnbgs fg catc kcahfcf fga 33% ca 3


57/86

AC AM X @COC PG[TWG[VC

AM X @COC PG[TWG[VC


58/86

AM X @COC PG[TWG[VC


59/86

TCTGA FG AC AM y @COC PG[TWG[VC


60/86

AM y @COC PG[TWG[VC

Ac cfhkhb fg AM gb ac `coc rgspugstc bn pcrgkgegonrcr ac rgspugstc inahkuacr bh acs tcscs fg ge`crczn.[hb ge`crln ac knbtrnvgrshc knbthbuc.

AM @COC PG[TWG[VC


61/86

AM y @COC PG[TWG[VC

67=


62/86

AM y @COC PG[TWG[VC

Bn fhigrgbkhcs gb fhcs fg gstheuackhb,fnshs fg I[M, b nvnkhtns, b EHH y b fg khkans kcbkgacfns.


63/86

AM y @COC PG[TWG[VC

Bn fhigrgbkhcs gb acs tcscs fg ge`crczn.

AM @COC PG[TWG[VC


64/86

AM y @COC PG[TWG[VC

Cubqug gb ga egtcbcahshs fg Enkmtcr ( Knkmrcbg 044


65/86

KWCBFN X KNEN AM






66/86

AM X GFCF CYCB_CFC

MHTNVG[H[? TPNKG[N FG GBYGOGKHEHGBVNNYCPHKN

3 Clntcehgbtn inahkuacr. Pgspugstc ahehtcfc

c ac gstheuackhb.

0 Catgrckhnbgs kucahtcthvcs nvnkhtcrhcs.

[hgeprg vhbkuacfcs c ac gfcf.


67/86


68/86

AM X GFCF CYCB_CFC

0 Catgrckhnbgs kucahtcthvcs nvnkhtcrhcs.[hgeprg vhbkuacfcs c ac gfcf.

bn pnfrhcens cktucr sn`rg ac kcahfcf

nvnkhtcrhc hbtrbsgkc c ac gfcf.

;Gb ans athens cns sg gst vcanrcbfn ub

pnsh`ag pcpga fg ac AM gb ac rgkgpthvhfcfgbfnegtrhca.

AM X GFCF CYCB_CFC


69/86

AM X GFCF CYCB_CFC

Gstufhn qug knepcrc ac rgspugstc c ac gstheuackhb knb I[M n I[M +

AM gb fns lrupns fg pckhgbtgs?2;7 cns? ;44 WH I[M snac y 007 I[M +


70/86


71/86

Hepckt ni autghbhzhbl mnrenbg cfehbhstrcthnb nb lnbcfntrnphb-rgagcshbl mnrenbg cbtclnbhst kykags? cb clg-cfoustgf cbcayshs.@nskm G ct ca. Igrtha [tgrha 0433:87?34;3-9


72/86

Ac cfhkhb fg AM bn supnbg `gbgihkhn calubn ca lrupn fg euogrgs 1 ;7 cns shbge`crln, supnbg ubc egonrc gstcfsthkcegbtg shlbhihkcthvc gb acs tcscs fghepacbtckhb y ubc egonrc gb acs lgstckhb gvnauthvc gb euogrgs 2;7 cns qug bnaaglc c tgbgr shlbhihkcbkhc gstcfsthkc..

Gstn pnfrc sgr fg`hfn c ub pnsh`ag pcpga gb ac rgstcurckhb fg ub cfgkucfn

fgscrrnaan inahkuacr n c ubc egonr rgkgpthvhfcf gbfnegtrhca pnr ubc fhsehbukhb fgans bhvgags fg prnlgstgrnbc ca ihbca fg ac gstheuackhb gb ga lrupn I[M+AM.

Ac I[M cktc gb acs kauacs fg ac lrcbuansc knbvhrthgbfn knagstgrna gb T , ac T pcsc cacs kauacs fg ac tgkc fnbfg sg knbvhgrtgb gb cbfrlgbns `con ac hbiaugbkhc fg ac AM.:


73/86

fg gstc inrec sg rgfukhrcb ans bhvgags fg Trnl khrkuacbtgs..

Gstn pnfrc gxpahkcr pnrqug ac gstheuackhb knb I[M snac gb gfcf cvcbzcfc n gb`coc rgspugstc thgbgb pgnrgs rgsuatcfns yc qug gstg lrupn fg pckhgbtgs rgkh`gb

bnrecaegbtg fnshs es catcs fg I[M. Gstn prnfukhrc catns bhvgags fg T ca ihbca fg acgstheuackhb y knbsgkugbtgegbtg pgnr rgkgpthvhfcf gbfnegtrhca.


74/86

AM X GFCF CYCB_CFC

Khkan fg cbcanln acrln gb euogrgs fg ;7 c ;8 cnsknb n shb supagegbtn fg AM.


75/86


76/86

AM X GFCF CYCB_CFC


77/86

AM X GFCF CYCB_CFC


78/86

Ac tcsc fg hepacbtckhb y fg bckhfn vhvn pnr khkan hbhkhcfn iuggstcfhsthkcegbtg ecynr gb ga lrupn fg AM .

Ac tcsc fg lgstckhb kahbhkc pnr trcbsigrgbkhc tce`hgb iug

ecynr gb ga lrupn fg AM cubqug bn cakcbz shlbhihkcfngstcfsthkn.


79/86

AM y GFCF CYCB_CFC


80/86

Egtccbcahshs pcrc vcanrcr ga gigktn fg ac cfhkkhb fgAM c ac gstheuackhb gb pckhgbtgs ecynrgs fg ;7 cns.

[g vcanrc tcsc fg hepacbtckhb y fg lgstckhb kabhkc.


81/86


82/86

840 khkans


83/86


84/86


85/86

Ga rgsuatcfn fg gstg egtccbcahshs sulhgrg qug ga usn fg AM

rgkne`hbcbtg gb pckhgbtgs fg gfcf cvcbzcfc pugfgcuegbtcr acs tcscs fg hepacbtckhb y fg lgstckhbkabhkc.

[g bgkgshtcb es gstufhns pcrc knbihrecr qug gstn nkurrgtcbtn gb ga lrupn fg cbtclnbhstcs knen fg clnbhstcs.

KNBKAW[HNBG[


86/86

KNBKAW[HNBG[

0.- Egfhkhb fg AM srhkc bn sg knrrgackhnbc knb ac ckthvhfcf `hnalhkc.

3.- Ac AM pcrthkhpc gb ac gstgrnhfnlgbgshs, inahkuanlgbgshs, ecfurckhbnvnkhtcrhc g hepacbtckhb.

;.-Ac uthahzckhb fg AM bn supnbg vgbtcoc gb ans prntnknans fg cbanlns gb

bnrenrgspnbfgfnrcscubqug pnfrc mc`gr ub pgqugn gigktn pnshthvn gbkucbtn c fhsehbukhb fg acs prfhfcs lgstckhnbcags.

Gb gstg lrupn, acs bhkcs pckhgbtgs qug sg vgrcb `gbgihkhcfcs gs gsg 30-36%fg pckhgbtgs knb rgspugstc gb egsgtc fga 7 ca = fhc fg gstheuackhb.

6.- Ac supagegbtckhb knb AM gb khkans knb cbtclnbhstcs bn pcrgkg egonrcrans rgsuatcfns rgspgktn c ac cfehbhstrckhb fg I[M snac

7.- Bn gst kacrn qug ac `coc rgspugstc sg `gbgihkhg fg ac cfhkkhb fg AM

cubqug ans egtcbcahshs bn snb knbkaushvns . [h pcrgkg qug egonrc ac kcahfcfge`rhnbcrhc shb aaglcr c cakcbzcr shlbhihkcbkhc gstcfsthkc.

9.- Ga usn fg AM rgkne`hbcbtg gb pckhgbtgs fg gfcf cvcbzcfc pugfgcuegbtcr acs tcscs fg hepacbtckhb y fg lgstckhb kabhkc

elena carrillo de albornoz - rlh. cuando es necesaria - ii simposio reproducción asistida quirón

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