{"id":6056,"date":"2023-10-10T10:57:29","date_gmt":"2023-10-10T10:57:29","guid":{"rendered":"https:\/\/www.ginefiv.com\/treatment\/macs\/"},"modified":"2024-11-21T00:30:35","modified_gmt":"2024-11-21T00:30:35","slug":"macs","status":"publish","type":"treatment","link":"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/macs\/","title":{"rendered":"MACS"},"content":{"rendered":"<section class=\"page-cover treatment-section has-thumbnail dark-theme\">     <div class=\"page-cover__container container treatment-page\">         <div class=\"row\">             <div class=\"col-12 col-lg-6 pt-4 pt-lg-0\">                 <div class=\"page-cover__heading\">                     <div class=\"page-cover__heading-wrapper treatment-heading\">                                                   <div class=\"page-cover__heading-subtitle heading-subtitle text-xxl\">                             <p>Reproducci\u00f3 assistida<\/p>                         <\/div>                          <div class=\"page-cover__heading-title heading-title title-display\">                             <h1 class=\"title-display\">MACS (Magnetic Activated Cell Sorting)<\/h1>                         <\/div>                                                      <div class=\"page-cover__heading-content text-lg\">                                 <p>Com veurem a continuaci\u00f3, la t\u00e8cnica MACS permet optimitzar la selecci\u00f3 d\u2019espermatozoides abans d\u2019utilitzar-los en les t\u00e8cniques de reproducci\u00f3 assistida.<\/p>                             <\/div>                                                                      <\/div>                 <\/div>             <\/div>              <div class=\"col-12 col-lg-6 pt-5 pt-lg-0 pl-lg-5\">                 <div class=\"treatment-links-container\">                                             <div class=\"treatment-links-container__links text-lg\">                             <ul> <li><a href=\"#que-es\" rel=\"noopener\">Qu\u00e8 \u00e9s el MACS?<\/a><\/li> <li><a href=\"#en-que-consiste\" rel=\"noopener\">En qu\u00e8 consisteix la t\u00e8cnica?<\/a><\/li> <li><a href=\"#cuando\" rel=\"noopener\">Quan est\u00e0 indicat?<br \/> <\/a><\/li> <\/ul>                         <\/div>                                     <\/div>             <\/div>         <\/div>     <\/div>               <div class=\"parallax-trigger fullsize page-cover-thumbnail treatment-thumbnail\" data-magic=\"parallax\">             <picture class=\"page-cover__picture parallax-trigger__item\" data-item=\"parallax-item\">                 <img decoding=\"async\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/06\/inseminacion_hero.webp\" alt=\"MACS\">             <\/picture>         <\/div>       <\/section>   <section class=\"wp-block-breadcrumbs\">   <div class=\"content-wrapper\">     <ul>                   <li>               <a href=\"https:\/\/www.ginefiv.com\/ca\/\" title=\"Ginefiv Espa\u00f1a\">                 Ginefiv              <\/a>             <\/li>                         <li>               <span class=\"current\" title=\"MACS\">                 MACS              <\/span>             <\/li>                 <\/ul>   <\/div> <\/section>    <div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\"> <div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"> <p>La t\u00e8cnica de selecci\u00f3 esperm\u00e0tica MACS est\u00e0 especialment indicada en casos d\u2019infertilitat masculina en qu\u00e8 hi ha un percentatge de <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/fragmentacio-adn-espermatic\/\">fragmentaci\u00f3 de l\u2019ADN dels espermatozoides<\/a><\/strong> patol\u00f2gic, tant en tractaments de <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/fecundacio-in-vitro\/\">fecundaci\u00f3 in vitro<\/a><\/strong> com d&#8217; <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/inseminacio-artificial\/\">inseminaci\u00f3 artificial<\/a><\/strong>, i millorar la taxa de fecundaci\u00f3 fins en un 13%.<\/p> <\/div> <\/div>    <div class=\"wp-block-columns alignfull has-turquoise-teal-background-color has-background is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\"> <div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"> <section class=\"grid-icons-block content-wrapper\">        <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         35 anys d&#8217;experi\u00e8ncia      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Seguretat garantida      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Assist\u00e8ncia personalitzada      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         A l&#8217;avantguarda tecnol\u00f2gica      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Taxa d&#8217;\u00e8xit elevada      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Tarifes econ\u00f2miques      <\/div>     <\/div>     <\/section><\/div> <\/div>   <section id=\"que-es\" class=\"video-text-block custom-block-spacing\">     <div class=\"container\">                     <div class=\"row\">                 <div class=\"title-col col-12\"><h3 class=\"title-display\">Qu\u00e8 \u00e9s el MACS?<\/h3> <\/div>             <\/div>                  <div class=\"row\">             <div class=\"video-col col-12 col-md-6\">                 <iframe loading=\"lazy\" title=\"MACS\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/H8nyqvujf_0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>            <\/div>             <div class=\"text-col col-12 col-md-6\">                 <div class=\"video-text-block__text-wrapper\">                                         <p>\u00c9s una t\u00e8cnica que permet la selecci\u00f3 immunomagn\u00e8tica d\u2019espermatozoides sans i \u00f2ptims per a la fertilitzaci\u00f3 de l\u2019\u00f2vul, per tal de separar-los d\u2019aquells amb marcadors apopt\u00f2tics, destinats a morir. Aquesta t\u00e8cnica est\u00e0 especialment pensada per al seu \u00fas en tractaments tant d&#8217; <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/inseminacio-artificial\/\">inseminaci\u00f3 artificial<\/a><\/strong> com de <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/fecundacio-in-vitro\/\">fecundaci\u00f3n in vitro<\/a><\/strong> o <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/icsi\/\">ICSI<\/a><\/strong>.<\/p> <p>LL\u2019apoptosi, o mort cel\u00b7lular programada, \u00e9s un proc\u00e9s de control del cicle cel\u00b7lular. Durant l\u2019espermatog\u00e8nesi s\u2019inicia, per exemple, quan es detecten danys cel\u00b7lulars com ara la fragmentaci\u00f3 de l&#8217;ADN esperm\u00e0tic.<\/p>                 <\/div>             <\/div>         <\/div>     <\/div> <\/section>   <section  class=\"banner-testimonies-block-container\">     <div class=\"banner-testimonies-bg\" style=\"background-image:url(https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/bg-testimonial-logo.svg)\"><\/div>     <div class=\"banner-testimonies-block\">         <div class=\"banner-testimonies-block__content\">             <!--h3 class=\"testimonies-block__title heading-md\"-->                 Somnis complerts            <!--\/h3-->             <div class=\"testimonies-block__cards-container\" data-slider=\"testimony\">                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                              <p>Fuimos a Ginefiv porque a varias amigas les hab\u00eda funcionado y ya eran mam\u00e1s. El pron\u00f3stico no era muy favorable, ya que yo ten\u00eda baja reserva ov\u00e1rica, pero el doctor nos dijo que los \u00f3vulos que tuviera pod\u00edan ser de buena calidad.<\/p> <p>Me hicieron la primera inseminaci\u00f3n que vivimos con mucha emoci\u00f3n sabiendo que pr\u00e1cticamente era imposible que funcionara a la primera, pero en la betaespera yo ya sospechaba que estaba embarazada. Y nos dieron la ansiada noticia: \u00a1est\u00e1bamos embarazadas! Y s\u00ed, a la primera, hab\u00eda funcionado.<\/p> <p>Nueve meses despu\u00e9s naci\u00f3 nuestra peque\u00f1a Olivia, de la que no podemos estar m\u00e1s enamoradas.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Mar\u00eda y Rodrigo                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p><span><\/span>Llegamos a Ginefiv por recomendaci\u00f3n de unos amigos y desde la primera visita ni nos planteamos buscar otras cl\u00ednicas.<\/p> <p>Ven\u00edamos de m\u00e1s de 7 a\u00f1os de tratamientos fallidos en la Seguridad Social.<br \/>En Ginefiv me qued\u00e9 embaraza en la segunda transferencia.<\/p> <p>Solo tenemos buenas palabras para Ginefiv y su forma de cuidarnos. Encontramos la mejor cl\u00ednica y a la mejor doctora del mundo.&nbsp;<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Roberto y Aurora                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p><span><\/span>Hicimos en Ginefiv un tratamiento de ovodonaci\u00f3n y dos tratamientos de adopci\u00f3n de embriones. Las doctoras siempre nos dec\u00edan que lo conseguir\u00edamos. Est\u00e1bamos en plena pandemia y nos cuidaron much\u00edsimo hasta que \u00a1por fin nos quedamos embarazados! Tenemos un precioso ni\u00f1o y estamos muy agradecidos por todo a Ginefiv porque nunca se rindieron con nosotros. M\u00e9dicos, enfermeras, atenci\u00f3n al paciente\u2026 siempre que llamaba con dudas estaban ah\u00ed.<\/p> <p>Es un camino duro pero tenemos muy buenos recuerdos. Muchas gracias.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Mayte y Enrique                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Agotada de otra cl\u00ednica llegu\u00e9 a ellos y menudo cambio para bien. Pasaban los meses sin conseguir quedarme embarazada y las pruebas indicaban que no exist\u00edan impedimentos para ello. <\/p> <p>Despu\u00e9s de un tiempo lo hemos logrado. Y todo a pesar del momento vivido de incertidumbre por la salud, pero pensando en mi peque se me cambia el \u00e1nimo. <\/p> <p>Agradecerles a todos el trabajo.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Carla Ruiz                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Nos aconsejaron una FIV con microinyecci\u00f3n en la que obtuvimos buenos embriones.<br \/>Me transfirieron tres de esos \u201cpeque\u00f1os\u201d y me qued\u00e9 embarazada de Cristina.<br \/>Todo fue tan bien y tan f\u00e1cil que a los 15 meses decidimos buscar un hermanito. No pudo ser a la primera pero al tercer intento con embriones descongelados dio fruto y vino nuestra segunda hija, Carolina. Imposible ser m\u00e1s felices.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Pilu                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Los mejores profesionales, la mejor atenci\u00f3n. Dimos con Ginefiv por una pareja conocida cuando est\u00e1bamos en plena pandemia. Aunque ten\u00edamos muchas dudas, afortunadamente no desistimos y ahora estamos esperando a nuestra hija.<\/p> <p>\u00a1Vaya aventura con pandemia y todo! Gracias a todo el equipo de atenci\u00f3n al paciente, a las psic\u00f3logas, al equipo m\u00e9dico, recepci\u00f3n\u2026 a todos.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Sandra Trigo                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Cl\u00ednica muy profesional, personal atento y resolutivo durante todo el tratamiento. Asistencia personalizada en franc\u00e9s (correo, tel\u00e9fono o in situ) para franc\u00f3fonos. Para elegir sin dudarlo para un tratamiento de reproducci\u00f3n asistida en el extranjero.<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Caroline Mercier                        <\/p>                     <\/div>                             <\/div>         <\/div>     <\/div> <\/section>  <section  class=\"text-block background-light custom-block-spacing\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <p>En diversos estudis de pacients que presenten infertilitat, s\u2019ha trobat que existeix un elevat nombre d\u2019espermatozoides en l\u2019ejaculat que presenten marcadors apopt\u00f2tics, i per tant el mecanisme de control propi no ha funcionat correctament o b\u00e9 el percentatge de c\u00e8l\u00b7lules danyades \u00e9s molt elevat. Aix\u00f2 es pot deure tant a factors intr\u00ednsecs como a factors externs (tabaquisme, estr\u00e8s, febre, varicocele, etc.)<\/p> <p>En aquest context arriba la selecci\u00f3 cel\u00b7lular immunomagn\u00e8tica o MACS. Una t\u00e8cnica mitjan\u00e7ant la qual els espermatozoides passen a trav\u00e9s d\u2019una columna imantada, de manera que aquells que mostren marcadors apopt\u00f2tics en la seva membrana quedin retinguts a la columna de filtrat per la qual passa la mostra de semen, deixant lliures els espermatozoides sans i aptes per a la fertilitzaci\u00f3 de l\u2019\u00f2vul. Aquesta selecci\u00f3 millora la taxa de fecundaci\u00f3 fins en un 13%.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section id=\"en-que-consiste\" class=\"image-text-block custom-block-spacing align-left\" data-magic=\"float-zigzag\">   <div class=\"container\">         <div class=\"row\">       <div class=\"img-col col-12 col-md-6\">                   <picture class=\"image-text-block__img-wrapper image-wrapper zigzag-element\">                         <img data-src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/MACS-content-01.webp\" alt=\"\">           <\/picture>               <\/div>       <div class=\"text-col col-12 col-md-6\">         <div class=\"image-text-block__text-wrapper text-heading-block zigzag-element\">           <div class=\"image-text-block__text-wrapper__content\">             <div class=\"text-block-wrapper\">                             <h3 class=\"title-display\">En qu\u00e8 consisteix la t\u00e8cnica?<\/h3>               <p>La t\u00e8cnica es basa en la utilitzaci\u00f3 de microesferes magn\u00e8tiques, que porten adossades en la seva paret mol\u00b7l\u00e8cules d\u2019anexina V, les quals reconeixen i s\u2019uneixen a la fosfatidilserina present a la membrana dels espermatozoides. La fosfatidilserina \u00e9s un marcador primerenc de l\u2019apoptosi cel\u00b7lular, ja que en c\u00e8l\u00b7lules sanes aquest fosfol\u00edpid es troba cap a l\u2019interior de la membrana, i quan la c\u00e8l\u00b7lula inicia l\u2019apoptosi, aquesta mol\u00b7l\u00e8cula s\u2019externalitza. Per tant, amb el MACS som capa\u00e7os de detectar aquest marcador en els espermatozoides que, en fer-los passar per la columna imantada, hi queden retinguts, fet que ens permet separar-los dels espermatozoides sans.<\/p>             <\/div>                       <\/div>         <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section id=\"cuando\" class=\"text-block background-light\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <h3 class=\"title-display\">Quan est\u00e0 indicat?<\/h3> <p>Aquesta t\u00e8cnica est\u00e0 especialment indicada en els seg\u00fcents casos:<\/p> <ul> <li>Pacients amb una an\u00e0lisi de fragmentaci\u00f3 de l\u2019ADN esperm\u00e0tic patol\u00f2gic.<\/li> <li>Pacients amb m\u00e9s de dos cicles de tractament sense gestaci\u00f3.\/li&gt;<\/li> <li>Pacients amb avortaments de repetici\u00f3.<\/li> <\/ul>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>   <div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\"> <div class=\"wp-block-column wp-column-is-centred is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:610px\"> <h2 class=\"wp-block-heading has-text-align-center\">Demana cita o consulta amb un especialista<\/h2>    <p class=\"has-text-align-center\">Tens l&#8217;opci\u00f3 de fer la teva primera consulta in situ a la cl\u00ednica o per videoconfer\u00e8ncia. 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