{"id":29773,"date":"2025-01-15T08:00:00","date_gmt":"2025-01-15T07:00:00","guid":{"rendered":"https:\/\/www.dexeus.com\/fertility\/blog-fiv\/estimulacio-ovarica-coneixes-les-ultimes-estrategies\/"},"modified":"2025-08-19T18:01:54","modified_gmt":"2025-08-19T16:01:54","slug":"estimulacio-ovarica-coneixes-les-ultimes-estrategies","status":"publish","type":"post","link":"https:\/\/www.dexeus.com\/fertility\/ca\/blog-fiv\/estimulacio-ovarica-coneixes-les-ultimes-estrategies\/","title":{"rendered":"Estimulaci\u00f3 ov\u00e0rica: coneixes les \u00faltimes estrat\u00e8gies?"},"content":{"rendered":"

L’estimulaci\u00f3 ov\u00e0rica \u00e9s un pas previ necessari en molts tractaments de reproducci\u00f3 assistida, com la fecundaci\u00f3 in vitro (FIV) o la preservaci\u00f3 de la fertilitat. En general, \u00e9s un tractament que es tolera molt b\u00e9, encara que pot resultar una mica inc\u00f2mode per diverses raons. Si ja ho has fet alguna vegada, segur que les coneixes: cal administrar la medicaci\u00f3 hormonal a trav\u00e9s d’injeccions subcut\u00e0nies durant 10-12 dies, aix\u00ed com realitzar controls ecogr\u00e0fics i hormonals de manera regular.<\/p>\n

Encara que l’estimulaci\u00f3 ov\u00e0rica \u00e9s segura, pot causar alguns efectes secundaris lleus<\/strong>. Aquests poden incloure inflor abdominal, sensibilitat en les mames, canvis d’humor i mol\u00e8sties en la zona de la injecci\u00f3 hormonal. Aquests efectes solen desapar\u00e8ixer despr\u00e9s del proc\u00e9s. En casos espec\u00edfics, com en pacients amb alta reserva ov\u00e0rica, existeix el risc d’hiperestimulaci\u00f3 ov\u00e0rica. No obstant aix\u00f2, actualment comptem amb estrat\u00e8gies eficaces que permeten minimitzar <\/strong>aquest risc.<\/p>\n

Per tots aquests motius, els especialistes en reproducci\u00f3 assistida investiguen com millorar<\/strong> aquest tractament, tant des del punt de vista de l’experi\u00e8ncia de les pacients -perqu\u00e8 els resulti m\u00e9s friendly<\/em>, \u00e9s a dir, c\u00f2mode- com per optimitzar els resultats.<\/p>\n

En Dexeus Dona hem posat en marxa diversos assajos cl\u00ednics <\/strong>que persegueixen aquest objectiu i participem de forma regular en estudis en col\u00b7laboraci\u00f3 amb especialistes d’altres universitats, hospitals i centres m\u00e8dics per a millorar la taxa d’\u00e8xit. \u201cRealitzar assajos cl\u00ednics \u00e9s una pr\u00e0ctica fonamental en l’\u00e0mbit m\u00e8dic, ja que permet millorar tant els resultats cl\u00ednics com l’experi\u00e8ncia dels pacients. Per dur-los a terme, \u00e9s imprescindible disposar d’un equip dedicat, compost per metges, infermeres i epidemi\u00f2legs. El nostre centre, gr\u00e0cies al seu alt volum de pacients, equiparable al de grans hospitals, la seva condici\u00f3 de centre universitari i la seva estructura organitzada amb un equip de recerca especialitzat, reuneix les condicions ideals per a desenvolupar assajos cl\u00ednics de manera eficient\u201d, explica la Dra. Valeria Donno<\/a>, especialista en Reproducci\u00f3 assistida de Dexeus Dona<\/strong>. \u201cAquests estudis estan orientats no sols a millorar els resultats del tractament, sin\u00f3 tamb\u00e9 a simplificar els protocols i reduir l’impacte que poden tenir sobre la qualitat de vida de la pacient\u201d afegeix.<\/p>\n

La participaci\u00f3 \u00e9s volunt\u00e0ria<\/strong>. Per\u00f2 no tothom pot ser candidat, ja que en cada assaig cl\u00ednic la pacient ha de complir uns criteris de selecci\u00f3<\/strong>. La inclusi\u00f3 en l’estudi, per tant, dep\u00e8n de la valoraci\u00f3 que faci el metge en cada cas.<\/p>\n

Els avantatges<\/strong> per a les pacients que participen s\u00f3n m\u00faltiples<\/strong>: ja que solen comportar una reducci\u00f3 de costos (la medicaci\u00f3 s’ofereix de manera gratu\u00efta o amb preu rebaixat) i la possibilitat d’obtenir millors resultats o beneficiar-se de noves t\u00e8cniques o ter\u00e0pies.<\/p>\n

En la nostra web<\/a> trobar\u00e0s informaci\u00f3 m\u00e9s detallada sobre els diferents assajos actualment en curs que tenim en aquest \u00e0mbit. No obstant aix\u00f2, en aquest post et resumim breument els objectius de tres d’ells perqu\u00e8 tinguis una idea de cap a on es dirigeixen els interessos dels investigadors i quines millores s’intenten aconseguir.<\/p>\n

Estudi 2-SHOT<\/strong>
Pret\u00e9n comparar els resultats de dues estrat\u00e8gies diferents d’estimulaci\u00f3 ov\u00e0rica: l’habitual, que aplica una \u00fanica injecci\u00f3 de CFA a l’inici del cicle i posteriorment la medicaci\u00f3 FSHr durant 10-12 dies, i una altra nova que consisteix a aplicar \u00fanicament dues injeccions de CFA (una medicaci\u00f3 que t\u00e9 un efecte prolongat en el temps i actua de manera seq\u00fcencial). L’objectiu en aquest cas \u00e9s simplificar el proc\u00e9s en pacients que desitgen preservar els seus \u00f2vuls per motius socials.<\/p>\n

Estudi INOVEE<\/strong>
Est\u00e0 dirigit a dones d’entre 38 i 42 anys en les quals estigui indicat realitzar un tractament de Fecundaci\u00f3 in vitro (FIV) que inclogui Diagn\u00f2stic Gen\u00e8tic Preimplantacional (DGP). Actualment, en els tractaments d’estimulaci\u00f3 ov\u00e0rica \u00e9s habitual utilitzar dosis altes de medicaci\u00f3 en dones d’edat avan\u00e7ada per obtenir un elevat nombre d’ov\u00f2cits i embrions. No obstant aix\u00f2, alguns experts creuen que una estimulaci\u00f3 ov\u00e0rica m\u00e9s \u201csuau\u201d podria afavorir nom\u00e9s el desenvolupament d’aquells ov\u00f2cits de major qualitat i, en conseq\u00fc\u00e8ncia, augmentar la possibilitat d’embar\u00e0s. A m\u00e9s, permetria reduir tamb\u00e9 alguns dels riscos associats a aquest tractament, com un embar\u00e0s m\u00faltiple o la s\u00edndrome de hiperestimulaci\u00f3 ov\u00e0rica.<\/p>\n

Assaig cl\u00ednic PEARL<\/strong>
Pret\u00e9n esbrinar si el fet d’afegir una dosi suplement\u00e0ria de l’hormona lute\u00efnitzant recombinant (rhLH) a la medicaci\u00f3 habitual que s’administra en els tractaments d’estimulaci\u00f3 ov\u00e0rica pot millorar els resultats de pacients que ofereixen una resposta baixa a aquests tractaments malgrat tenir una reserva ov\u00e0rica normal. L’hormona lute\u00efnitzant\u00a0\u00e9s un compost hormonal present de manera fisiol\u00f2gica en el cicle ov\u00e0ric de la dona.<\/p>\n

Esperem que aquest post t’hagi resultat \u00fatil. Si tens dubtes sobre el teu tractament o vols ampliar la informaci\u00f3 sobre algun d’aquests estudis, consulta al teu ginec\u00f2leg o demana informaci\u00f3 directament en el nostre centre. <\/p>\n

Recorda: <\/strong>cada cas \u00e9s diferent, per aix\u00f2 en el nostre centre intentem sempre personalitzar al m\u00e0xim els tractaments i desenvolupar estrat\u00e8gies adaptades a les necessitats de cada pacient i la seva resposta.<\/p>\n","protected":false},"excerpt":{"rendered":"

L’estimulaci\u00f3 ov\u00e0rica \u00e9s un pas previ necessari en molts tractaments de reproducci\u00f3 assistida, com la fecundaci\u00f3 in vitro (FIV) o la preservaci\u00f3 de la fertilitat. En general, \u00e9s un tractament que es tolera molt b\u00e9, encara que pot resultar una mica inc\u00f2mode per diverses raons. Si ja ho has fet alguna vegada, segur que les […]<\/p>\n","protected":false},"author":0,"featured_media":29774,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,64],"tags":[],"class_list":["post-29773","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar","category-uncategorized-ca"],"yoast_head":"\nEstimulaci\u00f3 ov\u00e0rica: coneixes les \u00faltimes estrat\u00e8gies? | Dexeus Fertility<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dexeus.com\/fertility\/ca\/blog-fiv\/estimulacio-ovarica-coneixes-les-ultimes-estrategies\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Estimulaci\u00f3 ov\u00e0rica: coneixes les \u00faltimes estrat\u00e8gies? | Dexeus Fertility\" \/>\n<meta property=\"og:description\" content=\"L’estimulaci\u00f3 ov\u00e0rica \u00e9s un pas previ necessari en molts tractaments de reproducci\u00f3 assistida, com la fecundaci\u00f3 in vitro (FIV) o la preservaci\u00f3 de la fertilitat. En general, \u00e9s un tractament que es tolera molt b\u00e9, encara que pot resultar una mica inc\u00f2mode per diverses raons. 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