Rol de la ecografía en el manejo de la Infertilidad

Luis Noriega Portella

doi:10.31403/rpgo.v58i79

Autores/as

Luis Noriega Portella Médico Gineco-obstetra, Director Médico Clínica Concebir, Director Médico Laboratorio de Reproducción Asistida PRANOR, Lima, Perú.

DOI:

https://doi.org/10.31403/rpgo.v58i79

Resumen

La ecografía tiene un rol primordial en el diagnóstico y manejo de la paciente infértil, por lo cual debe ser una herramienta imprescindible en el consultorio y en cada centro de reproducción. Es importante en el diagnóstico inicial del factor uterino y ovárico, así como complementario en lesiones cervicales y tubáricas. La instilación transcervical de suero salino permite mejor visualización de lesiones intracavitarias durante la ecografía TV (histerosonografía). Es así que la histerosonografía representa un examen de rutina en la evaluación de la cavidad uterina en los tratamientos de reproducción asistida (TRA). En el manejo de la paciente infértil es necesario realizar monitoreo ecográfico de ovulación para ciclos de baja y alta complejidad. También cumple rol determinante en los ciclos de TRA de alta complejidad durante la aspiración folicular y actualmente durante la transferencia embrionaria. Su uso para aspiración de quistes foliculares se limita a casos excepcionales y el uso del Doppler en infertilidad es aun controversial y muy poco práctico.

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