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Endometrial hyperplasia is a condition of the endometrium characterized by exaggerated proliferation. This condition can affect the endometrium as a whole or in a focal form constituting the so-called endometrial polyps.
In any case, abnormal proliferations of the endometrial tissue should be observed and sometimes a biopsy is recommended to rule out complex pathologies.
The endometrium is the biological tissue where the embryo will nest. For this reason, an abnormal development of the endometrium will generate an extremely hostile and inadequate terrain for gestation to take place.
The most frequent complication is multiple pregnancy determined by the development of multiple follicles in intrauterine insemination (IUI) and the transfer of 2 or more embryos in in-vitro fertilization (IVF).
Ovarian hyperstimulation syndrome is a less frequent but potentially serious complication for which we detail prevention and clinical management strategies. In addition, complications arising from follicular aspiration such as hemorrhage and infection, among others, are discussed.
However, thanks to the development of new pharmacological and laboratory technologies, assisted reproductive procedures are performed within a framework of ample safety.
Pregnancies achieved with fertility treatments have no greater risk of complications than any other.
The precautions are no different from those of any pregnant woman, including the continuation of sexual activity. Once the embryo has implanted, the risks of a pregnancy achieved through IVF are no different than any other. In addition, the recommendations and special care will be more related to the woman's age, in cases of advanced age, and/or history of previous pathologies.
The clinical picture of oligoasthenozoospermia refers to a combination of several factors. Specifically, it refers to a decrease in the quantity, motility and morphological alterations of spermatozoa.
For this reason, the best option for treatment and achieving pregnancy would be in vitro fertilisation with optimal sperm selection, i.e. IVF-ICSI.
The advanced semen analysis is a test associated with the basic semen analysis to assess its quality reporting the amount of sperm with progressive motility in a sample of capacitated semen. Sometimes, this study allows defining the appropriate assisted reproduction treatment.
In vivo sperm production fluctuates over time, so it would be advisable to perform at least two functional tests within a reasonable period of time to establish an adequate diagnosis.
Hysterosalpingography is a gynecological imaging study that is performed with an iodinated contrast substance, so the administration of the same in patients with hyperthyroidism could complicate and aggravate this condition.
In these situations, a thorough study of thyroid function and a timely endocrinological consultation is recommended.
Elevated prolactin levels can influence the production of other hormones or their regulation, especially FSH and LH, hormones involved in follicular genesis and ovulation. Therefore, when there are high levels of prolactin, could lead to a lack of ovulation and often cycles without menstruation in women
These are the acronyms for the genetic studies that are performed on an embryo before it is transferred to the uterus. On the one hand, PGD refers to preimplantation genetic diagnosis; while PGT stands for Preimplantation Genetic Test.
Currently, the most commonly used term for this complementary technique is PGT.
Artificial insemination (AI) is a low-complexity assisted reproduction technique that consists of placing the partner's or donor's sperm into the woman's uterus. The most frequent indications are sterility without apparent cause and cases of male factor with slight alterations.
The decrease in ejaculate volume is called hypospermia and this happens when the volume of seminal fluid is below 1.5 ml. Among the most frequent causes of hypospermia is the age of the male, prostate surgery, inflammatory processes of the pelvis, and the male reproductive system.
Sometimes hypospermia is accompanied by a decrease in the concentration of sperm (oligozoospermia), which significantly reduces the chances of achieving a natural pregnancy and will require assisted reproduction treatments.
The epididymis is a tubular structure in charge of transporting sperm from the testicle to the seminal vesicle. Acute or chronic inflammation of the testicle is called epididymitis.
The most frequent causes of this condition are infectious, and the symptoms are recognized by testicular pain, increased scrotal size, urethral discharge, and even fever. Erectile dysfunctions in cases of epididymitis are secondary to the above-mentioned symptoms.