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FRAGMENTO

1.0 CONCEPTO

El tratamiento de parejas infértiles que por causas bien definidas requieran inseminación homóloga (con semen del esposo previamente capacitado para inseminación intrauterina) se refiere al conjunto de normas, conductas, recomendaciones, exámenes diagnósticos y pasos a seguir para establecer el diagnóstico, prevenir complicaciones y aumentar la efectividad del procedimiento; este tratamiento deberá ser integral y organizado, y está dirigido a médicos especialistas en Ginecología y Obstetricia, biólogos de la reproducción y a todo aquel que maneje parejas con infertilidad.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Highlights From Fertility And Sterility: Accelerated Fertility Treatment Leads to Shortened Time to Pregnancy and Charge Savings. June 17 , 2009 by: ASRM Office Public Affairs Published in ASRM Bulletin Vol 11 No 35.

2. Frederik, et al. Is there a role for ovarian stimulation and intrauterine insemination after age 40? Hum Reprod 1994;2284-2286.

3. Richard P Dickey, Steven N Taylor, Peter Y Lu, Belinda M Sartor, Phillip H Rye, Roman Pyrzak. Effect of diagnosis, age, sperm quality, and number of preovulatory follicles on the outcome of multiple cycles of clomiphene citrate-intrauterine insemination. Fertil Steril 2002;78 (5):1088-1095.

4. Dickey RP, Taylor SN, Y Lu P, Sartor BM, et al. The number of cycles of gonadotropin-intrauterine insemination should be tailored to follicular response. Fertil Steril 2003;80(S):213-214.

5. Kaplan P. Assessing the risk of multiple gestation in gonadotropin intrauterine insemination cycles. Am J Obstet Gynecol 2002;186:1244-1249.

6. Dickey RP, Pyrzak R, Lu PY, Taylor SN, Rye PH. Comparison of the sperm quality necessary for successful intrauterine insemination with World Health Organization threshold values for normal sperm. Fertil Steril 1999;71(4):684-689.

7. Joyce DN, Vissilopoulos D. Sperm-mucus interaction and artificial insemination. In Hull, M.G.R. (ed) Clinics in Obstetrics and Gynaecology 1981;8:587-610.

8. Sher G, et al. In vitro sperm capacitation and transcervical intrauterine insemination for the treatment of refractory infertility. Phase I. Fertil Steril 1984;41:260.

9. Sawetawan CH, Bradshaw KD. The role of intrauterine insemination for male factor infertility. Controversies in infertility management. Infertility and reproductive medicine Clinics of North America; 1997; 8:191-204.

10. Chafkin LM, et al. A comparative analysis of the cycle fecundity rates associated with combined human menopausal gonadotropin (hMG) and intrauterine insemination (IUI) versus either IUI or hMG alone. Fertil Steril; 1991; 55: 252.

11. Pellicer A, Cano F. Desarrollo folicular múltiple en Inseminación Artificial. Cuadernos de Medicina Reproductiva 1995;1:15-36.