ASSISTED REPRODUCTIVE TECHNIQUES IN WOMEN OVER 50: CHALLENGES, RISKS, AND BENEFITS
DOI:
https://doi.org/10.47820/recima21.v4i11.4318Keywords:
Assisted reproduction, techniques in assisted reproduction, female infertility.Abstract
Currently, more and more women are opting for "late" pregnancy due to personal commitments such as studies, work, and other problems. In this way, there has been a significant increase in the search for reproductive techniques that are still not well accepted in our society, which means a psychological and even physiological struggle for the couple. With age, the reproductive capacity of the female body decreases, making natural pregnancy more difficult. Therefore, there are techniques for women over 50 that pose less risk to both mother and fetus. In case of late pregnancy, medical follow-up must be done to maintain the physical and mental health of the couple. In vitro fertilization (IVF), frozen embryo transfer (FET) and intracytoplasmic sperm injection (ICSI) are the three techniques with the highest success rate, with the woman's age being the main influencing factor. Although there are still risks to the health of the mother and fetus, with advances in assisted reproduction, it is possible to realize this dream and make life easier for couples who are not planning a pregnancy before they reach their personal and professional goals. In this review, we address the success rate of some assisted reproduction techniques in women over 50, highlighting those with the highest probability of success, considering that there is a maximum age for certain procedures to be performed.
Downloads
References
Junqueira LC, Carneiro J. Histologia Básica. Cap. 22 - Aparelho reprodutor feminino. 12ª. Edição. Rio de Janeiro: Editora Guanabara Koogan, 2013.
Klaic K, Zimmermann R, Simões-Wüst AP. Acceptability and further potential of an app for maternal notes, the eMutterPass: A patient-centered online survey at the University Hospital Zurich. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2022; 271:31–7.
Amorim FCM; Neves ACN, Moreira FS, Silva Oliveira ADS, Nery I. Profile Of Pregnant Women With Pre-Eclampsia. J Nurs UFPE, 2017; 11 (4): 1574–83.
Klipstein S, Regan M, Ryley DA, Goldman MB, Alper MM, Reindollar RH. One last chance for pregnancy: A review of 2,705 in vitro fertilization cycles initiated in women age 40 years and above. Fertil Steril, 2005; 84 (2): 435–45.
Silva JC, Amaral AR, Ferreira BS, Petry JF, Silva MRE, Krelling PC. Obesidade durante a gravidez: Resultados adversos da gestação e do parto. Revista Brasileira de Ginecologia e Obstetricia, 2014; 36 (11): 509–13.
Forslund M, Schmidt J, Brännström M, Landin-Wilhelmsen K, Dahlgren E. Morbidity and mortality in PCOS: A prospective follow-up up to a mean age above 80 years. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2022; 271:195–203.
Graciano JL. Injeção Intracitoplasmática de Espermatozoides (ICSI). Monografia. Brasília - DF: Universidade de Brasília. Faculdade de Agronomia e Medicina Veterinária. 2014.
Suff N, Xu VX, Glazewska-Hallin A, Carter J, Brennecke S, Shennan A. Previous term emergency caesarean section is a risk factor for recurrent spontaneous preterm birth: a retrospective cohort study. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2022; 271: 108–11.
Nagai R, Takahashi Y, Iwagaki S, Chiaki R, Asai K, Koike M, et al. Transabdominal amnioinfusion: An evaluation of its adverse events. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2022; 271: 132–7.
Hanley SJ, Walker KF, Wakefield N, Plachcinski R, Pallotti P, Tempest N, et al. Managing an impacted fetal head at caesarean section: a UK survey of healthcare professionals and parents. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2022; 271: 88–92.
Abreu LG, Santana LF, Navarro Salles PAA, Reis RM, Ferriani RA, Moura MD. A taxa de gestação em mulheres submetidas a técnicas de reprodução assistida é menor a partir de 30 anos. Revista Brasileira Ginecologia Obstetrica, 2006; 33–6.
Aspli S, Vikjord SAA, Langhammer A, Horn J. Association between pelvic floor disorders and bone mineral density: Findings from the HUNT study. European Journal of Obstetrics and Gynecology and Reproductive Biology, 2022; 271: 71–6.
Bruzamarello D, Patias ND, Cenci Bosetto CM. Ascensão profissional feminina, gestação tardia e conjugalidade. Psicol Estud, 2019; 24: 1–12.
Oliveira LMG, Canha AS, Dzik A, Novo NF, Juliano Y, Sprogis SIS, et al. A idade como fator prognóstico nos ciclos de fertilização in vitro. Revista Brasileira de Ginecologia e Obstetrícia, 2009;230–3.
Wessberg A, Lundgren I, Elden H. Late-term pregnancy: Navigating in unknown waters - A hermeneutic study. Women and Birth, 2020; 33 (3): 265–72.
Gizzo S, Noventa M, Quaranta M, Venturella R, Vitagliano A, Gangemi M, et al. New frontiers in human assisted reproduction from research to clinical practice: Several considerations (Review). Molecular Medicine Reports, 2016; 14: 4037–41.
Ni ZX, Wan KM, Zhou ZH, Kuang YP, Yu CQ. Impact of Maternal Age on Singleton Birthweight in Frozen Embryo Transfer Cycles. Front Endocrinol (Lausanne), 2022;13: 830414.
Marciano RP, Amaral WN. Aspectos emocionais em reprodução humana assistida: uma revisão integrativa da literatura. Femina. 2021; 49 (6): 379-84
Downloads
Published
License
Copyright (c) 2023 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218
This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.
