Gillian Lockwood - Subcutaneous Progesterone - II Simposio Reproducción Asistida Quirón
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Transcript of Gillian Lockwood - Subcutaneous Progesterone - II Simposio Reproducción Asistida Quirón
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8/12/2019 Gillian Lockwood - Subcutaneous Progesterone - II Simposio Reproduccin Asistida Quirn
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Run-but`egcus prcagstgrceg4
tmg ngst ci nctm wcrfos 3
Or Ahffh`e Fcbjwcco
Khof`eo Igrthfhty Rgrvhbgs
@forhoag - Qgst Khof`eos - Wehtgo Jheaock
Hf Rhkpcshc ^gprcoubbhce @shstho`
K`orho >0 Ignrgrc >
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Qcrfowhogusg ci Futg`f\m`sg Ruppcrt
Y`hsnubm gt `f. ( >)
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Egw `qugcus prcagstgrceg
prgp`r`thce icr h.k. `eo
s.b. `okhehstr`thce
Myorcscfunhfhty ci prcagstgrceg gem`ebgo
ny -bybfcogxtrhes(-BOs)
prcoubts ci st`rbm gezyk`thb ogar`o`thce, bcet`hehea
shx tc ghamt afubcsg uehts dchego he ` rhea ny
-0? afybcshohb nceos
_mgsg bckpcueos `rg whogfy usgo tc scfunhfhsg
ece-pcf`r bckpcueos `eo tc hkprcvg tmg `nscrpthce `eo
ohstrhnuthce ci ece-pcf`r kgohbhe`f prcoubts
2
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M\gt`-Bybfcogxtrhe
B`pphea
?
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Jhegthb \rcihfg ci -bybfcogxtrhes (-
BOs) `itgr sheafg ocsg `okhehstr`thce
ci 0 < 7 shtgs
Muea`ry4 0 shtg
_ct`f4 02 hesthtuthces
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Rtuoy Rhtgs
_ct`f4 = hesthtuthces
Nchsg, HO
Rg`ttfg, Q@
Ngoicro, _]
Crf`eoc, IF
Rt`eicro, B@_mcus`eos C`js, B@
R`e Dcsg, B@
^goceoc Ng`bm, B@
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\rhk`ry Cutbckg Y`rh`nfg
Ceachea prgae`eby r`tg `t tmg geo ci tmg stuoy (0< wggjs
ci futg`f suppcrt), ogihego `s tmg pgrbget`ag ci gknryc-
tr`esigrrgo p`thgets whtm `t fg`st ceg igt`f mg`rtng`t.
Rt`thsthb`f @e`fyshs4
Ece-heigrhcrhty w`s `ssgssgo ny b`fbuf`thea tmg 87% bceihogebg
hetgrv`f (BH) ci tmg ohiigrgebg ngtwgge tmgprgae`eby r`tgs icr tmg twc
trg`tkget arcup.
Hi tmg fcwgr ncueo ci tmg 87% BH ci tmg ohiigrgebg w`s arg`tgr tm`e
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Rgbceo`ry Cutbckg Y`rh`nfgs
Hkpf`et`thce r`tg
Hebhogebg ci pcshthvg sgruk prgae`eby
tgsts
Bfhehb`f prgae`eby r`tg
Fhvg nhrtm r`tg
G`rfy spcet`egcus `ncrthces
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K`he Hebfushce Brhtgrh`
NKH 6 2< ja/k>:
@ag 0= - ?> (upce st`rthea BCR):
62 prhcr @^_ bybfgs (HYI, HBRH `eo rgf`tgo
prcbgourgs):
N`sgfheg (o`y >-2 ci bybfhea) IRM 607 HW/F
`eo G> 6=< pa/kF:
Ecrk`f utgrheg b`vhty `s pgr rgbget
mystgrcs`fpheacar`k, scecmystcar`k cr
mystgrcsbcphb gx`k (h.g. ec pcfyps cr
prctruohea sunkubcs`f ihnrchos).
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K`he Gxbfushce Brhtgrh`
Hetr`kur`f utgrheg ihnrchos tm`t ohstcrt tmg utgrhegb`vhty cr pcfyps 50 bk:
Rt`ag HHH cr HY geockgtrhcshs (ec geockgtrhck`s):
Myorcs`fpheags:
Mhstcry ci p`st pccr rgspcesg tc BCM rgsufthea heb`ebgffhea @^_:
Webcetrcffgo `orge`f cr tmyrcho oysiuebthce:
Mhstcry ci rgburrget prgae`eby fcss ogihego `s 2 crkcrg spcet`egcus khsb`rrh`ags, wmgrghe prgae`ebyogvgfcpgo tc ` khehkuk ci ` agst`thce`f s`b ce _YWR
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Rtuoy \rctcbcf
HYI cr HBRH
@ey BCM prctcbcf
\`thgets wmc prcvhogo `t fg`st 2 ccbytgs wgrg
r`eockhsgo
Ihrst ocsg `okhehstgrgo ce tmg o`y ci C\W
O`hfy trg`tkget w`s bcetheugo icr ` tct`f ci 07>
o`ys, `t wmhbm thkg ` sgruk prgae`eby tgst w`s
pgricrkgo
He tmg gvget ci ` pcshthvg prgae`eby tgstrgsuft
`eo sunsgquget bceihrk`thce ci ceachea
prgae`eby, trg`tkget w`s tc ng bcetheugo icr up
tc 0< wggjs (h.g. up tc tmg 0> wggjs ci agst`thce)
\rgae`eby cutbckg icrk icffcwhea ogfhvgry
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N`sgfheg Bm`r`btgrhsthbs
Y`rh`nfg GW stuoy WR@ stuoy
Kg`e (RO)\rca s.b.
(e;22?)
\rca Y`a Agf
(e;22?)
\ \rca s.b.
(e;28>)
\ Y a \gss`ry
(e;28.= (2.0?) >2.< (2.0?) 2.? (2.0) >2.7 (2.
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B`usgs ci Heigrthfhty
Y`rh`nfg Gurcpg`e stuoy WR@ stuoy
(%)\rca s.b.
(e;22?)
\rca Y`a Agf
(e;22?)p
\rca s.b.
(e;28>)
\ Y`a \gss
(e;28.= >2.< >>.9
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_rg`tkget \rcar`kkhea
`eo Ocwe-^gauf`thce
Kgohb`thce
_ypg `eo Orua (%)
\rca. s.b.
(e;22?)
\rca. Y`a Agf
(e;22?)
\
v`fug
Bybfg syebmrcehs`thce
Cr`f bcetr`bgpthvg 2.8 2.8 0.
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_rg`tkget \rcar`kkhea
`eo Ocwe-^gauf`thce
Kgohb`thce
_ypg @eo Orua (%)
\rca s.b.
(e;28>)
\ Y a \gss`ry
(e;28
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Cv`rh`e Rthkuf`thce
Kgohb`thce
_ypg `eo Orua (%)
\rca s.b.
(e;22?)
\rca Y`a Agf
(e;22?)
\
v`fug
^gb IRM ?1.8 ?7.7
.2 27
^gb-IRM + MKA >.1 >.1
^gb-IRM + ^gb FM >.0
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Cv`rh`e Rthkuf`thce
Kgohb`thce
_ypg `eo Orua (%)
\rca s.b.
(e;28>)
\rca Y`a \gss`ry
(e;28.9 >.0
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^gtrhgvgo ccbytgs
Y`rh`nfg ZKg`e (RO)[\rca. s.b.
(e;22?)
\rca.Y`a Agf
(e;22?)p
_ct`f IRM, HW >?
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^gtrhgvgo ccbytgs
Y`rh`nfg ZKg`e (RO)[\rca s.b.
(e;28>)
\rca Y`a \gss`ry
(e;28009 (008? (0008)
Er ccbytgs rgtrhgvgo 09.7 (=.=) 07.9 (=. (
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7 >? 0>.7 >2 22.7
1 20 2>.2 >= ?>.8
= 9? 20.2 9? >8.18 02 ?9.> 02 98.>
0< >> ?.9 >2 >9.0
00 7 < 7 > >= 72.9 >1 =.7
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@ssgsskget E (%) \rca s.b. \rca Y`a Agf \ v`fug
Bckicrt
Ygry uebckicrt`nfg > ()
Egutr`f 9> (>>.2)
Bckicrt`nfg 010 (79.2) 097 (72.?)
Ygry bckicrt`nfg ?9 (07.0) 72 (01.>)
Bckicrt
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R`igty
Y`rh`nfg (%) \rca s.b.
(e;?
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Bcebfushces
_mgsg twc f`rag, prcspgbthvg r`eockhsgo stuohgsogkcestr`tg tm`t >7 ka sunbut`egcus prcagstgrceg
`okhehstgrgo cebg o`hfy hs nctm giigbthvg `eo wgff
tcfgr`tgo he ` v`rhgty ci BCR prctcbcfs.
_mgrgicrg, sunbut`egcus prcagstgrceg rgprgsgets `
v`fu`nfg `ftgre`thvg cpthce icr futg`f pm`sg suppcrt he
`sshstgo rgprcoubthce, wmgrg p`rgetgr`f `okhehstr`thce
hs prgigrrgo cr rgquhrgo.
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_m`ej ycu icr ycur `ttgethce.
www.khof`eoigrthfhty.bck