03 Guías de Procedimientos en Ginecología (171)

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Guías de Procedimientos en Ginecología
3- Descartar Alteraciones hormonales:
 Laboratorio: en fase folicular temprano (2do al 4to día post menstruo)
. FSH / LH / Estradiol / Prolactina /
. TSH / T4 / anticuerpo antiperoxidasa
. Delta-4 Androstenediona/ SDHEA / Testosterona Libre / 17 OH Progesterona
. Insulina
. Progesterona (día 24° del ciclo)
4- Defecto Genético
 Cariotipo de la pareja, descartar traslocación
5- Alteración Inmunológica
6- Otros, según el caso.
Tratamiento
 El tratamiento puede ser interdisciplinario y/o específico de la patología.
Bibliografía:
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Am J Obstet Gynecol 1977;127:685
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medical genetics unit. Am J Hum Genet;1964;16:1
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Mullerian anomalies. Hum Reprod 1997;12:2277–81.
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and effective in the restoration of normal menstruation and fertility. Fertil Steril 1997;68:1141–3.
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a diagnostic and therapeutic approach. Hum Reprod 1986;1:145–7.
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not worthwhile. Lancet 1985;1:977–8.
11. Shalev E, Eliyahu S, Ziv M, Ben Ami M. Routine thyroid function tests in infertile women: are they necessary?
Am J Obstet Gynecol 1994;171:1191–2.
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investigated for infertility. Hum Fertil (Cambs) 2000;3:203–6.
13. Scholes D, Stergachis A, Heidrich FE, Andrilla H, Holmes KK, Stamm WE. Prevention of pelvic inflammatory
disease by screening for cervical chlamydial infection. N Engl J Med 1996;334:1362–6.
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London: Department of Health; 1998.