Poster Presentations: Abstracts of the 13th Red Lara Taller General, Buenos Aires, Argentina, 26-28 April 2017
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چکیده
s of the 13th Red Lara Taller General, Buenos Aires, Argentina, 26-28 April 2017 P-02. Vaginismus in Assisted Reproductive Technologies Centers: an invisible population to be cared M.C.B. de Souza1, M.C.G. Gusmão1, R.A. Antunes1, M.M. de Souza1, A.L.S. Rito1, P. Lira1, A.C.A. Mancebo1, M.A. Tamm1, T.R. Panaino1, M.J. Bahia1 1Fertipraxis Reprodução Humana, Rio de Janeiro, Brazil. Objective: Genital and sexual pain is still neglected. Consequences can be dramatic since a direct relation between infertility and sexual dysfunction can be reciprocal. This is the first study focusing in identifying vaginismus cases in an ART scenario and intra-cycle interventions as a comprehensive, integrated and patient-centered perspective. Methods: Observational prospective study. Among 425 initiated IVF/ICSI cycles and 226 frozen embryo transfers from January 1, 2015 to December 31, 2016, we identified 07 cases of vaginismus. In a 6 months’ time a Survey Monkey questionnaire was twice sent to 228 Latin American ART centers. We were interested in knowing how often women with vaginismus were arriving at ART centers and what was the perception of their presence. Results: The low percentage of questionnaires responses (24/10.5%) states as not relevant the questioning about difficulties in performing ultrasound controls or the need for sedated transfers. Although 81% agreed that these situations occur at low incidence, no references to vaginismus, dyspareunia or any sexual dysfunction were made. Our multi-professional team handled 07 cases of vaginismus in which all women had superior degree, average 37.8 years old and were married for at least 4 years. Although two of them related they could tolerate intercourse, all of them related previous treatments, such as vaginal dilators (3 of them), psychotherapy (4 of them) or psychiatric assistance (1 patient). Staff working was built to minimize their sufferings. Conclusion: Gentle care and sensitive listening should be included in multi-professional teams to identify these women and to offer these couples a better quality treatment. P-03. Application of platelet-rich plasma as coordinating in the endometrial preparation of patients with refractory endometrium A. Molina1,2, J. Sánchez1,2, W. Sánchez1,2, V. Vielma1,2 1Unidad de Asistencia Materno Reproductiva (UNAMATER) Mérida. Venezuela. 2Instituto Venezolano de Fertilidad Caracas (IVF CARACAS) Caracas D.C. Venezuela. Objective: To improve endometrial quality and implantation rates after the application of platelet-rich plasma in patients with refractory endometrium. Methods: 19 patients undergoing in vitro fertilization aged between 33 and 45 years with a history of refractory endometrium, to whom platelet rich plasma was given by infusion with a catheter into the uterine cavity on the tenth day of hormone replacement therapy, and then 72 hours after the first application. Results: Endometrial thicknesses of >7mm were reported with the first application and in all cases, endometrial thicknesses of >9mm were evident after the second application. The total of the study group qualified for Embryo Transfer at the blastocyst stage. 73.7% of positive pregnancy tests of which 26.3% for live births, 26.3% for ongoing pregnancies, 10.5% for biochemical pregnancies, 5.3% for anembryonic pregnancy and 5.3% for fetal death (16 weeks). Conclusions: The application of platelet rich plasma and its biostimulating effects on the endometrial microvasculature seems to offer encouraging benefits to refractory endometrium, providing an increase in endometrial receptivity and a consequent increase in implantation rates. As an autologous resource, that are easy to obtain and inexpensive, it is recommended to be included in the different protocols for endometrial preparation, including those in which a natural cycle is preferred.
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عنوان ژورنال:
دوره 21 شماره
صفحات -
تاریخ انتشار 2017