COVID-19 y salud reproductiva

  • G. Gómez-Tabares Centro Médico Imbanaco, Cali
  • M. Barraza-Gerardino Colsanitas

Resumen

El comportamiento de las enfermedades microbianas, ya sea por virus, bacterias o protozoos, y su respuesta inflamatoria son diferentes entre hombres y mujeres. Esta diferencia se hace notoria en la pandemia derivada por la enfermedad por coronavirus (COVID-19). Desde el reporte del primer caso de neumonía en diciembre de 2019, en Wuhan, China, la COVID-19 se ha diseminado a 212 países y territorios y, a la fecha, se ha confirmado más de 3,5 millones de casos, con una mortalidad mundial del 7%, lo que la convierte en una emergencia sanitaria internacional (1). Hasta ahora, en Colombia, hay más de 7000 casos confirmados, con más de 300 defunciones, de los cuales, más del 60% pertenecen al sexo masculino. Hasta el momento, la literatura científica disponible relacionada con la COVID-19 solo abarca ciertos aspectos de la salud reproductiva, tanto femenina como masculina, mientras se continúa recopilando más información que nos permita conocer y realizar un análisis más detallado de su impacto real en humanos durante el proceso infeccioso y las secuelas derivadas de este. Está confirmado que las condiciones médicas relacionadas con el síndrome metabólico y los estados de insulinorresistencia en hombres y mujeres agravan la presentación clínica y el pronóstico (2). La presente revisión pretende ilustrar los mecanismos relacionados con la respuesta inmunitaria diversa frente a las infecciones virales según el sexo del individuo, su compromiso gonadal y los efectos relacionados con la salud reproductiva masculina y femenina, que incluye la maternofetal y la posible transmisión vertical.

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Biografía del autor

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Ginecología y Obstetricia. Endocrinología Reproductiva y Fertilidad. Centro Médico Imbanaco, Cali, Colombia. Profesor titular y distinguido, Universidad del Valle. Profesor, Hora Catedra, Universidad del Valle; Universidad Libre, Cali, Colombia.

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Medicina Interna, Endocrinología, Colsánitas, IPS Vivir Cali, Cali, Colombia. 

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Publicado
2020-07-02
##submission.howToCite##
GÓMEZ-TABARES, G.; BARRAZA-GERARDINO, M.. COVID-19 y salud reproductiva. Revista Colombiana de Endocrinología, Diabetes & Metabolismo, [S.l.], v. 7, n. 2S, p. 89-93, jul. 2020. ISSN 2389-9786. Disponible en: <http://revistaendocrino.org/index.php/rcedm/article/view/591>. Fecha de acceso: 11 ago. 2020