CONTRIBUIÇÃO DA ANÁLISE CRÍTICA SOBRE TRATAMENTOS DA INFERTILIDADE OCASIONADA POR ENDOMETRIOSE
DOI:
https://doi.org/10.69719/ros.v7iesp..807Palavras-chave:
Endometriose, Infertilidade, Tratamento, Análise CríticaResumo
Este trabalho tem como objetivo realizar uma análise crítica dos tratamentos para infertilidade causada por endometriose, avaliando a eficácia das abordagens terapêuticas com base em estudos clínicos randomizados e controlados. Foi conduzida uma revisão sistemática da literatura em bases de dados como PubMed, Scopus e Web of Science. Os critérios de inclusão consideraram estudos clínicos randomizados e controlados publicados entre 2013 e 2023, que investigassem tratamentos para infertilidade em mulheres com endometriose. Foram excluídos estudos que não apresentassem dados quantitativos claros ou que estivessem fora do escopo de análise. A extração dos dados focou em resultados como taxas de gravidez, melhoria nos sintomas e segurança dos tratamentos. Ao todo foram pesquisados 40 artigos nestas plataformas, sendo selecionados apenas 11. A análise crítica dos estudos selecionados sobre o tratamento da infertilidade relacionada à endometriose demostrou uma variedade de abordagens com resultados diferentes. Alguns tratamentos, como a administração de atosiban antes da transferência de embriões congelados, astaxantina para técnicas de reprodução assistida e implantação assistida por laser em ICSI-ET, mostraram melhorias significativas na gravidez e eficácia no tratamento da infertilidade. No entanto, tratamentos como a administração pré-FIV de Lipiodol®, progestágenos em cotratamento com hMG e GnRHa antes da fertilização in vitro não proporcionaram benefícios substanciais, indicando a necessidade de avaliação cuidadosa dessas intervenções na prática clínica. A medicina reprodutiva é um campo dinâmico e a individualização do tratamento, considerando as características específicas do paciente, é essencial para o sucesso do tratamento da infertilidade ocasionada pela endometriose
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