{"id":91743,"date":"2018-03-11T10:10:35","date_gmt":"2018-03-11T10:10:35","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/altas-dosis-de-antagonistas-gnrh-en-el-tratamiento-del-sa%c2%adndrome-de-hiperestimulacion-ovarica-precoz-severo\/"},"modified":"2018-03-11T10:10:35","modified_gmt":"2018-03-11T10:10:35","slug":"altas-dosis-de-antagonistas-gnrh-en-el-tratamiento-del-sa%c2%adndrome-de-hiperestimulacion-ovarica-precoz-severo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ginecologia\/altas-dosis-de-antagonistas-gnrh-en-el-tratamiento-del-sa%c2%adndrome-de-hiperestimulacion-ovarica-precoz-severo\/","title":{"rendered":"Altas dosis de antagonistas gnrh en el tratamiento del s\u00edndrome de hiperestimulaci\u00f3n ov\u00e1rica precoz severo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Bel\u00e9n Moliner Renau <\/strong><\/h2>\n<p>Objetivo: analizar y determinar si el empleo de altas dosis de antagonistas de gnrh en pacientes afectadas de un s\u00edndrome de hiperestimulaci\u00f3n ov\u00e1rica precoz, tras inducir la ovulaci\u00f3n con hcg, es efectivo en la mejor\u00eda cl\u00ednica y la no progresi\u00f3n del cuadro. material y m\u00e9todos: 11 casos diagnosticados de s\u00edndrome de hiperestimulaci\u00f3n ov\u00e1rica precoz el d\u00eda de la captaci\u00f3n folicular, por lo que todas las pacientes fueron programadas para criopreservaci\u00f3n embrionaria, postergando su transferencia. Se realiza un estudio casos-control, siendo el grupo estudio 6 de las pacientes diagnosticadas, administr\u00e1ndoles previo consentimiento informado, 3 mg de antagonista gnrh, prevista segunda dosis de antagonista si la mejor\u00eda cl\u00ednica no es efectiva a los 4 d\u00edas del tratamiento, siendo requerida \u00fanicamente por dos de las seis pacientes incluidas. El grupo control lo forman 5 pacientes diagnosticadas, y ambos grupos  eran comparables sin encontrar diferencias significativas. Se realiz\u00f3 seguimiento de las pacientes cada 3 d\u00edas tanto anal\u00edtico como ecogr\u00e1fico, hasta el d\u00eda +10 de la captaci\u00f3n folicular. resultados: los valores de fsh y lh descendieron r\u00e1pidamente en el grupo estudio, habiendo diferencias estad\u00edsticamente significativas en el descenso de estradiol tras 10 d\u00edas postratamiento. Ninguna de las pacientes del grupo estudio necesit\u00f3 paracentesis, siendo significativo la disminuci\u00f3n del l\u00edquido peritoneal en el grupo estudio. El tiempo de hospitalizaci\u00f3n fue m\u00e1s largo en el grupo control, s\u00f3lo requiriendo hospitalizaci\u00f3n en dos de las pacientes del grupo estudio. Las complicaciones fueron m\u00e1s comunes en el grupo control. conclusiones: nuestros resultados demuestran que los antagonistas gnrh a altas dosis son una medida eficaz en el tratamiento y prevenci\u00f3n del s\u00edndrome de hiperestimulaci\u00f3n ov\u00e1rica precoz.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Altas dosis de antagonistas gnrh en el tratamiento del s\u00edndrome de hiperestimulaci\u00f3n ov\u00e1rica precoz severo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Altas dosis de antagonistas gnrh en el tratamiento del s\u00edndrome de hiperestimulaci\u00f3n ov\u00e1rica precoz severo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Bel\u00e9n Moliner Renau <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/02\/2009<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Fernando Bonilla Musoles<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: lorenzo Abad Martinez <\/li>\n<li>Jos\u00e9 Carlos Alberto bethencourt (vocal)<\/li>\n<li>Juan  Jos\u00e9 Parrilla paricio (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Bel\u00e9n Moliner Renau Objetivo: analizar y determinar si el empleo de altas dosis de antagonistas de gnrh [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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