{"id":8532,"date":"2024-01-24T08:00:00","date_gmt":"2024-01-24T07:00:00","guid":{"rendered":"https:\/\/www.dexeus.com\/fertility\/quants-cicles-es-necessiten-per-aconseguir-un-embaras\/"},"modified":"2024-09-16T17:16:32","modified_gmt":"2024-09-16T15:16:32","slug":"quants-cicles-es-necessiten-per-aconseguir-un-embaras","status":"publish","type":"post","link":"https:\/\/www.dexeus.com\/fertility\/ca\/blog-fiv\/quants-cicles-es-necessiten-per-aconseguir-un-embaras\/","title":{"rendered":"Quants cicles es necessiten per aconseguir un embar\u00e0s?"},"content":{"rendered":"

La durada <\/strong>dels tractaments de reproducci\u00f3 assistida \u00e9s un tema que preocupa a totes les pacients, perqu\u00e8 quan s’allarguen m\u00e9s del que s’espera, augmenta el desgast f\u00edsic i emocional i tamb\u00e9 el cost. Malgrat aix\u00f2, tothom sap que \u00e9s possible no aconseguir un embar\u00e0s \u201ca la primera\u201d i, de vegades, tampoc a la segona o fins i tot a la tercera. A m\u00e9s -i aquesta puntualitzaci\u00f3 \u00e9s important- un embar\u00e0s no equival a \u201cnad\u00f3 a casa\u201d, ja que pot ser que l\u2019embar\u00e0s no progressi o que es produeixi un avortament espontani.<\/p>\n

Els metges ho saben, i per aix\u00f2 molts centres ofereixen la possibilitat de realitzar diversos cicles de fecundaci\u00f3 in vitro a un preu tancat o amb descomptes (hi ha ofertes i promocions), ja que s’ha demostrat que com m\u00e9s \u00f2vuls s’obtinguin, m\u00e9s possibilitats haur\u00e0 d\u2019aconseguir embrions i que entre aquests n’hi ha alguns que siguin viables. Aix\u00f2 s\u00ed, sempre que s’hagi estudiat cada cas d’infertilitat a fons pr\u00e8viament, ja que les possibilitats d’aconseguir un embar\u00e0s poden ser molt diferents d’una dona a una altra i no sempre acumular m\u00e9s cicles comporta m\u00e9s \u00e8xit<\/strong>.<\/p>\n

La clau, per tant, \u00e9s con\u00e8ixer quines s\u00f3n les possibilitats reals d’\u00e8xit per a cada pacient<\/strong>. En aquest sentit, \u00e9s fonamental confiar en l’especialista i deixar-se guiar. Com m\u00e9s experi\u00e8ncia tingui aquest i el centre que l’avala, i m\u00e9s confian\u00e7a ens inspiri a nivell personal i professional, millor. De fet, als experts no els interessa allargar tractaments que d’entrada ofereixen molt poques possibilitats d’\u00e8xit. Cal ser realista.<\/p>\n

Una altra dada clau: les taxes d’\u00e8xit<\/strong> que ofereix cada centre s\u00f3n el resultat de les seves pr\u00f2pies estad\u00edstiques, i encara que demostrin que treballen de manera m\u00e9s o menys eficient, s’ha de saber interpretar-les, perqu\u00e8 s\u00f3n dades globals que no indiquen les possibilitats reals de cada pacient.<\/p>\n

Quins aspectes, per tant, tenen en compte els experts per valorar les possibilitats d’\u00e8xit en cada cas? Quins factors poden provocar el frac\u00e0s d’un tractament? Quants cicles o intents es recomana dur a terme habitualment per incrementar les possibilitats d’\u00e8xit? En aquest post la Dra. Silvia Grau,<\/a> coordinadora de l’\u00c0rea de Reproducci\u00f3 de Dexeus Dona a Sabadell<\/strong> i Sant Cugat<\/strong>, ofereix algunes pistes:<\/p>\n<\/p>\n

Quins aspectes cal avaluar pr\u00e8viament per valorar les possibilitats d’\u00e8xit?<\/strong>
La taxa d’\u00e8xit dels tractaments de fertilitat varia considerablement depenent d’una s\u00e8rie de factors: l’edat de la dona, la reserva ov\u00e0rica, el tipus de tractament, factors relacionats amb l’estat endometrial uter\u00ed, factors relacionats amb l’embri\u00f3, factors masculins, causes subjacents de la infertilitat i altres problemes de salut que puguin existir.<\/p>\n

Qu\u00e8 pot provocar el frac\u00e0s d’un tractament reproductiu?<\/strong>
Els m\u00e9s habituals s\u00f3n la falta d’\u00f2vuls, que no es produeixi la fecundaci\u00f3 o no es disposi d’embrions de qualitat, fallades d’implantaci\u00f3 o que l’embri\u00f3 no aconsegueixi progressar, aix\u00ed com la falta de receptivitat endometrial, entre d’altres.<\/p>\n

Quants intents o cicles es recomanen habitualment per augmentar les possibilitats d’\u00e8xit?<\/strong>
En l\u00ednies generals podem afirmar que la taxa d’embar\u00e0s despr\u00e9s d’un primer tractament de fertilitat \u00e9s aproximadament d’un 25-35% despr\u00e9s d’una primera transfer\u00e8ncia. La taxa d’embar\u00e0s acumulada despr\u00e9s de diverses transfer\u00e8ncies pot arribar a 80-90%. El problema \u00e9s que en un 10-20% de pacients, despr\u00e9s de diversos intents no aconseguim un embar\u00e0s evolutiu.<\/p>\n

Quins passos<\/strong> s’acostumen<\/strong> a<\/strong> seguir quan un tractament no funciona?<\/strong>
\u00c9s important abordar la situaci\u00f3 tant des del punt de vista m\u00e8dic com emocional, considerar proves addicionals, revisar i ajustar el pla de tractament. Prendre’s un descans tamb\u00e9 pot ser benefici\u00f3s per seguir endavant amb energia i ganes despr\u00e9s de diversos tractaments fallits.<\/p>\n

On s’ha de posar el l\u00edmit?<\/strong>
L’avan\u00e7 de les t\u00e8cniques de reproducci\u00f3 assistida i el marc legal vigent a Espanya han perm\u00e8s multiplicar el ventall de possibilitats quant a tractaments per aconseguir un embar\u00e0s: es pot optar per la donaci\u00f3 d’esperma, d’\u00f2vuls i d’embrions. Per\u00f2, aix\u00ed i tot, hi ha persones que no ho aconsegueixen. Fins i tot despr\u00e9s de molts intents. El fet que hi hagi tantes opcions a vegades confon. Tamb\u00e9 sorgeixen consideracions \u00e8tiques, especialment pel que fa a la donaci\u00f3 de g\u00e0metes. En el nostre centre comptem amb una Unitat especialitzada de suport psicol\u00f2gic<\/a> que ofereix algunes sessions de manera gratu\u00efta als pacients de reproducci\u00f3 (en tractaments de FIV i ovodonaci\u00f3), si ho desitgen.<\/p>\n

Algunes consideracions finals:<\/strong>
Finalment, \u00e9s important recordar que no hi ha una resposta correcta per a tots els pacients, cada persona s’enfronta a una situaci\u00f3 diferent i recorre el cam\u00ed cap a l’embar\u00e0s de manera diferent. Un bon assessorament inicial, una comunicaci\u00f3 fluida i oberta, el suport mutu i l’orientaci\u00f3 professional constant s\u00f3n fonamentals perqu\u00e8 l’experi\u00e8ncia resulti satisfact\u00f2ria, tant si s’aconsegueix l’\u00e8xit com si sorgeixen complicacions o finalment cal prendre la decisi\u00f3 de renunciar a la maternitat.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"

La durada dels tractaments de reproducci\u00f3 assistida \u00e9s un tema que preocupa a totes les pacients, perqu\u00e8 quan s’allarguen m\u00e9s del que s’espera, augmenta el desgast f\u00edsic i emocional i tamb\u00e9 el cost. Malgrat aix\u00f2, tothom sap que \u00e9s possible no aconseguir un embar\u00e0s \u201ca la primera\u201d i, de vegades, tampoc a la segona o […]<\/p>\n","protected":false},"author":1,"featured_media":5430,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,64],"tags":[],"class_list":["post-8532","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar","category-uncategorized-ca"],"yoast_head":"\nQuants cicles es necessiten per aconseguir un embar\u00e0s? | 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\/quants-cicles-es-necessiten-per-aconseguir-un-embaras\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quants cicles es necessiten per aconseguir un embar\u00e0s? | Dexeus Fertility\" \/>\n<meta property=\"og:description\" content=\"La durada dels tractaments de reproducci\u00f3 assistida \u00e9s un tema que preocupa a totes les pacients, perqu\u00e8 quan s’allarguen m\u00e9s del que s’espera, augmenta el desgast f\u00edsic i emocional i tamb\u00e9 el cost. 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