{"id":6070,"date":"2024-03-21T15:56:49","date_gmt":"2024-03-21T15:56:49","guid":{"rendered":"https:\/\/www.ginefiv.com\/treatment\/fragmentacion-adn-espermatico\/"},"modified":"2024-11-22T07:56:29","modified_gmt":"2024-11-22T07:56:29","slug":"fragmentacio-adn-espermatic","status":"publish","type":"treatment","link":"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/fragmentacio-adn-espermatic\/","title":{"rendered":"Test de fragmentaci\u00f3 de l\u2019ADN esperm\u00e0tic"},"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\">Test de fragmentaci\u00f3 de l\u2019ADN esperm\u00e0tic<\/h1>                         <\/div>                                                      <div class=\"page-cover__heading-content text-lg\">                                 <p>El test de fragmentaci\u00f3 esperm\u00e0tica mesura la integritat del material gen\u00e8tic d\u2019una mostra de semen analitzant els tractaments o les lesiones en les cadenes de l\u2019ADN dels espermatozoides.<\/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 la fragmentaci\u00f3 de l\u2019ADN esperm\u00e0tic?<\/a><\/li> <li><a href=\"#causas\" rel=\"noopener\">Causes de la fragmentaci\u00f3 esperm\u00e0tica<\/a><\/li> <li><a href=\"#en-que-consiste\" rel=\"noopener\">En qu\u00e8 consisteix el test de fragmentaci\u00f3 esperm\u00e0tica?<\/a><\/li> <li><a href=\"#cuando\" rel=\"noopener\">Quan est\u00e0 indicat el test de fragmentaci\u00f3 esperm\u00e0tica?<\/a><\/li> <li><a href=\"#mas-info\" rel=\"noopener\">Demana cita amb un especialista<\/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\/10\/GINEFIV-30.webp\" alt=\"Test de fragmentaci\u00f3 de l\u2019ADN esperm\u00e0tic\">             <\/picture>         <\/div>       <\/section>  <section  class=\"image-text-block custom-block-spacing align-right\" 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\/GINEFIV-3-540x380.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\">El test de fragmentaci\u00f3 de l\u2019ADN esperm\u00e0tic<\/h3>               <p>Es tracta d\u2019una prova diagn\u00f2stica avan\u00e7ada en l\u2019estudi de la infertilitat masculina, que es realitza en determinats casos per completar la informaci\u00f3 obtinguda despr\u00e9s d\u2019un <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/seminograma\/\">seminograma<\/a><\/strong>. EEl test de fragmentaci\u00f3 analitza l\u2019estat en qu\u00e8 es troba l\u2019ADN dels espermatozoides, localitzat en el seu cap i que constitueix la seva c\u00e0rrega gen\u00e8tica. Com m\u00e9s trencaments o lesiones d\u2019aquest material gen\u00e8tic, m\u00e9s dif\u00edcil ser\u00e0 aconseguir l\u2019embar\u00e0s.<\/p>             <\/div>                       <\/div>         <\/div>       <\/div>     <\/div>   <\/div>  <\/section>   <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, 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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=\"image-text-block custom-block-spacing align-left\" data-magic=\"float-zigzag\">   <div class=\"container\">           <div class=\"row\">         <div class=\"title-col col-12 col-md-6\"><h3 class=\"title-display\">Qu\u00e8 \u00e9s la fragmentaci\u00f3 de l\u2019ADN esperm\u00e0tic?<\/h3> <\/div>       <\/div>         <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\/Fragmentacion-adn-content-540x380.jpg\" 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\">                                           <p>La fragmentaci\u00f3 de l\u2019ADN esperm\u00e0tic \u00e9s una de les causes d\u2019infertilitat masculina i un dels par\u00e0metres que s\u2019analitzen als principals centres de  <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/\">reproducci\u00f3 assistida<\/a><\/strong>. Es tracta del trencament o les lesions en el material gen\u00e8tic dels espermatozoides, una alteraci\u00f3 que pot estar dificultant la consecuci\u00f3 de l\u2019 embar\u00e0s fins i tot en aquells casos en que la resta dels par\u00e0metres analitzats en la mostra de semen s\u00f3n normals.<\/p> <p>La fragmentaci\u00f3 esperm\u00e0tica es dona quan la mol\u00b7l\u00e8cula d\u2019ADN experimenta algun trencament en la cadena. Quan hi ha una taxa elevada de fragmentacions, la taxa de fecundaci\u00f3 ovocit\u00e0ria disminueix, i el posterior desenvolupament embrionari es pot veure afectat.<\/p>             <\/div>                       <\/div>         <\/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\">                     <h3 class=\"title-display\">La seva relaci\u00f3 amb la infertilitat masculina<\/h3> <p>Els estudis demostren que aproximadament 1 de cada 4 pacients inf\u00e8rtils presenta nivells elevats de fragmentaci\u00f3 i que, en els casos de pacients amb seminogrames normals, la prevalencia \u00e9s aproximadament d\u20191 de cada 10. Por tant, cal considerar la fragmentaci\u00f3 d\u2019ADN com un par\u00e0metre independent i complementari als tradicionals seminogrames i <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/test-supervivencia-espermatica\/\">test de superviv\u00e8ncia<\/a><\/strong>, que ofereix als especialistes una informaci\u00f3 addicional molt valuosa a l\u2019hora de proposar un tractament. As\u00ed, las roturas de cadena sencilla suelen estar m\u00e1s relacionadas con bajas tasas de fecundaci\u00f3n y las de cadena doble con una lenta evoluci\u00f3n en el desarrollo embrionario y tambi\u00e9n con un mayor riesgo de aborto.<\/p> <p>La funci\u00f3 de l\u2019espermatozoide \u00e9s la de transportar la informaci\u00f3 gen\u00e8tica del pare a fi d\u2019inserir-la en l\u2019\u00f2vul per a la formaci\u00f3 de l\u2019embri\u00f3. Aquesta informaci\u00f3 va \u201cescrita\u201d en la cadena d\u2019ADN. Per\u00f2 si aquesta cadena presenta un dany, augmenten els problemes d\u2019infertilitat masculina.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section id=\"causas\" 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\">Causes de la fragmentaci\u00f3 esperm\u00e0tica<\/h3> <p>Es pot deure a multitud de factors: des d\u2019haver passat per un proc\u00e9s febril fins a problemes anat\u00f2mics, com ara la pres\u00e8ncia d\u2019un varicocele, ja que totes dues coses produeixen un augment de temperatura en la zona genital. L\u2019efecte de subst\u00e0ncies externes com ara la contaminaci\u00f3, els medicaments, el tabac, infeccions i fins i tot l\u2019edat tamb\u00e9 hi influeix.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section id=\"en-que-consiste\" 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\">                     <h3 class=\"title-display\">En qu\u00e8 consisteix el test de fragmentaci\u00f3 esperm\u00e0tica?<\/h3> <p>A Ginefiv, aquest test de fragmentaci\u00f3 esperm\u00e0tica es realitza mitjan\u00e7ant una complexa t\u00e8cnica que, fent servir un cit\u00f2metre de flux, analitza de manera minuciosa l\u2019exist\u00e8ncia de trencaments en les cadenes d\u2019ADN de milers d\u2019espermatozoides (arriba a analitzar m\u00e9s de 10.000 espermatozoides), fet que dona lloc a una an\u00e0lisi molt fiable sobre la qualitat de la mostra d\u2019un pacient.<\/p> <p>Aquest test analitza l\u2019estat en qu\u00e8 es troba l\u2019ADN dels espermatozoides, localitzat en el seu cap i que constitueix la seva c\u00e0rrega gen\u00e8tica. Com m\u00e9s trencaments o lesions d\u2019aquest material gen\u00e8tic, m\u00e9s dif\u00edcil ser\u00e0 aconseguir l\u2019embar\u00e0s.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section  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\/GINEFIV-3-540x380.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\">Com s\u2019obt\u00e9 la mostra que s\u2019ha d\u2019analitzar?<\/h3>               <p>Per garantir la m\u00e0xima fiabilitat del diagn\u00f2stic del seminograma, la mostra de semen s\u2019ha d\u2019obtenir seguint aquestes indicacions:<\/p>             <\/div>                       <\/div>         <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section  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\">                     <ul> <li>Guarda de 24 hores d\u2019abstin\u00e8ncia sexual (fora que s\u2019indiqui el contrari en mostres de baixa qualitat).<\/li> <li>Recull la mostra en un pot est\u00e8ril. A Ginefiv te\u2019n proporcionarem un;tamb\u00e9 es poden adquirir a qualsevol farm\u00e0cia. La manera d\u2019obtenir la mostra \u00e9s mitjan\u00e7ant la masturbaci\u00f3; no s\u00f3n v\u00e0lids ni el coitus interruptus ni l\u2019\u00fas de preservatius comercials.<\/li> <li>Cal que la recollida de la mostra es faci en les m\u00e0ximes condicions higi\u00e8niques (rentat previ de mans).<\/li> <li>Procura que la mostra de semen sigui completa, \u00e9s a dir, que entri tot l\u2019ejaculat dins del pot.<\/li> <li>Aquest tipus d`\u2019an\u00e0lisi requereix, sempre que sigui possible, que la recollida de la mostra es faci al centre de reproducci\u00f3 (amb l\u2019objectiu de minimitzar el temps transcorregut des de l\u2019ejaculat, aix\u00ed com possibles alteracions per variacions en la temperatura).<\/li> <li>Si tinguessis febre en els 7-10 dies previs a l\u2019obtenci\u00f3 de la mostra de semen o prenguessis antibi\u00f2tic, hauries de contactar amb el laboratori per ajornar la cita.<\/li> <\/ul>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section  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\/adn-540x380.jpg\" 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\">L\u2019\u00edndex de fragmentaci\u00f3 d\u2019ADN (DFI)<\/h3>               <p>El test de fragmentaci\u00f3 proporciona un \u00edndex de fragmentaci\u00f3 d\u2019ADN (DFI), un valor que permet als especialistes con\u00e8ixer el grau de patologia i estimar el millor tractament en cada cas.<\/p> <p>Si el DFI \u00e9s inferior al 15% es considera una fragmentaci\u00f3 normal. Entre un 15% i un 30% es considera una mica elevada. I per damunt del 30% es tractaria d\u2019un DFI patol\u00f2gic.<\/p> <p>Alguns estudis suggereixen que el tractament amb antioxidants pot reduir significativament els nivells de fragmentaci\u00f3 d\u2019ADN . Per\u00f2 hi ha pacients que podrien no respondre b\u00e9 a aquest tractament, sobretot quan el dany d\u2019ADN t\u00e9 el seu origen en factors t\u00f2xics o en altes temperatures.<\/p> <p>En el cas que la prova estigui alterada, l\u2019equip de Ginefiv aconsellar\u00e0 la millor opci\u00f3, adaptada a l\u2019historial de la parella.<\/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 el test de fragmentaci\u00f3 esperm\u00e0tica?<\/h3> <p>El test de fragmentaci\u00f3 esperm\u00e0tica est\u00e0 indicat en els seg\u00fcents casos:<\/p> <ul> <li>Baixa taxa de fecundaci\u00f3, embrions de baixa qualitat, fallada repetida d\u2019implantaci\u00f3, avortaments de repetici\u00f3.<\/li> <li>Varicocele.<\/li> <li>Infeccions genitourin\u00e0ries.<\/li> <li>Majors de 45 anys.<\/li> <li>Fumadors i persones exposades a t\u00f2xics ambientals.<\/li> <li>Exposici\u00f3 a altes temperatures (febre).<\/li> <\/ul>                   <\/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\">                     <h3 class=\"title-display\">Quines solucions existeixen per als problemes d\u2019infertilitat masculina derivats de la fragmentaci\u00f3 esperm\u00e0tica elevada?<\/h3> <p>Ginefiv disposa d\u2019una t\u00e8cnica denominada <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/macs\/\">MACS<\/a><\/strong> que podria ajudar a minimitzar aquest problema d\u2019infertilitat masculina en els tractaments de reproducci\u00f3 assistida tot millorant la probabilitat d\u2019aconseguir un embar\u00e0s en les inseminacions o d\u2019obtenir millors embrions en els <strong><a href=\"https:\/\/www.ginefiv.com\/ca\/reproduccio-assistida\/fecundacio-in-vitro\/\">cicles de FIV<\/a><\/strong>.<\/p> <p>La t\u00e8cnica consisteix a posar en contacte els espermatozoides amb uns marcadors units amb microesferes met\u00e0l\u00b7liques. Aquests marcadors s\u2019uniran als espermatozoides que tenen l\u2019ADN fragmentat. Es fan passar per un filtre imantat, de forma que els espermatozoides amb la fragmentaci\u00f3 alterada es quedaran units a l\u2019imant i tan sols passaran els que no estiguin danyats. Aix\u00ed aconseguirem una mostra en qu\u00e8 haurem eliminat un nombre molt alt d\u2019espermatozoides amb l\u2019ADN fragmentat.<\/p>                   <\/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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