{"id":1553,"date":"2024-08-06T16:49:00","date_gmt":"2024-08-06T14:49:00","guid":{"rendered":"https:\/\/www.dexeus.com\/donantes-ovulos\/baixa-reserva-ovarica-10-dades-que-tinteressen\/"},"modified":"2025-05-16T12:04:32","modified_gmt":"2025-05-16T10:04:32","slug":"baixa-reserva-ovarica-10-dades-que-tinteressen","status":"publish","type":"post","link":"https:\/\/www.dexeus.com\/donantes-ovulos\/ca\/baixa-reserva-ovarica-10-dades-que-tinteressen\/","title":{"rendered":"Baixa reserva ov\u00e0rica: 10 dades que t’interessen"},"content":{"rendered":"\n

Si est\u00e0s intentant quedar-te embarassada i t’han diagnosticat una baixa reserva ov\u00e0rica, \u00e9s probable que intueixis que alguna cosa no va b\u00e9. Per\u00f2 no t’alarmis. Es tracta d’un problema cada cop m\u00e9s freq\u00fcent a causa del retard de la maternitat. I s\u00ed, afecta la fertilitat, perqu\u00e8 indica que el nombre d’\u00f2vuls que potencialment poden madurar i ser fecundats \u00e9s per sota del nivell que es considera \u201cnormal\u201d. Per\u00f2 aix\u00f2 no vol dir que no puguis ser mare. En aques post, el Dr. Nikolaos Polyzos<\/mark><\/a>, que treballa al nostre centre i \u00e9s un dels millors experts europeus en aquest tema, respon a 10 dubtes freq\u00fcents. <\/p>\n\n

    \n
  1. Quina \u00e9s la causa?<\/strong> L’edat de la dona \u00e9s determinant, i la relaci\u00f3 \u00e9s inversament proporcional: com m\u00e9s edat, menys reserva ov\u00e0rica<\/mark><\/a>. Per\u00f2 aquest problema tamb\u00e9 pot afectar dones joves, com passa en els casos de fallada ov\u00e0rica prematura. Altres causes possibles s\u00f3n: tractaments m\u00e8dics o quir\u00fargics, quimioter\u00e0pia, contaminaci\u00f3 ambiental, h\u00e0bits de vida poc saludables i algunes malalties, com ara l’endometriosi. <\/li>\n\n\n\n
  2. Com es detecta? <\/strong>Es pot esbrinar f\u00e0cilment. Nom\u00e9s cal fer una ecografia transvaginal<\/mark><\/a>, entre el tercer i cinqu\u00e8 dia del cicle menstrual, per fer un recompte dels fol\u00b7licles que cont\u00e9 cada ovari, i una an\u00e0lisi de sang, per con\u00e8ixer els valors de diverses hormones: l’hormona fol\u00b7licle estimulant (FSH), que allibera la hip\u00f2fisi i s’ocupa d’activar els ovaris, l’hormona antim\u00fclleriana (AMH), que allibera el propi fol\u00b7licle ov\u00e0ric, i l’estradiol. Aquestes dues darreres estan relacionades amb el proc\u00e9s de desenvolupament dels \u00f2vuls. Un valor alt de la primera (FSH) indica una baixa reserva ov\u00e0rica baixa, ja que el nivell augmenta quan detecta que hi ha pocs \u00f2vuls. I, al rev\u00e9s, un valor alt de l’AMH i de l’estradiol, en general, indiquen una bona reserva ov\u00e0rica, ja que \u00e9s un senyal que hi ha molts \u00f2vuls en proc\u00e9s de maduraci\u00f3. <\/li>\n\n\n\n
  3. Qu\u00e8 es considera una reserva ov\u00e0rica baixa? <\/strong>En general, un recompte igual o inferior a 4 o\u00f2cits per ovari, o de 7 en total (sumant els dels dos ovaris) i nivells baixos de l’hormona AMH (inferior a 1 ng\/ml) s\u00f3n indicadors de baixa reserva ov\u00e0rica.<\/li>\n\n\n\n
  4. Com afecta a la fertilitat? <\/strong>Les possibilitats de quedar embarassada utilitzant els mateixos \u00f2vuls es redueixen, per\u00f2 el que m\u00e9s influeix al final \u00e9s l’edat. Si tens una baixa reserva ov\u00e0rica, per\u00f2 menys de 35 anys, les teves possibilitats s\u00f3n m\u00e9s grans que si en tens m\u00e9s de 40. Per aix\u00f2, encara que encara no et plantegis ser mare, i tinguis nom\u00e9s 30 anys o menys, demana al teu ginec\u00f2leg\/a que et faci una valoraci\u00f3, per tal que puguis planificar millor la maternitat. <\/li>\n\n\n\n
  5. Si s\u00f3c jove, per\u00f2 encara no vull ser mare, hauria de preservar? <\/strong>\u00c9s una q\u00fcesti\u00f3 que has de valorar amb el teu ginec\u00f2leg\/a. Per\u00f2 \u00e9s una opci\u00f3 que, en qualsevol cas, mai no s’ha de descartar per endavant, ja que ser jove \u00e9s un avantatge, perqu\u00e8 els teus \u00f2vuls s\u00f3n de m\u00e9s qualitat. <\/li>\n\n\n\n
  6. \u00c9s normal tenir una baixa reserva ov\u00e0rica als 40 anys? <\/strong>\u00c9s normal que disminueixi la reserva ov\u00e0rica, per\u00f2 no totes les dones de 40 anys tenen una \u201cbaixa reserva ov\u00e0rica\u201d. Per aix\u00f2, cada cas s’ha d’estudiar sempre de forma individualitzada. <\/li>\n\n\n\n
  7. Si vull ser mare i tinc aquest problema, he d’optar necess\u00e0riament per la reproducci\u00f3 assistida? <\/strong>Dep\u00e8n de ledat que tinguis i la causa que ho hagi provocat. Si el motiu \u00e9s una fallada ov\u00e0rica prematura o un tractament de quimioter\u00e0pia s\u00ed, perqu\u00e8 \u00e9s l’\u00fanica opci\u00f3 en aquests casos i \u00e9s probable que, si no has preservat, calgui rec\u00f3rrer a l’ovodonaci\u00f3. Si el problema \u00e9s degut a la teva edat, demana al teu ginec\u00f2leg\/\u00f2loga que t’indiqui quines opcions tens i, a partir d’aqu\u00ed, decideix conjuntament quina pot ser la millor per a tu. <\/li>\n\n\n\n
  8. Tenir una baixa reserva ov\u00e0rica tamb\u00e9 disminueix la taxa d’embar\u00e0s en FIV? <\/strong>No necess\u00e0riament. En general, se sol obtenir un nombre m\u00e9s baix d’ov\u00f2cits i d’embrions viables, per\u00f2 hi ha dones amb baixa reserva ov\u00e0rica que responen b\u00e9 als tractaments d’estimulaci\u00f3 hormonal i ofereixen \u00f2vuls de bona qualitat. El problema afegit, com sempre, \u00e9s l’edat, perqu\u00e8 si la mare t\u00e9 una edat avan\u00e7ada, els seus \u00f2vuls s\u00f3n de pitjor qualitat i tamb\u00e9 hi ha m\u00e9s risc d’alteracions cromos\u00f2miques i de fallades d’implantaci\u00f3. <\/li>\n\n\n\n
  9. \u00bf \u00c9s recomanable fer diversos cicles d’estimulaci\u00f3 ov\u00e0rica en aquests casos? <\/strong>Actualment no hi ha cap tractament que millori la reserva ov\u00e0rica. S’estan estudiant, per\u00f2 de moment encara s\u00f3n experimentals. Els tractaments d’estimulaci\u00f3 hormonal tenen com a objectiu augmentar el nombre d’ov\u00f2cits que podem obtenir, per\u00f2 no totes les dones responen igual. Per aix\u00f2, cal valorar cada cas. <\/li>\n\n\n\n
  10. Quan \u00e9s indicat optar per la donaci\u00f3 d’\u00f2vuls? <\/strong>Quan els ovaris no produeixen \u00f2vuls viables o els \u00f2vuls que s’obtenen no reuneixen la qualitat suficient per poder ser fecundats i dur a terme un embar\u00e0s. L’avantatge de l’ovodonaci\u00f3 \u00e9s que augmenta considerablement les possibilitats d’aconseguir una gestaci\u00f3 davant l’\u00fas dels mateixos \u00f2vuls, encara que la mare ja hagi complert 40 anys: actualment la taxa d’embar\u00e0s amb ovodonaci\u00f3 gira al voltant del 60% davant del 30% que ofereix una FIV utilitzant els mateixos \u00f2vuls en dones d’edat avan\u00e7ada. <\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Si est\u00e0s intentant quedar-te embarassada i t’han diagnosticat una baixa reserva ov\u00e0rica, \u00e9s probable que intueixis que alguna cosa no va b\u00e9. Per\u00f2 no t’alarmis. <\/p>\n","protected":false},"author":1,"featured_media":1453,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1553","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"yoast_head":"\nBaixa reserva ov\u00e0rica: 10 dades que t'interessen - Dexeus Donantes<\/title>\n<meta name=\"description\" content=\"Si est\u00e0s intentant quedar-te embarassada i t'han diagnosticat una baixa reserva ov\u00e0rica, \u00e9s probable que intueixis que alguna cosa no va b\u00e9. 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