Assisted fertilization in women of advanced reproductive age: Quo vadis?

Rechkemmer A.F. · Revista Peruana de Ginecologia y Obstetricia (2023) · DOI: 10.31403/rpgo.v69i2550

Resumen

Oocyte and embryo donation has become a frequent procedure in infertile women of advanced reproductive age, with a high pregnancy rate. In these pregnancies, the incidence of adverse obstetric events (hypertensive disorders, gestational diabetes, operative delivery, among others) and perinatal mortality increases. Multiple pregnancies significantly increase the risks, so single embryo transfer is recommended. Patients should have a previous comprehensive medical examination including cardiovascular and psychological evaluation, avoiding treatment in women with chronic diseases that significantly increase risks. This symposium will review infertility management in women of advanced reproductive age with own and donated oocytes, obstetric and perinatal complications as well as ethical aspects and special considerations to consider in this type of treatment.

Instituciones: Universidad Peruana Cayetano Heredia