FERTILIZAÇÃO IN VITRO OU REVERSÃO DA LAQUEADURA


 

Novos relacionamentos e a decisão de ter filhos anos após ter feito a laqueadura são cada vez mais frequentes na vida de casais. A dúvida é saber qual o procedimento mais adequado: reversão de laqueadura ou fertilização in vitro?

Reversão da Laqueadura:

A Laqueadura Tubária é um procedimento cirúrgico no qual as tubas uterinas são interrompidas ou retiradas. A tuba é um órgão delicado, de forma canalicular e responsável pelo encontro do óvulo com o espermatozoide, bem como pelo transporte do embrião em formação para a cavidade uterina. Existem várias técnicas utilizadas na realização da laqueadura, desde a simples cauterização até a remoção de parte de cada tuba.

A Reversão da Laqueadura é um procedimento cirúrgico delicado, pois as tubas são milimétricas. É fundamental o conhecimento de como esta laqueadura foi realizada para o sucesso da reversão. O procedimento é usualmente realizado por videolaparoscopia com internação hospitalar, com rápida recuperação pós-cirúrgica e a possibilidade da paciente ter alta no mesmo dia.

A Reversão da Laqueadura só pode ser realizada quando a porção final da tuba uterina (fímbrias) não foi retirada ou quando a tuba uterina não se encontra muito doente e dilatada. Para uma boa taxa de sucesso é importante que a fímbria, a porção da tuba que capta o óvulo, esteja em bom estado.

Outro fator que deve ser levado em consideração para escolher esta alternativa é a idade da paciente, já que com o avanço da idade a diminuição da fertilidade feminina é progressiva.

A chance de engravidar após a reversão de laqueadura depende principalmente da idade da mulher, reserva ovariana, qualidade do sêmen do parceiro e da técnica utilizada para fazer e reverter à laqueadura. As chances seriam em torno de 10%  de engravidar.

Fertilização In Vitro

A medicina reprodutiva oferece cada vez mais sucesso nos tratamentos que buscam nova gravidez em mulheres com laqueadura tubária.  

A Fertilização In Vitro é indicada para mulheres com insucesso na reversão, mau prognóstico (associação de outros fatores de subfertilidade como endometriose ou fator masculino), idade mais avançada, ou que foram submetidas à salpingectomia (retirada das trompas).

Somente através da reprodução assistida (FIV) a mulher pode realizar o sonho de uma nova maternidade.

A Fertilização In-Vitro (FIV) é a técnica indicada nesses casos. Neste procedimento a ovulação da mulher é induzida por medicamentos, os óvulos maduros são removidos do ovário e in vitro são unidos aos espermatozoides previamente selecionados. Após a fertilização, um ou mais embriões são transferidos para a cavidade uterina da paciente.

As chances de gravidez são de 50 a 60 % para mulheres até 35 anos.

 

Voltar



Comentários



liuchunkai

06/11/2017 11:21
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Responder

Maria Luiza Andrade.

16/11/2017 02:38
É muito caro para fazer a fertilização?


Responder

Maria Luiza Andrade.

16/11/2017 02:41
Onde encontro clínica de fertilização perto de minha cidade


Responder

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28/11/2017 04:53
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