Applicability of biological fertility indicators for effective birth control after orthotopic liver transplantation

Huete, María Eugenia; Castillo, A Buganza Del; Marcos, Helena; Vargas, Juana; Lema, Guillermo Pérez de; Baños, I.

doi:10.1080/01443615.2019.1634029

Cited by 1 publication

(5 citation statements)

References 23 publications

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“…The use of biological fertility indicators described in this article as part of an alternative post-transplant patient family planning approach has not only been shown effective in avoiding unintended pregnancy (Huete et al 2020), but also helped our patient to properly identify the best moment for achieving pregnancy. This approach led to immediate gestational success in this case.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, reliable and safe contraception must be considered part of pre-conceptional counseling, which allows bridging the time of gestational contraindication until the ideal moment for a safe pregnancy is given. The symptothermal method belongs to the most efficacious birth control methods and has been shown applicable by our group in a liver transplanted patient (Huete et al 2020).…”

Section: Discussionmentioning

confidence: 99%

“…The description of the contraceptive use of STM was the object of the previous report (Huete et al 2020). The patient and her couple used STM as advised by her physicians consistently, without a concomitant barrier method for contraception.…”

Section: Use Of Symptothermal Methods For Pregnancy Avoidancementioning

confidence: 99%

“…The election of an appropriate method isn´t, however, exempt from difficulty due to the iatrogenicity of some of the most effective contraceptives (Curtis et al 2016). Recently, Huete et al first described the use of symptothermal method (STM) as a reliable method for pregnancy avoidance in a transplanted woman (Huete et al 2020). This method is based on the identification during the menstrual cycle of biological fertility indicators that help the couple assess whether a conception is very unlikely to happen and avoid unprotected sexual intercourse during fertile days.…”

Section: Introductionmentioning

confidence: 99%

“…Based on the case report of a liver transplanted patient (Huete et al 2020), in which STM was used as a natural family planning method for both pregnancy avoidance and as a conception facilitating method, this article intends to discuss the usefulness of biological fertility indicators and NPT as a potential alternative to ART for infertile transplanted women.…”

Section: Introductionmentioning

confidence: 99%

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Maternity After Orthotopic Liver Transplantation: Can the Use of Biological Fertility Indicators Help? Our Own Experience and Literature-based Recommendations

et al. 2022

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Over the last 5 decades, the fulfillment of maternity wishes in solid organ transplanted women has become a reality. Despite pregnancy contraindication in transplanted women during the early post-transplant period, such a condition can be overcome after 12 months if patients show a good clinical evolution and do not present other general pre-conceptional findings. This article presents the case report of a young female liver transplanted patient that used symptothermal method as a reliable family planning method. After her gestational contraindication was lifted, observation of biological fertility indicators and fertility-guided sexual intercourse helped her fulfill her maternity wish and conceive and carry out a healthy offspring. Based on this case and on the available bibliographic evidence, this paper reviews the potential implications of the use of this kind of approach as a safe and effective alternative to assisted reproduction technology in the management of potential infertility problems in the young female transplanted population, a population which according to literature has higher rates of unsuccessful parenthood and might also be more vulnerable to iatrogenicity of ovarian hyperstimulation process and to multiple pregnancy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Use Of Symptothermal Methods For Pregnancy Avoidancementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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