Sánchez-Usabiaga RA, Romero-Tovar S, Batista-Espinoza A, Hurtado-Amador R

Language: Spanish
References: 19
Page: 368-376
PDF size: 286.23 Kb.

ABSTRACT

Background: Traditionally, the study of infertile couple is a long and slow process. The “One Stop” concept refers to perform the diagnosis protocol in one visit.
Objetive: To evaluate the feasibility, safety and tolerability of a diagnostic protocol performed on a first visit at the Infertility Diagnostics Unit.
Material and Method: A prospective study. Couples underwent medical history, women also was performed a transvaginal ultrasound, hysteroscopy-sonohisterosalpingography and thyroid function study. Patients were monitored to assess 30’ after for a vaso-vagal reactions and the presence of pain was estimate using the numerical rating scale. Male underwent semen analysis.
Results: The protocol was completed in 120 couples (98.36%). The duration time was between 90-120 min. Thyroid stimulating hormone (TSH) was ›4 _U/ml in 14 patients (12%). During the procedure or 30 min later, no pain referred 47 120 (39%) patients, 40 of 120 (33%) mild pain, 25 of 120 (21%) moderate pain; pain 8 of 120 (7%) patients. The mean pelvic pain was 5.2±2.8, 12 patients (10%) required analgesia. Mild vaso-vagal reaction occurred in 7 cases (6%), one patient (0.83%) presented severe vaso-vagal reaction. There were no late complications.
Conclusions: This study shows that infertility diagnosis protocol can be performed at the IDU in a one visit. The protocol is safe and well tolerated, allowing the diagnosis, treatment options and knows the reproductive prognosis of the couples. It is an attractive diagnostic protocol for patients-doctors.

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