Hay quienes afirman que existe asociación entre el estrés y los resultados de un tratamiento de reproducción asistida, pero no es así necesariamente.
El meta-análisis «Estrés emocional en la mujer y los resultados negativos en los tratamientos de reproducción asistida» que ha evaluado 14 publicaciones que incluyeron a más de 3.500 mujeres con disfunción reproductiva, concluyó que el estrés emocional derivado de problemas de fertilidad o de otros eventos de la vida ajenos a la disfunción reproductiva pero ocurridos durante un tratamiento de reproducción asistida NO compromete los porcentajes de obtención de embarazos (Boivin y cols. 2011). Dichas mujeres fueron evaluadas antes de llevar a cabo el tratamiento de fertilidad con el fin de conocer sus niveles de ansiedad y estrés. Después se observaron los datos de embarazos logrados y fallidos para realizar la comparación y saber así qué relación hay entre estrés y embarazo.
Los resultados mostraron que la ansiedad y el estrés no afectan a las mujeres a la hora de quedarse embarazadas, es decir, que las mujeres que padecían ansiedad o estrés elevado en el momento de recibir tratamientos de fertilidad se quedaron embarazadas en la misma proporción que aquellas que no lo padecían. En palabras de Jacky Boivin, directora del estudio: http://www.sciencedaily.com/releases/2011/02/110224201901.htm
“Estos hallazgos deberían tranquilizar a las mujeres de que la angustia emocional causada por los problemas de fertilidad u otros eventos vitales que ocurren junto al tratamiento no afectará sus probabilidades de quedar embarazadas.”
Esto no quiere decir que los niveles de depresión alcanzados por las mujeres sometidas a tratamientos de fertilidad no sean elevados. Tanto es así, que recientemente se publico que de 216 mujeres en tratamiento de reproducción asistida, un 11.1% utiliza antidepresivos (Domar y cols. 2012). Sin embargo, sólo un 3% de éstas pacientes le contaron al anestesista que utilizaban estos medicamentos.
Muchas mujeres pueden sentir culpa por pensar que estar estresada, triste o deprimida podría afectar al resultado del tratamiento que están realizando y por tanto, si no logran una gestación es porque ellas han colaborado en el fracaso. Pero, como muestra el estudio, este pensamiento podría no estar bien orientado ni justificado y lo único que logra es generar aún más estrés en la paciente.
Cosas a tener en cuenta:
1. Si estás estresada, triste, sin ganas de nada, es importante comunicárselo al médico que está realizando el tratamiento.
2. Podés solicitar una consulta con la psicóloga del Instituto, quien te puede apoyar, orientar y despejar dudas concretas que podrían dificultar el buen funcionamiento del tratamiento y no sólo para las personas que se encuentran mal anímicamente.
3. Recordar que estar estresada no necesariamente afectará el resultado del tratamiento.
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