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CC BY-NC-ND 4.0 · Revista Urología Colombiana / Colombian Urology Journal 2018; 27(03): 266-271
DOI: 10.1055/s-0038-1656517
Original Article | Artículo Original
Sociedad Colombiana de Urología. Publicado por Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Calidad seminal e inseminación intrauterina: estudio retrospectivo

Semen Quality and Intrauterine Insemination: A Retrospective Study
Luisa F. Calderón-Mendoza
1   Centro de Medicina Reproductiva, Concevidas, Medellín, Colombia
2   Estudiante de Maestría, Universidad CES, Medellín, Colombia
,
Lucero Castrillón López
1   Centro de Medicina Reproductiva, Concevidas, Medellín, Colombia
,
Carlos Felipe Vélez Giraldo
1   Centro de Medicina Reproductiva, Concevidas, Medellín, Colombia
,
Walter D. Cardona-Maya
3   Grupo de Reproducción, Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
,
Verónica Isaza Álvarez
1   Centro de Medicina Reproductiva, Concevidas, Medellín, Colombia
› Author Affiliations
Further Information

Publication History

21 April 2017

19 July 2017

Publication Date:
25 May 2018 (online)

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Resumen

Objetivo El objetivo de este estudio fue evaluar los parámetros seminales en muestras seminales frescas y seleccionadas y determinar los factores que predicen el éxito de la inseminación intrauterina (IIU).

Materiales y Métodos Todas las parejas que se sometieron a IIU se registraron retrospectivamente y se incluyeron un total de 419 ciclos. Las muestras de semen fueron seleccionadas usando el método swim-up.

Resultados No se encontró un parámetro seminal que pueda ser considerado como predictor de embarazo. Después de la preparación de la muestra, hubo una mejoría en la movilidad espermática y una disminución en la concentración. Adicionalmente, una diferencia significativa en el volumen entre los individuos menores de 40 años y mayores de 40 años fue observada.

Conclusión No existen parámetros seminales que puedan predecir el éxito de la inseminación, básicamente debido a que lograr un embarazo depende de muchos factores. Sin embargo, el procesamiento en el laboratorio mejora considerablemente la movilidad espermática de las muestras y la IIU tiene tasas de embarazo aceptables; por lo tanto, debe ser considerada como primera elección de tratamiento.

Abstract

Objective The aim of the study was to evaluate the sperm parameters in fresh and washed samples and define the factors for predicting success after intrauterine insemination (IUI).

Materials and Methods All couples undergoing IUI were retrospectively enrolled, a total of 419 IUI cycles were included. Sperm samples were prepared using the swim-up.

Results There were no seminal parameters that could be considered as being predictors of pregnancy. After sperm washed, there was an improvement in sperm motility and a decrese in sperm concentration. There was also a significant difference in volume between individuals under 40 and those over 40.

Conclusion There are no seminal parameters that can predict the success of the insemination, basically because achieving a pregnancy is due to many factors. However, laboratory processing considerably improves the sperm motility of samples and IUI has acceptable pregnancy rates; therefore it should be considered a first choice treatment.

Palabras Claves

espermatozoide - inseminación intrauterina - embarazo - fertilidad - factor masculino

Keywords

sperm - intrauterine insemination - pregnancy - fertility - male factor

Responsabilidades éticas

Protección de personas y animales. Los autores declaran que para esta investigación no se han realizado experimentos en seres humanos ni en animales.


Confidencialidad de los datos. Los autores declaran que han seguido los protocolos de su centro de trabajo sobre la publicación de datos de pacientes.


Derecho a la privacidad y consentimiento informado. Los autores han obtenido el consentimiento informado de los pacientes y/o sujetos referidos en el artículo. Este documento obra en poder del autor de correspondencia.


 

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