%PDF-1.3
%粤マモ
1 0 obj
<<
/CreationDate (D:20090317162750-05'00')
/ModDate (D:20090317162750-05'00')
/Producer (Acrobat Distiller 5.0.5 for Macintosh)
/Author (ruth)
/Title (THF Bone Health 1-09.qxd)
/Creator (QuarkXPress\(tm\) 4.11)
>>
endobj
2 0 obj
<<
/Type /Metadata
/Subtype /XML
/Length 1049
>>
stream
THF Bone Health 1-09.qxd
endstream
endobj
4 0 obj
<<
/Length 25571
>>
stream
1 g
/GS1 gs
0 783 m
0 783 l
f
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
0.89 0 0.2 0 k
/GS2 gs
581.18 146.51 m
563.46 162.08 553.5 183.2 553.5 205.21 c
553.5 576.79 l
553.5 598.8 563.46 619.92 581.18 635.48 c
586.44 640.11 592.26 644.13 598.5 647.5 c
598.5 134.5 l
592.26 137.87 586.44 141.89 581.18 146.51 c
f*
0 0 0 1 K
0 J 0 j 0.5 w 10 M []0 d
557.644 802.006 m
557.644 751.826 l
27.284 802.082 m
27.284 751.972 l
S
0 0.038 0.095 0 k
27 657 m
27 705.5 l
142.3 723.5 297 723.5 v
451.7 723.5 558 705.5 y
558 657 l
27 657 l
f*
Q
q
1 i
27 765 m
558 765 l
558 715.5 l
451.7 733.5 297 733.5 v
142.3 733.5 27 715.5 y
27 765 l
W* n
/GS3 gs
q 2.082 0 0 -0.2012 26 766 cm BX /Sh1 sh EX Q
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 216.6 636.7938 Tm
0 0 0 1 k
/GS2 gs
0 Tc
0 Tw
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
[(Problems with the repro)-9.9(ductive tract)]TJ
0 -1.1667 TD
(\(e.g., blocked or damaged fallopian)Tj
T*
(tubes, endometriosis, pelvic adhesions,)Tj
T*
(benign uterine fibroids, and complica-)Tj
T*
(tions from surgery or infection\).)Tj
-1.2533 -1.3267 TD
0 Tc
0 Tw
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
(Sexually transmitted diseases )Tj
0 -1.1667 TD
(\(e.g., chlamydia and gonorrhea\))Tj
-1.2533 -1.3267 TD
0 Tc
0 Tw
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
(Smoking, drinking alcohol, or using)Tj
0 -1.1667 TD
(recreational drugs \(e.g., cocaine and)Tj
T*
0 Tw
(marijuana\).)Tj
-1.2533 -1.3267 TD
0.6473 Tc
(・M)Tj
2.1372 0 TD
-0.0051 Tc
0.025 Tw
(edications such as antidepressants,)Tj
-0.8838 -1.1667 TD
(tranquilizers, calcium channel blockers,)Tj
T*
(narcotics, and anti-cancer drugs.)Tj
-1.2533 -1.3267 TD
0 Tc
0 Tw
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
(Exposure to radiation, lead, toxic fumes)Tj
0 -1.1667 TD
(and pesticides. )Tj
-1.2533 -1.3267 TD
0 Tc
0 Tw
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
(Incorrect timing of intercourse relative)Tj
0 -1.1667 TD
(to ovulation.)Tj
-1.2533 -1.3267 TD
0 Tc
0 Tw
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
(Medical conditions such as chronic)Tj
0 -1.1667 TD
(kidney disease, liver disease, sickle )Tj
T*
(cell disease, and chronic infections)Tj
T*
(including HIV/AIDS, hepatitis B or C,)Tj
T*
(and tuberculosis.)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10.34 0 0 10.34 216.6 386.0341 Tm
0 0 0 1 k
/GS2 gs
-0.0002 Tc
0.0296 Tw
(How is infertility diagnosed?)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 227.88 373.8658 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Doctors usually begin with a medical)Tj
-1.2533 -1.1667 TD
(history about your menstrual cycle, past)Tj
T*
(illnesses, sexually transmitted diseases and)Tj
T*
(surgeries, and if you are taking drugs or)Tj
T*
(have been exposed to toxic agents. )Tj
1.2533 -1.4067 TD
(The medical history is usually followed)Tj
-1.2533 -1.1667 TD
(by a pelvic exam to make sure your)Tj
T*
[(repro)-9.8(ductive tract \(vagina, uterus, and)]TJ
T*
[(ovaries\) is normal, and bloo)-9.9(d tests to)]TJ
T*
(measure your hormone levels. A semen)Tj
T*
(analysis and a medical history of your)Tj
T*
(partner will also be performed. Depending)Tj
T*
(on what is found in these tests, your)Tj
T*
(doctor may also perform more specialized)Tj
T*
[(tests of your repro)-9.9(ductive tract, including)]TJ
T*
(one to make sure your fallopian tubes are)Tj
T*
(not blocked. )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10.34 0 0 10.34 216.6 182.0861 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0295 Tw
[(How is infertility tr)17.7(eated?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 227.88 169.9178 Tm
0 0 0 1 k
/GS2 gs
0 Tc
0 Tw
(T)Tj
0.5512 0 TD
-0.0051 Tc
0.025 Tw
(reatment of infertility depends on the)Tj
-1.8045 -1.1667 TD
[(cause and the womanユ)54.8(s age. It falls into)]TJ
T*
(two main categories: one helps fertility)Tj
T*
[(through medications or surgery)73.8(, and the)]TJ
T*
(other uses )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9 0 0 9 255.0271 127.9178 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(assisted reproductive technologies)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 364.8613 127.9178 Tm
0 0 0 1 k
/GS2 gs
-0.005 Tc
0 Tw
(. )Tj
-15.2201 -1.4067 TD
-0.0051 Tc
0.025 Tw
(Fertility drugs \(clomiphene citrate and)Tj
-1.2533 -1.1667 TD
(FSH and LH hormone injections\) are the)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
15 0 0 15 46.6405 739.7075 Tm
0 0 0 0 k
/GS3 gs
-0.0001 Tc
0.0296 Tw
(HORMONES & YOU)Tj
10.34 0 0 10.34 47.1936 635.6844 Tm
0 0 0 1 k
/GS2 gs
(What is female infertility?)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 58.4737 623.5161 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Infertility is the inability of a sexually)Tj
-1.2533 -1.1667 TD
(active couple, not using any birth control,)Tj
T*
(to get pregnant after one year of trying. )Tj
1.2533 -1.4067 TD
(Infertility affects more than 3 million)Tj
-1.2533 -1.1667 TD
(couples in the United States. About )Tj
T*
(40% of cases are due to female factors,)Tj
T*
(30% are due to male factors, 20% are )Tj
T*
(a combination of both, and in about )Tj
T*
(10% the cause is unknown. )Tj
1.2533 -1.4067 TD
[(For pregnancy to occur)54.8(, several things)]TJ
-1.2533 -1.1667 TD
(have to happen: )Tj
0 -1.8067 TD
0 Tc
0 Tw
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
[(An egg must develop in the womanユ)54.8(s)]TJ
0 -1.1667 TD
0 Tw
[(ovary)73.9(.)]TJ
-1.2533 -1.3667 TD
0 Tc
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
(The egg has to be released each month)Tj
0 -1.1667 TD
(into the fallopian tube \(ovulation\). )Tj
-1.2533 -1.3667 TD
0.6473 Tc
0 Tw
(・A)Tj
2.0262 0 TD
( )Tj
0.2699 0 TD
-0.0051 Tc
0.025 Tw
[(manユ)54.8(s sperm must travel through the)]TJ
-1.0427 -1.1667 TD
(fallopian tube to meet and fertilize the)Tj
T*
(egg \(within 24 hours of ovulation for)Tj
T*
(greatest success\).)Tj
-1.2533 -1.3667 TD
0 Tc
0 Tw
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
(The fertilized egg must be able to travel)Tj
0 -1.1667 TD
(through the fallopian tube and attach)Tj
T*
(\(implant\) in the lining of the uterus.)Tj
0 -1.9667 TD
(If any of these events does not happen)Tj
-1.2533 -1.1667 TD
(or is disrupted, infertility will result. )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10.34 0 0 10.34 47.1936 337.7164 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
(What causes female infertility? )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 58.4737 325.5481 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(About one quarter of female infertility)Tj
-1.2533 -1.1667 TD
(is caused by a problem with ovulation.)Tj
T*
(This can be due to an imbalance of)Tj
T*
(luteinizing hormone \(LH\) and follicle-)Tj
T*
(stimulating hormone \(FSH\), an injury )Tj
T*
(to the hypothalamus or pituitary gland)Tj
T*
[(\(where these hormones are pro)-9.9(duced\), )]TJ
T*
[(or pituitary tumors. T)110.7(oo little or too )]TJ
T*
[(much bo)-9.9(dy weight, too much stress, and)]TJ
T*
(polycystic ovary syndrome \(PCOS\) can)Tj
T*
(also cause problems with ovulation. )Tj
1.2533 -1.4067 TD
(Other hormonal conditions that can)Tj
-1.2533 -1.1667 TD
(affect fertility include an overactive or)Tj
T*
(underactive thyroid, diabetes, premature)Tj
T*
[(ovarian failure \(POF\), and, occasionally)73.8(,)]TJ
T*
[(Cushingユ)54.8(s syndrome \(a disorder of the)]TJ
T*
(adrenal glands\). )Tj
1.2533 -1.4067 TD
[(A womanユ)54.8(s ability to get pregnant can)]TJ
-1.2533 -1.1667 TD
(also be affected by: )Tj
0 -1.8867 TD
0 Tc
0 Tw
(・)Tj
1.2533 0 TD
-0.0051 Tc
0.025 Tw
(Age \(gradual decrease in egg quantity)Tj
0 -1.1667 TD
(and quality beginning in the mid 30s\).)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
24 0 0 24 46.7626 668.2676 Tm
0 0.93 0.95 0 k
/GS3 gs
-0.0223 Tc
0.0277 Tw
[(Infertility and W)46.8(omen)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
0 -13 13 0 564.8725 493.9144 Tm
0 0 0 0 k
/GS3 gs
0.1478 Tc
0.0296 Tw
[(INFER)17.6(TILITY AND WOMEN)]TJ
ET
Q
q
1 i
467.372 731.374 m
472.433 718.821 483.664 709.433 498.027 709.433 c
516.905 709.433 529.584 720.526 529.584 739.407 c
529.584 742.132 529.248 744.776 528.649 747.319 c
505.618 744.265 486.814 739.457 467.372 731.374 c
W n
/GS4 gs
q -8.4223 31.4325 62.5494 16.7601 474.5943 701.6375 cm BX /Sh2 sh EX Q
Q
q
1 i
443.5 780.85 105.34 -109.63 re
564.872 287.169 m
W* n
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
1 0.62 0 0.2 k
/GS4 gs
512.242 728.697 m
517.486 729.876 519.574 724.998 v
519.203 724.496 517.633 721.38 515.997 720.618 c
515.943 721.303 516.346 723.79 513.688 724.799 c
512.949 723.655 507.737 717.166 499.198 717.533 c
501.518 718.006 509.551 719.619 512.242 728.697 c
f
509.961 757.77 m
509.961 756.294 508.763 755.099 507.288 755.099 c
505.813 755.099 504.619 756.294 504.619 757.77 c
504.619 759.249 505.813 760.443 507.288 760.443 c
508.763 760.443 509.961 759.249 509.961 757.77 c
f
511.022 728.672 m
511.022 727.41 509.997 726.385 508.734 726.385 c
507.471 726.385 506.448 727.41 506.448 728.672 c
506.448 729.933 507.471 730.958 508.734 730.958 c
509.997 730.958 511.022 729.933 511.022 728.672 c
f
500.314 726.629 m
500.314 726.78 500.334 726.93 500.361 727.075 c
498.821 726.853 493.448 726.551 491.329 727.639 c
488.859 728.914 485.587 735.752 492.649 740.226 c
483.847 736.094 486.765 726.365 v
487.439 724.345 490.282 718.432 495.821 717.758 c
491.472 718.398 492.766 724.256 501.221 724.818 c
500.676 725.238 500.314 725.889 500.314 726.629 c
f
486.552 723.895 m
486.552 722.635 485.53 721.609 484.267 721.609 c
483.004 721.609 481.98 722.635 481.98 723.895 c
481.98 725.159 483.004 726.183 484.267 726.183 c
485.53 726.183 486.552 725.159 486.552 723.895 c
f
520.633 745.095 m
511.651 759.959 495.057 752.852 494.198 752.599 c
503.637 754.418 502.066 747.2 501.967 746.896 c
500.175 741.899 494.507 740.733 493.774 740.605 c
505.071 742.727 506.745 743.554 514.512 732.674 c
514.584 732.574 514.662 732.488 514.74 732.397 c
514.821 732.236 514.914 732.082 514.991 731.919 c
514.716 740.911 508.288 744.813 v
508.597 746.893 509.997 751.72 514.987 749.093 c
516.461 748.305 518.173 747.11 520.178 745.361 c
520.296 745.294 520.418 745.223 520.531 745.156 c
520.537 745.149 520.545 745.148 520.549 745.141 c
520.549 745.141 520.546 745.141 520.545 745.148 c
520.573 745.129 520.605 745.112 520.633 745.095 c
f
497.975 717.44 m
493.512 717.18 490.141 720.839 v
490.581 721.039 493.182 720.999 493.666 721.219 c
493.147 720.057 494.479 717.931 497.975 717.44 c
f
453.534 701.015 m
459.17 701.015 l
459.043 700.069 l
456.825 700.069 l
456.825 693.642 l
455.724 693.642 l
455.724 700.069 l
453.534 700.069 l
453.534 701.015 l
f
461.925 701.015 m
463.04 701.015 l
463.04 698.021 l
466.332 698.021 l
466.332 701.015 l
467.462 701.015 l
467.462 693.642 l
466.332 693.642 l
466.332 697.089 l
463.04 697.089 l
463.04 693.642 l
461.925 693.642 l
461.925 701.015 l
f
471.134 701.015 m
475.725 701.015 l
475.569 700.069 l
472.264 700.069 l
472.264 697.964 l
475.033 697.964 l
475.033 697.018 l
472.278 697.018 l
472.278 694.631 l
475.852 694.631 l
475.852 693.642 l
471.134 693.642 l
471.134 701.015 l
f
486.502 693.642 m
486.502 696.877 l
484.468 696.877 l
484.468 693.642 l
482.561 693.642 l
482.561 701.228 l
484.468 701.228 l
484.468 698.388 l
486.502 698.388 l
486.502 701.228 l
488.423 701.228 l
488.423 693.642 l
486.502 693.642 l
f
495.133 693.529 m
492.717 693.529 491.361 695.125 491.361 697.385 c
491.361 699.871 492.774 701.312 495.062 701.312 c
497.209 701.312 498.72 700.041 498.72 697.512 c
498.72 695.139 497.52 693.529 495.133 693.529 c
h
495.034 699.97 m
493.918 699.97 493.466 699.052 493.466 697.329 c
493.466 695.422 493.974 694.857 495.034 694.857 c
496.023 694.857 496.559 695.507 496.559 697.512 c
496.559 699.052 496.206 699.97 495.034 699.97 c
f
505.741 693.642 m
505.402 694.151 505.246 694.376 504.936 694.914 c
504.018 696.453 503.862 696.693 503.636 696.693 c
503.509 696.693 l
503.509 693.642 l
501.659 693.642 l
501.659 701.228 l
504.597 701.228 l
505.416 701.228 506.263 701.086 506.758 700.592 c
507.252 700.098 507.436 699.546 507.436 698.925 c
507.436 697.865 506.687 696.99 505.896 696.82 c
506.405 696.241 507.789 693.981 507.987 693.642 c
505.741 693.642 l
h
504.145 699.829 m
503.495 699.829 l
503.495 698.049 l
504.116 698.049 l
505.148 698.049 505.472 698.317 505.472 698.925 c
505.472 699.532 505.176 699.829 504.145 699.829 c
f
517.324 693.642 m
517.069 697.428 l
517.041 697.823 517.013 698.275 516.984 698.798 c
516.886 698.36 516.716 697.865 516.603 697.47 c
515.473 693.642 l
513.863 693.642 l
512.832 697.343 l
512.733 697.682 512.578 698.346 512.464 698.953 c
512.45 698.431 512.408 697.809 512.38 697.343 c
512.154 693.642 l
510.247 693.642 l
511.066 701.228 l
513.453 701.228 l
514.414 697.696 l
514.555 697.187 514.64 696.82 514.724 696.34 c
514.795 696.806 514.922 697.329 515.049 697.767 c
516.052 701.228 l
518.397 701.228 l
519.174 693.642 l
517.324 693.642 l
f
525.474 693.529 m
523.058 693.529 521.702 695.125 521.702 697.385 c
521.702 699.871 523.115 701.312 525.403 701.312 c
527.55 701.312 529.062 700.041 529.062 697.512 c
529.062 695.139 527.861 693.529 525.474 693.529 c
h
525.375 699.97 m
524.259 699.97 523.807 699.052 523.807 697.329 c
523.807 695.422 524.315 694.857 525.375 694.857 c
526.363 694.857 526.9 695.507 526.9 697.512 c
526.9 699.052 526.547 699.97 525.375 699.97 c
f
536.138 698.445 m
536.11 701.228 l
537.862 701.228 l
537.862 693.642 l
535.927 693.642 l
534.514 696.749 l
534.189 697.456 533.892 698.134 533.68 698.685 c
533.709 698.092 533.723 697.046 533.737 696.538 c
533.78 693.642 l
532 693.642 l
532 701.228 l
534.062 701.228 l
535.531 698.303 l
535.856 697.654 536.011 697.187 536.237 696.552 c
536.181 697.244 536.138 697.908 536.138 698.445 c
f
541.393 693.642 m
541.393 701.228 l
546.209 701.228 l
545.941 699.758 l
543.285 699.758 l
543.285 698.346 l
545.503 698.346 l
545.503 696.863 l
543.299 696.863 l
543.299 695.181 l
546.294 695.181 l
546.294 693.642 l
541.393 693.642 l
f
470.424 686.632 m
468.999 686.632 l
468.999 685.767 l
470.128 685.767 l
470.128 684.902 l
468.999 684.902 l
468.999 683.048 l
467.903 683.048 l
467.903 687.473 l
470.556 687.473 l
470.424 686.632 l
f
475.78 682.982 m
474.371 682.982 473.58 683.913 473.58 685.232 c
473.58 686.682 474.404 687.522 475.739 687.522 c
476.991 687.522 477.873 686.781 477.873 685.306 c
477.873 683.922 477.172 682.982 475.78 682.982 c
h
475.722 686.74 m
475.071 686.74 474.808 686.204 474.808 685.198 c
474.808 684.086 475.104 683.757 475.722 683.757 c
476.299 683.757 476.612 684.136 476.612 685.306 c
476.612 686.204 476.406 686.74 475.722 686.74 c
f
484.58 683.419 m
484.341 683.188 483.888 682.966 483.196 682.966 c
482.462 682.966 481.894 683.155 481.606 683.526 c
481.416 683.773 481.367 684.053 481.367 684.465 c
481.367 687.473 l
482.487 687.473 l
482.487 684.589 l
482.487 684.325 482.496 684.185 482.578 684.078 c
482.693 683.922 482.899 683.839 483.155 683.839 c
483.377 683.839 483.558 683.922 483.674 684.021 c
483.764 684.103 483.83 684.218 483.83 684.68 c
483.83 687.473 l
484.951 687.473 l
484.951 684.531 l
484.951 683.88 484.827 683.658 484.58 683.419 c
f
491.205 685.85 m
491.188 687.473 l
492.21 687.473 l
492.21 683.048 l
491.081 683.048 l
490.257 684.861 l
490.068 685.273 489.895 685.668 489.771 685.99 c
489.787 685.644 489.796 685.034 489.804 684.737 c
489.829 683.048 l
488.79 683.048 l
488.79 687.473 l
489.993 687.473 l
490.85 685.767 l
491.04 685.388 491.131 685.116 491.262 684.746 c
491.23 685.149 491.205 685.537 491.205 685.85 c
f
497.978 683.073 m
497.788 683.048 497.566 683.048 497.228 683.048 c
496.083 683.048 l
496.083 687.473 l
497.055 687.473 l
497.343 687.473 497.772 687.473 497.961 687.448 c
499.041 687.316 499.7 686.567 499.7 685.232 c
499.7 683.946 498.967 683.204 497.978 683.073 c
h
497.607 686.657 m
497.203 686.657 l
497.203 683.905 l
497.731 683.905 l
498.126 683.905 498.472 684.177 498.472 685.133 c
498.472 686.097 498.291 686.657 497.607 686.657 c
f
505.732 683.048 m
505.394 683.988 l
504.083 683.988 l
503.77 683.048 l
502.609 683.048 l
504.24 687.489 l
505.361 687.489 l
506.893 683.048 l
505.732 683.048 l
h
504.759 686.443 m
504.668 685.998 504.479 685.273 504.347 684.803 c
505.147 684.803 l
505.023 685.265 504.841 685.998 504.759 686.443 c
f
512.727 686.6 m
511.623 686.6 l
511.623 683.048 l
510.494 683.048 l
510.494 686.6 l
509.348 686.6 l
509.348 687.473 l
512.941 687.473 l
512.727 686.6 l
f
516.08 687.473 1.145 -4.425 re
f
522.952 682.982 m
521.543 682.982 520.752 683.913 520.752 685.232 c
520.752 686.682 521.576 687.522 522.911 687.522 c
524.164 687.522 525.045 686.781 525.045 685.306 c
525.045 683.922 524.345 682.982 522.952 682.982 c
h
522.894 686.74 m
522.244 686.74 521.98 686.204 521.98 685.198 c
521.98 684.086 522.276 683.757 522.894 683.757 c
523.471 683.757 523.784 684.136 523.784 685.306 c
523.784 686.204 523.578 686.74 522.894 686.74 c
f
530.986 685.85 m
530.969 687.473 l
531.991 687.473 l
531.991 683.048 l
530.862 683.048 l
530.039 684.861 l
529.849 685.273 529.676 685.668 529.552 685.99 c
529.569 685.644 529.577 685.034 529.585 684.737 c
529.61 683.048 l
528.572 683.048 l
528.572 687.473 l
529.775 687.473 l
530.632 685.767 l
530.821 685.388 530.912 685.116 531.044 684.746 c
531.011 685.149 530.986 685.537 530.986 685.85 c
f
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
9 0 0 10 389.3838 745.9409 Tm
0.95 0.59 0.04 0.17 k
/GS3 gs
0.011 Tc
0 Tw
[(www)54.8(.hormone.or)17.7(g)]TJ
ET
0 0 0 0 k
/GS2 gs
386.4 643.5 154.8 -549.22 re
f
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 386.4 636.7938 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(main treatment for women with ovulation)Tj
0 -1.1667 TD
(disorders, and may also be used in women)Tj
T*
(with no identifiable cause of their)Tj
T*
[(infertility)73.9(. These treatments may also be)]TJ
T*
(used with an )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9 0 0 9 434.729 594.7938 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(intrauterine sperm injection)Tj
-5.3699 -1.1667 TD
0 Tw
(\(IUI\))Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 406.1658 584.2938 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(, when sperm is injected directly into)Tj
-2.1962 -1.1667 TD
(the uterus around the time of ovulation. )Tj
1.2533 -1.4067 TD
(Surgery may benefit women with)Tj
-1.2533 -1.1667 TD
(fibroids, uterine polyps, or endometriosis.)Tj
T*
(Surgery may also be an option when the)Tj
T*
(cause of infertility is blocked fallopian)Tj
T*
(tubes. It is important to note that)Tj
T*
(attempts to unblock a fallopian tube )Tj
T*
(may increase the risk of ectopic \(tubal\))Tj
T*
0 Tw
[(pregnancy)73.9(. )]TJ
1.2533 -1.4067 TD
0.025 Tw
(Other options for a couple to achieve)Tj
-1.2533 -1.1667 TD
[(pregnancy include assisted repro)-9.9(ductive)]TJ
T*
(technology such as mixing sperm with )Tj
T*
[(an egg outside the bo)-9.9(dy \(known as )]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9 0 0 9 386.4 432.9738 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(in vitro fertilization)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 452.745 432.9738 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(or IVF\) or injecting )Tj
-7.3717 -1.1667 TD
(a single sperm into an egg \(known as)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
9 0 0 9 386.4 411.9738 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(intracytoplasmic sperm injection)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 495.7637 411.9738 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(or ICSI\),)Tj
-12.1515 -1.1667 TD
(then transferring the resulting embryo)Tj
T*
(back into the uterus. For women with )Tj
T*
(very few remaining eggs in the ovaries, )Tj
T*
(egg and embryo donation are options. )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10.34 0 0 10.34 386.4 348.3541 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
(What should you do with this)Tj
0 -1.1451 TD
-0.0002 Tc
0 Tw
[(infor)-18(mation?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
9 0 0 9 397.68 324.3458 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(If you are unable to get pregnant, you)Tj
-1.2533 -1.1667 TD
(and your partner should be evaluated. )Tj
T*
[(A repro)-9.9(ductive endocrinologist can help)]TJ
T*
[(to diagnose and treat infertility)73.8(. T)110.8(o)]TJ
T*
(improve your chances, it is helpful to)Tj
T*
(improve overall health by not smoking,)Tj
T*
(not using recreational drugs, improving)Tj
T*
(your diet and exercise habits, and treating)Tj
T*
(chronic illnesses.)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10.34 0 0 10.34 386.4 218.726 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0 Tw
[(Resour)17.7(ces)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.82 0 0 9 386.4 204.7578 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
(Find-an-Endocrinologist: )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.82 0 0 9 395.4 194.2578 Tm
0 0 0 1 k
/GS2 gs
-0.0052 Tc
0 Tw
[(www)36.6(.hormone.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.82 0 0 9 459.48 194.2578 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(or call )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.82 0 0 9 395.4 183.7578 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(1-800-HORMONE \(1-800-467-6663\))Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.82 0 0 9 386.4 171.4578 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Infertility and Men \(Bilingual fact sheet\):)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.82 0 0 9 395.4 160.9578 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
[(www)36.7(.hormone.org/pdf/bilingual/)]TJ
0 -1.1667 TD
(bilingual_Infertility_Men.pdf )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.82 0 0 9 386.4 138.1577 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
[(American Society for Repro)-9.9(ductive)]TJ
1.0204 -1.1667 TD
0 Tw
(Medicine: )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.82 0 0 9 433.388 127.6577 Tm
0 0 0 1 k
/GS2 gs
-0.0052 Tc
0 Tw
[(www)36.6(.asrm.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.82 0 0 9 386.4 115.3578 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
[(Society for Assisted Repro)-9.9(ductive)]TJ
1.0204 -1.1667 TD
0 Tc
0 Tw
(T)Tj
0.5511 0 TD
-0.0051 Tc
(echnology: )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.82 0 0 9 441.1422 104.8578 Tm
0 0 0 1 k
/GS2 gs
-0.0052 Tc
0 Tw
(http://sart.org)Tj
ET
0 0 0 1 K
0 J 0 j 0.235 w 10 M [0.71 0.47 ]0.71 d
/GS3 gs
35.716 -8.339 m
35.716 791.231 l
S
0.089 0 0.02 0 k
/GS2 gs
46.8 81.04 520.2 -63 re
f
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
6.58 0 0 6.58 159.7361 64.8877 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.1749 Tw
(For more information on how to find an endocrinologist, download free publications, translate this fact sheet into other langua)Tj
53.7166 0 TD
(ges, or make a)Tj
-53.7166 -1.228 TD
-0.0304 Tw
(contribution to The Hormone Foundation, visit )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
6.58 0 0 6.58 286.2219 56.8076 Tm
0 0 0 1 k
/GS2 gs
-0.0052 Tc
0 Tw
[(www)36.6(.hormone.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
6.58 0 0 6.58 333.6644 56.8076 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
-0.0303 Tw
[(or call 1-800-HO)-19.9(RMONE \(1-800-467-6663\). The Hormone Foundation, the public)]TJ
-26.4329 -1.228 TD
0.0502 Tw
(education affiliate of The Endocrine Society \()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
6.58 0 0 6.58 282.2601 48.7277 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
[(www)36.7(.endo-society)36.6(.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
6.58 0 0 6.58 336.6503 48.7277 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.0502 Tw
(\), serves as a resource for the public by promoting the prevention, treatment, and)Tj
-26.8867 -1.228 TD
0.0419 Tw
[(cure of hormone-related conditions. This page may be repro)-10(duced non-commercially by health care professionals and health educat)]TJ
53.1021 0 TD
(ors to share with)Tj
-53.1021 -1.228 TD
0.025 Tw
(patients and students.)Tj
45.906 0 TD
(ゥ The Hormone Foundation 2005)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
6.04 0 0 6.36 100.723 69.4925 Tm
0 0 0 1 k
/GS2 gs
0.266 Tc
0 Tw
(EDITORS:)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
6.36 0 0 6.36 88.5687 60.1125 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0.0249 Tw
(Robert B. Jaffe, MD)Tj
0.779 -1.1792 TD
(Lubna Pal, MBBS )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
6.36 0 0 6.36 53.9804 42.2924 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0.0249 Tw
[(3rd Edition)-4014.8(January 2009)]TJ
ET
0 0.93 0.95 0 K
0 J 0 j 0.5 w 10 M []0 d
/GS3 gs
149.186 75.296 m
149.186 25.846 l
S
Q
q
1 i
46.8 85.54 520.2 -4.5 re
139.447 42.292 m
W* n
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
0.89 0 0.2 0 k
/GS3 gs
46.8 85.56 520.2 -4.56 re
f
q 2.0398 0 0 -0.0254 306.8944 83.2888 cm BX /Sh3 sh EX Q
Q
endstream
endobj
5 0 obj
<<
/ProcSet [/PDF /Text ]
/Font <<
/F1 6 0 R
/F2 7 0 R
/F3 8 0 R
/F4 9 0 R
>>
/ExtGState <<
/GS1 10 0 R
/GS2 11 0 R
/GS3 12 0 R
/GS4 13 0 R
>>
/Shading <<
/Sh1 14 0 R
/Sh2 15 0 R
/Sh3 16 0 R
>>
>>
endobj
18 0 obj
<<
/FunctionType 2
/Domain [0 1]
/C0 [0.89 0 0.2 0]
/C1 [0.186 0 0.234 0]
/N 1
>>
endobj
19 0 obj
<<
/FunctionType 3
/Domain [0 1]
/Functions [20 0 R 21 0 R ]
/Encode [0 1 0 1]
/Bounds [0.893258]
>>
endobj
20 0 obj
<<
/FunctionType 2
/Domain [0 1]
/C0 [0 0.039 0.2 0.059]
/C1 [0 0 0 0]
/N 1.62
>>
endobj
21 0 obj
<<
/FunctionType 2
/Domain [0 1]
/C0 [0 0 0 0]
/C1 [0 0 0 0]
/N 1
>>
endobj
22 0 obj
<<
/FunctionType 3
/Domain [0 1]
/Functions [23 0 R 23 0 R ]
/Encode [0 1 1 0]
/Bounds [0.5]
>>
endobj
23 0 obj
<<
/FunctionType 2
/Domain [0 1]
/C0 [0.89 0 0.2 0]
/C1 [0.6 0.5 0 0]
/N 1
>>
endobj
25 0 obj
<<
/Length 26626
>>
stream
1 g
/GS3 gs
0 783 m
0 783 l
f
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 386.3969 637.3155 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(de medicamentos o cirug誕, y la otra en)Tj
0 -1.1807 TD
0 Tw
(utilizar )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.3 0 0 8.3 411.3439 627.5155 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(t残nicas de reproducci溶 asistida)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 510.8137 627.5155 Tm
0 0 0 1 k
/GS2 gs
0 Tc
0 Tw
(.)Tj
-13.6309 -1.441 TD
-0.0051 Tc
0.025 Tw
(Los medicamentos para la fertilidad)Tj
-1.359 -1.1807 TD
(\(citrato de clomifeno o inyecciones de)Tj
T*
(hormona FSH y LH\) son el tratamiento)Tj
T*
(primario para las mujeres que tienen)Tj
T*
(trastornos de ovulaci溶 y tambi始 pueden)Tj
T*
(usarse con mujeres sin una causa reconocida)Tj
T*
(de infertilidad. Estos tratamientos tambi始)Tj
T*
(pueden ser utilizados con una )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.3 0 0 8.3 486.4387 546.9555 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
(inyecci溶)Tj
-12.0532 -1.1807 TD
0.025 Tw
(intrauterina de esperma)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 459.1253 537.1555 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(, en la que se inyecta)Tj
-8.7625 -1.1807 TD
(esperma directamente en el 徼ero en el)Tj
T*
(momento aproximado de de la ovulaci溶.)Tj
1.359 -1.441 TD
(La cirug誕 puede ser una opci溶 cuando )Tj
-1.359 -1.1807 TD
(la causa de la infertilidad radica en fibromas,)Tj
T*
[(p様ipos uterinos o endometriosis. T)110.4(a)0.1(mbi始)]TJ
T*
(puede ser una alternativa cuando las trompas)Tj
T*
(de Falopio estn obstruidas. Es importante)Tj
T*
(recalcar que el intento de desbloquear una)Tj
T*
(trompa de Falopio puede resultar en mayor)Tj
T*
(riesgo de embarazo ect用ico \(en la trompa\).)Tj
1.359 -1.441 TD
(Entre las otras opciones para que una)Tj
-1.359 -1.1807 TD
(pareja logre concebir estn las t残nicas de)Tj
T*
[(repro)-9.9(ducci溶 asistida, en las que se mezcla )]TJ
T*
(la esperma con un 要ulo fuera del cuerpo)Tj
T*
0 Tc
0 Tw
(\()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.3 0 0 8.3 389.5834 385.8354 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(fertilizaci溶 in vitro)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 449.4494 385.8354 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(\), o se inyecta un)Tj
-7.5967 -1.1807 TD
(espermatozoide dentro de un 要ulo \()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.3 0 0 8.3 508.3573 376.0354 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
(inyecci溶)Tj
-14.694 -1.1807 TD
(intracitoplsmica)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 438.2132 366.2354 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(\), y luego se transfiere )Tj
-6.2429 -1.1807 TD
(el embri溶 al 徼ero. Las mujeres con muy)Tj
T*
(pocos 要ulos en los ovarios pueden optar )Tj
T*
(por 要ulos y embriones donados.)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10 0 0 10 386.3969 315.6512 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
(タQu debe hacer con esta)Tj
0 -1.15 TD
-0.0002 Tc
0 Tw
[(infor)-18(maci溶?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 397.6769 292.5874 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Si usted no puede quedar embarazada,)Tj
-1.359 -1.1807 TD
(tanto usted como su pareja deben ser evalua-)Tj
T*
(dos. Un endocrin様ogo puede ayudarla a diag-)Tj
T*
(nosticar y tratar la infertilidad. Para aumentar)Tj
T*
[(sus probabilidades de concebir)54.6(, es importante)]TJ
T*
[(mejorar el estado de salud general y no fumar)54.5(,)]TJ
T*
(no consumir drogas ilegales, mejorar la dieta,)Tj
T*
(hacer ejercicio y tratar adecuadamente )Tj
T*
(las enfermedades cr溶icas.)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10 0 0 10 386.3969 193.0031 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0 Tw
(Recursos)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.13 0 0 8.3 386.3969 180.5033 Tm
0 0 0 1 k
/GS2 gs
-0.0049 Tc
0.025 Tw
(Encuentre un endocrin様ogo: )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.13 0 0 8.3 395.3969 170.7033 Tm
0 0 0 1 k
/GS2 gs
-0.0048 Tc
0 Tw
[(www)37(.hormone.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.13 0 0 8.3 454.4938 170.7033 Tm
0 0 0 1 k
/GS2 gs
-0.0049 Tc
0.025 Tw
(o llame al )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.13 0 0 8.3 488.7614 170.7033 Tm
0 0 0 1 k
/GS2 gs
-0.0048 Tc
0 Tw
(1-800-467-6663)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.13 0 0 8.3 386.3969 159.9673 Tm
0 0 0 1 k
/GS2 gs
-0.0049 Tc
0.025 Tw
(La infertilidad y los hombres \(pgina de)Tj
1.107 -1.1807 TD
0 Tw
(informaci溶\): )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.13 0 0 8.3 442.4727 150.1673 Tm
0 0 0 1 k
/GS2 gs
-0.0049 Tc
0 Tw
[(www)36.9(.hormone.org/pdf/)]TJ
-5.7904 -1.1807 TD
(bilingual/bilingual_Infertility_Men.pdf)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.13 0 0 8.3 386.3969 129.6313 Tm
0 0 0 1 k
/GS2 gs
-0.0049 Tc
0.025 Tw
(La Sociedad Estadounidense de Medicina)Tj
1.107 -1.1807 TD
0 Tw
[(Repro)-9.6(ductiva: )]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.13 0 0 8.3 443.4416 119.8313 Tm
0 0 0 1 k
/GS2 gs
-0.0049 Tc
0 Tw
[(www)36.9(.asrm.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.13 0 0 8.3 386.3969 109.0952 Tm
0 0 0 1 k
/GS2 gs
-0.0049 Tc
0.025 Tw
[(La Sociedad de T)110.9(ecnolog誕 para la)]TJ
1.107 -1.1807 TD
[(Repro)-9.6(ducci溶 Asistida: )]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
8.13 0 0 8.3 473.7716 99.2953 Tm
0 0 0 1 k
/GS2 gs
-0.005 Tc
0 Tw
(http://sart.org)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 216.6 637.3155 Tm
0 0 0 1 k
/GS2 gs
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
(La edad \(la reducci溶 gradual en la)Tj
0 -1.1807 TD
(cantidad o calidad de los 要ulos empieza)Tj
T*
(alrededor de los 35 a撲s\).)Tj
-1.359 -1.3195 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
[(Problemas en el sistema repro)-9.9(ductivo )]TJ
0 -1.1807 TD
(\(por ejemplo, trompas de Falopio)Tj
T*
(obstruidas o deficientes, endometriosis,)Tj
T*
(adhesiones p四vicas, fibromas uterinos)Tj
T*
(benignos y complicaciones a ra築 de )Tj
T*
(una cirug誕 o infecci溶\).)Tj
-1.359 -1.3195 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
(Enfermedades transmitidas sexualmente)Tj
0 -1.1807 TD
(\(por ejemplo, clamidia y gonorrea\).)Tj
-1.359 -1.3195 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
[(Fumar)54.7(, beber alcohol o consumir drogas)]TJ
0 -1.1807 TD
(\(como coca地a y marihuana\).)Tj
-1.359 -1.3195 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
(Ciertos medicamentos como las p値doras)Tj
0 -1.1807 TD
(antidepresivas, tranquilizantes,)Tj
T*
(bloqueadores de canales de calcio,)Tj
T*
(narc葉icos y medicamentos anticancerosos.)Tj
-1.359 -1.3195 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
(La exposici溶 a la radiaci溶, el plomo,)Tj
0 -1.1807 TD
(vapores t踊icos y pesticidas.)Tj
-1.359 -1.3195 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
(Si el acto sexual no coincide con )Tj
0 -1.1807 TD
(el momento de la ovulaci溶.)Tj
-1.359 -1.3195 TD
0.753 Tc
0 Tw
(・T)Tj
1.9104 0 TD
-0.0051 Tc
0.025 Tw
(rastornos m仕icos como la anemia)Tj
-0.5514 -1.1807 TD
(falciforme, enfermedades del ri沫n o )Tj
T*
(el h暖ado, e infecciones cr溶icas como )Tj
T*
(el VIH/SIDA, la hepatitis B C y )Tj
T*
(la tuberculosis.)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10 0 0 10 216.6 363.0673 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0295 Tw
(タC洋o se diagnostica )Tj
0 -1.15 TD
-0.0002 Tc
[(la infertilidad?)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 227.88 340.0035 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Los m仕icos normalmente comienzan )Tj
-1.359 -1.1807 TD
(por obtener su historia m仕ica referente a )Tj
T*
(su ciclo menstrual, enfermedades pasadas,)Tj
T*
(enfermedades transmitidas sexualmente y)Tj
T*
(cirug誕s, o si usted consume drogas o ha)Tj
T*
(estado expuesta a agentes t踊icos.)Tj
1.359 -1.441 TD
(Si esta informaci溶 no es suficiente para)Tj
-1.359 -1.1807 TD
(diagnosticar la causa de la infertilidad, su)Tj
T*
(m仕ico le har un examen p四vico para)Tj
T*
[(asegurarse de que su sistema repro)-10(ductivo )]TJ
T*
(\(la vagina, el 徼ero y los ovarios\) sea normal )Tj
T*
(y le har exmenes de sangre para medir )Tj
T*
[(sus niveles hormonales. T)110.4(ambi始 har un)]TJ
T*
(anlisis del semen de su pareja y le preguntar)Tj
T*
(su historia m仕ica. Seg從 lo que descubra, )Tj
T*
(su medico tambi始 puede hacerle pruebas )Tj
T*
[(ms especializadas de su sistema repro)-10(ductivo,)]TJ
T*
(entre ellas, un examen para verificar que )Tj
T*
(las trompas de Falopio no est始 bloqueadas.)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10 0 0 10 216.6 140.2593 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
(タC洋o se trata la infertilidad?)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 227.88 128.6953 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(El tratamiento de la infertilidad depende)Tj
-1.359 -1.1807 TD
[(de la causa y de la edad de la mujer)54.6(. Se )]TJ
T*
(divide en dos categor誕s principales: una)Tj
T*
(consiste en lograr la fertilidad por medio )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10 0 0 10 46.7948 635.9415 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0295 Tw
(タQu es la infertilidad femenina?)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 58.0748 624.3777 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Infertilidad se refiere a la incapacidad de)Tj
-1.359 -1.1807 TD
(una pareja de lograr un embarazo despu市 de)Tj
T*
(un a撲 de tener relaciones sexuales sin)Tj
T*
[(emplear un m師o)-9.9(do anticonceptivo.)]TJ
1.359 -1.441 TD
(La infertilidad afecta a ms de tres )Tj
-1.359 -1.1807 TD
(millones de parejas en Estados Unidos.)Tj
T*
(Aproximadamente 40% de los casos se )Tj
T*
(deben a factores femeninos, 30% a factores)Tj
T*
(masculinos, 20% a una combinaci溶 de )Tj
T*
(ambos y 10% a causas desconocidas.)Tj
1.359 -1.441 TD
[(Para que se pro)-9.9(duzca un embarazo, varias)]TJ
-1.359 -1.1807 TD
(cosas deben suceder:)Tj
0 -1.6145 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
[(Se tiene que pro)-9.9(ducir un 要ulo en )]TJ
0 -1.1807 TD
[(el ovario de la mujer)54.6(.)]TJ
-1.359 -1.3542 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
(El 要ulo tiene que ingresar a la trompa )Tj
0 -1.1807 TD
(de Falopio \(ovulaci溶\).)Tj
-1.359 -1.3542 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
(El espermatozoide del hombre tiene que)Tj
0 -1.1807 TD
(desplazarse dentro de la trompa de Falopio)Tj
T*
(hasta encontrar un 要ulo y fertilizarlo.)Tj
T*
(\(Hay ms probabilidades de 支ito si esto)Tj
T*
(ocurre menos de 24 horas despu市 de )Tj
T*
(la ovulaci溶\).)Tj
-1.359 -1.3542 TD
0 Tc
0 Tw
(・)Tj
1.359 0 TD
-0.0051 Tc
0.025 Tw
(El 要ulo fertilizado se mueve por una )Tj
0 -1.1807 TD
(de las trompas de Falopio y se adhiere )Tj
T*
(a la pared del 徼ero.)Tj
0 -1.7012 TD
(Si alguno de estos acontecimientos )Tj
-1.359 -1.1807 TD
(no ocurre o sufre alguna perturbaci溶, )Tj
T*
(el resultado ser infertilidad.)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
10 0 0 10 46.7948 322.0334 Tm
0 0 0 1 k
/GS2 gs
-0.0001 Tc
0.0296 Tw
(タQu causa la infertilidad)Tj
0 -1.15 TD
0 Tw
(femenina?)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
8.3 0 0 8.3 58.0748 298.9695 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.025 Tw
(Aproximadamente una cuarta parte de )Tj
-1.359 -1.1807 TD
(los casos de infertilidad femenina se deben a)Tj
T*
(un problema de ovulaci溶. ピte puede deberse)Tj
T*
(a un desequilibrio de la hormona luteinizante)Tj
T*
(\(LH por sus siglas en ingl市\) y la hormona)Tj
T*
(estimulante del fol団ulo \(FSH por sus siglas )Tj
T*
(en ingl市\), una lesi溶 en el hipotlamo o en )Tj
T*
[(la glndula pituitaria \(donde se pro)-10(ducen )]TJ
T*
(estas hormonas\) o a tumores pituitarios. Otras)Tj
T*
(causas de los problemas con la ovulaci溶 son)Tj
T*
(si la persona tiene sobrepeso o es excesiva-)Tj
T*
(mente delgada, si tiene mucho estr市 o el )Tj
T*
(s地drome de ovarios poliqu痴ticos \(PCOS\).)Tj
1.359 -1.441 TD
(Otros trastornos hormonales que pueden)Tj
-1.359 -1.1807 TD
(afectar la fertilidad incluyen la actividad)Tj
T*
(insuficiente o excesiva de la tiroides, diabetes,)Tj
T*
[(fallo ovrico prematuro y)73.6(,)0( en algunas)]TJ
T*
(ocasiones, el s地drome de Cushing \(un)Tj
T*
(trastorno de las glndulas suprarrenales\).)Tj
1.359 -1.441 TD
(La capacidad de una mujer de quedar)Tj
-1.359 -1.1807 TD
(embarazada tambi始 puede ser afectada por:)Tj
ET
0.89 0 0.2 0 k
3.82 635.99 m
21.54 620.42 31.5 599.3 31.5 577.29 c
31.5 205.71 l
31.5 183.7 21.54 162.58 3.82 147.01 c
-1.44 142.39 -7.26 138.37 -13.5 135 c
-13.5 648 l
-7.26 644.63 -1.44 640.61 3.82 635.99 c
f*
0 0 0 1 K
0 J 0 j 0.5 w 10 M []0 d
557.644 800.926 m
557.644 750.746 l
27.284 801.002 m
27.284 750.892 l
S
0 0.038 0.095 0 k
26.95 655.92 m
26.95 704.42 l
142.25 722.42 296.95 722.42 v
451.65 722.42 557.95 704.42 y
557.95 655.92 l
26.95 655.92 l
f*
Q
q
1 i
26.95 763.92 m
557.95 763.92 l
557.95 714.42 l
451.65 732.42 296.95 732.42 v
142.25 732.42 26.95 714.42 y
26.95 763.92 l
W* n
q 2.082 0 0 -0.2012 25.95 764.92 cm BX /Sh1 sh EX Q
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
15 0 0 15 46.5904 738.6276 Tm
0 0 0 0 k
-0.0001 Tc
0.0296 Tw
(LAS HORMONAS Y USTED)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
24 0 0 24 46.7125 667.1877 Tm
0 0.93 0.95 0 k
-0.0223 Tc
0.0277 Tw
[(La infertilidad y las mujer)17.7(es)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
0 13 -13 0 20.1275 258.5056 Tm
0 0 0 0 k
0.1478 Tc
0.0296 Tw
[(LA INFER)17.6(TILIDAD Y LAS MUJERES)]TJ
ET
Q
q
1 i
458.442 730.294 m
463.503 717.741 474.734 708.353 489.097 708.353 c
507.975 708.353 520.654 719.446 520.654 738.327 c
520.654 741.052 520.318 743.696 519.719 746.239 c
496.688 743.185 477.884 738.377 458.442 730.294 c
W n
/GS4 gs
q -8.4223 31.4325 62.5494 16.7601 465.6643 700.5575 cm BX /Sh2 sh EX Q
Q
q
1 i
434.57 779.77 105.33 -109.63 re
20.128 526.427 m
W* n
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
1 0.62 0 0.2 k
/GS4 gs
503.312 727.617 m
508.556 728.796 510.644 723.918 v
510.273 723.416 508.703 720.3 507.067 719.538 c
507.013 720.223 507.416 722.71 504.758 723.719 c
504.019 722.575 498.807 716.086 490.268 716.453 c
492.588 716.926 500.621 718.539 503.312 727.617 c
f
501.031 756.69 m
501.031 755.214 499.833 754.019 498.358 754.019 c
496.883 754.019 495.689 755.214 495.689 756.69 c
495.689 758.169 496.883 759.363 498.358 759.363 c
499.833 759.363 501.031 758.169 501.031 756.69 c
f
502.092 727.592 m
502.092 726.33 501.067 725.305 499.804 725.305 c
498.541 725.305 497.518 726.33 497.518 727.592 c
497.518 728.853 498.541 729.878 499.804 729.878 c
501.067 729.878 502.092 728.853 502.092 727.592 c
f
491.384 725.549 m
491.384 725.7 491.404 725.85 491.431 725.995 c
489.891 725.773 484.518 725.471 482.399 726.559 c
479.929 727.834 476.657 734.672 483.719 739.146 c
474.917 735.014 477.835 725.285 v
478.509 723.265 481.352 717.352 486.891 716.678 c
482.542 717.318 483.836 723.176 492.291 723.738 c
491.746 724.158 491.384 724.809 491.384 725.549 c
f
477.622 722.815 m
477.622 721.555 476.6 720.529 475.337 720.529 c
474.074 720.529 473.05 721.555 473.05 722.815 c
473.05 724.079 474.074 725.103 475.337 725.103 c
476.6 725.103 477.622 724.079 477.622 722.815 c
f
511.703 744.015 m
502.721 758.879 486.127 751.772 485.268 751.519 c
494.707 753.338 493.136 746.12 493.037 745.816 c
491.245 740.819 485.577 739.653 484.844 739.525 c
496.141 741.647 497.815 742.474 505.582 731.594 c
505.654 731.494 505.732 731.408 505.81 731.317 c
505.891 731.156 505.984 731.002 506.061 730.839 c
505.786 739.831 499.358 743.733 v
499.667 745.813 501.067 750.64 506.057 748.013 c
507.531 747.225 509.243 746.03 511.248 744.281 c
511.366 744.214 511.488 744.143 511.601 744.076 c
511.607 744.069 511.615 744.068 511.62 744.061 c
511.619 744.061 511.616 744.061 511.615 744.068 c
511.643 744.049 511.675 744.032 511.703 744.015 c
f
489.045 716.36 m
484.582 716.1 481.211 719.759 v
481.651 719.959 484.252 719.919 484.736 720.138 c
484.217 718.977 485.549 716.851 489.045 716.36 c
f
444.604 699.935 m
450.24 699.935 l
450.113 698.989 l
447.895 698.989 l
447.895 692.562 l
446.794 692.562 l
446.794 698.989 l
444.604 698.989 l
444.604 699.935 l
f
452.995 699.935 m
454.11 699.935 l
454.11 696.941 l
457.402 696.941 l
457.402 699.935 l
458.532 699.935 l
458.532 692.562 l
457.402 692.562 l
457.402 696.009 l
454.11 696.009 l
454.11 692.562 l
452.995 692.562 l
452.995 699.935 l
f
462.204 699.935 m
466.795 699.935 l
466.639 698.989 l
463.334 698.989 l
463.334 696.884 l
466.103 696.884 l
466.103 695.938 l
463.348 695.938 l
463.348 693.551 l
466.922 693.551 l
466.922 692.562 l
462.204 692.562 l
462.204 699.935 l
f
477.572 692.562 m
477.572 695.797 l
475.538 695.797 l
475.538 692.562 l
473.631 692.562 l
473.631 700.148 l
475.538 700.148 l
475.538 697.308 l
477.572 697.308 l
477.572 700.148 l
479.493 700.148 l
479.493 692.562 l
477.572 692.562 l
f
486.203 692.449 m
483.787 692.449 482.431 694.045 482.431 696.305 c
482.431 698.791 483.844 700.232 486.132 700.232 c
488.279 700.232 489.79 698.961 489.79 696.432 c
489.79 694.059 488.59 692.449 486.203 692.449 c
h
486.104 698.891 m
484.988 698.891 484.536 697.972 484.536 696.249 c
484.536 694.342 485.044 693.777 486.104 693.777 c
487.093 693.777 487.629 694.427 487.629 696.432 c
487.629 697.972 487.276 698.891 486.104 698.891 c
f
496.811 692.562 m
496.472 693.071 496.316 693.296 496.006 693.834 c
495.088 695.373 494.932 695.613 494.706 695.613 c
494.579 695.613 l
494.579 692.562 l
492.729 692.562 l
492.729 700.148 l
495.667 700.148 l
496.486 700.148 497.333 700.006 497.828 699.512 c
498.322 699.018 498.506 698.466 498.506 697.845 c
498.506 696.785 497.757 695.91 496.966 695.74 c
497.475 695.161 498.859 692.901 499.057 692.562 c
496.811 692.562 l
h
495.215 698.749 m
494.565 698.749 l
494.565 696.969 l
495.186 696.969 l
496.218 696.969 496.542 697.237 496.542 697.845 c
496.542 698.452 496.246 698.749 495.215 698.749 c
f
508.394 692.562 m
508.139 696.348 l
508.111 696.743 508.083 697.195 508.054 697.718 c
507.956 697.28 507.786 696.785 507.673 696.39 c
506.543 692.562 l
504.933 692.562 l
503.902 696.263 l
503.803 696.602 503.648 697.266 503.534 697.873 c
503.52 697.351 503.478 696.729 503.45 696.263 c
503.224 692.562 l
501.317 692.562 l
502.136 700.148 l
504.523 700.148 l
505.484 696.616 l
505.625 696.107 505.71 695.74 505.794 695.26 c
505.865 695.726 505.992 696.249 506.119 696.687 c
507.122 700.148 l
509.467 700.148 l
510.244 692.562 l
508.394 692.562 l
f
516.544 692.449 m
514.128 692.449 512.772 694.045 512.772 696.305 c
512.772 698.791 514.185 700.232 516.473 700.232 c
518.62 700.232 520.132 698.961 520.132 696.432 c
520.132 694.059 518.931 692.449 516.544 692.449 c
h
516.445 698.891 m
515.329 698.891 514.877 697.972 514.877 696.249 c
514.877 694.342 515.385 693.777 516.445 693.777 c
517.433 693.777 517.97 694.427 517.97 696.432 c
517.97 697.972 517.617 698.891 516.445 698.891 c
f
527.208 697.365 m
527.18 700.148 l
528.932 700.148 l
528.932 692.562 l
526.997 692.562 l
525.584 695.669 l
525.259 696.376 524.962 697.054 524.75 697.605 c
524.779 697.012 524.793 695.966 524.807 695.458 c
524.85 692.562 l
523.07 692.562 l
523.07 700.148 l
525.132 700.148 l
526.601 697.223 l
526.926 696.574 527.081 696.107 527.307 695.472 c
527.251 696.164 527.208 696.828 527.208 697.365 c
f
532.463 692.562 m
532.463 700.148 l
537.279 700.148 l
537.011 698.678 l
534.355 698.678 l
534.355 697.266 l
536.573 697.266 l
536.573 695.783 l
534.37 695.783 l
534.37 694.101 l
537.364 694.101 l
537.364 692.562 l
532.463 692.562 l
f
461.494 685.552 m
460.069 685.552 l
460.069 684.687 l
461.198 684.687 l
461.198 683.822 l
460.069 683.822 l
460.069 681.968 l
458.973 681.968 l
458.973 686.393 l
461.626 686.393 l
461.494 685.552 l
f
466.85 681.902 m
465.441 681.902 464.65 682.833 464.65 684.152 c
464.65 685.602 465.474 686.442 466.809 686.442 c
468.061 686.442 468.943 685.701 468.943 684.226 c
468.943 682.842 468.242 681.902 466.85 681.902 c
h
466.792 685.66 m
466.141 685.66 465.878 685.124 465.878 684.119 c
465.878 683.006 466.174 682.677 466.792 682.677 c
467.369 682.677 467.682 683.056 467.682 684.226 c
467.682 685.124 467.476 685.66 466.792 685.66 c
f
475.65 682.339 m
475.411 682.108 474.958 681.886 474.266 681.886 c
473.533 681.886 472.964 682.075 472.676 682.446 c
472.486 682.693 472.437 682.973 472.437 683.385 c
472.437 686.393 l
473.557 686.393 l
473.557 683.509 l
473.557 683.245 473.566 683.105 473.648 682.998 c
473.763 682.842 473.969 682.759 474.225 682.759 c
474.447 682.759 474.628 682.842 474.744 682.941 c
474.835 683.023 474.9 683.138 474.9 683.6 c
474.9 686.393 l
476.021 686.393 l
476.021 683.451 l
476.021 682.8 475.897 682.578 475.65 682.339 c
f
482.275 684.77 m
482.258 686.393 l
483.28 686.393 l
483.28 681.968 l
482.151 681.968 l
481.327 683.781 l
481.138 684.193 480.965 684.588 480.841 684.909 c
480.857 684.564 480.866 683.954 480.874 683.657 c
480.899 681.968 l
479.86 681.968 l
479.86 686.393 l
481.063 686.393 l
481.92 684.687 l
482.11 684.308 482.201 684.036 482.332 683.666 c
482.3 684.069 482.275 684.457 482.275 684.77 c
f
489.048 681.993 m
488.858 681.968 488.636 681.968 488.298 681.968 c
487.153 681.968 l
487.153 686.393 l
488.125 686.393 l
488.413 686.393 488.842 686.393 489.031 686.369 c
490.111 686.236 490.77 685.487 490.77 684.152 c
490.77 682.866 490.037 682.124 489.048 681.993 c
h
488.677 685.578 m
488.273 685.578 l
488.273 682.825 l
488.801 682.825 l
489.196 682.825 489.542 683.097 489.542 684.053 c
489.542 685.017 489.361 685.578 488.677 685.578 c
f
496.802 681.968 m
496.464 682.908 l
495.153 682.908 l
494.841 681.968 l
493.679 681.968 l
495.31 686.409 l
496.431 686.409 l
497.963 681.968 l
496.802 681.968 l
h
495.829 685.363 m
495.738 684.918 495.549 684.193 495.417 683.723 c
496.217 683.723 l
496.093 684.185 495.911 684.918 495.829 685.363 c
f
503.797 685.52 m
502.693 685.52 l
502.693 681.968 l
501.564 681.968 l
501.564 685.52 l
500.418 685.52 l
500.418 686.393 l
504.011 686.393 l
503.797 685.52 l
f
507.15 686.393 1.145 -4.425 re
f
514.022 681.902 m
512.613 681.902 511.822 682.833 511.822 684.152 c
511.822 685.602 512.646 686.442 513.981 686.442 c
515.234 686.442 516.115 685.701 516.115 684.226 c
516.115 682.842 515.415 681.902 514.022 681.902 c
h
513.964 685.66 m
513.314 685.66 513.05 685.124 513.05 684.119 c
513.05 683.006 513.346 682.677 513.964 682.677 c
514.541 682.677 514.854 683.056 514.854 684.226 c
514.854 685.124 514.648 685.66 513.964 685.66 c
f
522.056 684.77 m
522.04 686.393 l
523.061 686.393 l
523.061 681.968 l
521.932 681.968 l
521.109 683.781 l
520.919 684.193 520.746 684.588 520.622 684.909 c
520.639 684.564 520.647 683.954 520.655 683.657 c
520.68 681.968 l
519.642 681.968 l
519.642 686.393 l
520.845 686.393 l
521.702 684.687 l
521.891 684.308 521.982 684.036 522.114 683.666 c
522.081 684.069 522.056 684.457 522.056 684.77 c
f
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F4 1 Tf
9 0 0 10 375.8667 744.8609 Tm
0.95 0.59 0.04 0.17 k
0.011 Tc
0 Tw
[(www)54.9(.hormone.or)17.7(g)]TJ
ET
0.089 0 0.02 0 k
/GS2 gs
18 79.96 520.2 -63 re
f
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
6.58 0 0 6.58 130.9361 63.8078 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
-0.0286 Tw
(Para ms informaci溶 sobre c洋o encontrar un endocrin様ogo, obtener publicaciones gratis de la Internet, traducir esta pgina d)Tj
50.7127 0 TD
(e datos a otros idiomas,)Tj
-50.7127 -1.228 TD
-0.0042 Tw
(o para hacer una contribuci溶 a la Fundaci溶 de Hormonas, visite a )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
6.58 0 0 6.58 310.1954 55.7278 Tm
0 0 0 1 k
/GS2 gs
-0.0052 Tc
0 Tw
[(www)36.6(.hormone.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
6.58 0 0 6.58 357.8103 55.7278 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
-0.0041 Tw
[(o llame al 1-800-HO)-19.9(RMONE \(1-800-467-6663\). La Fundaci溶)]TJ
-34.4794 -1.228 TD
0.0996 Tw
(de Hormonas, la filial de ense紡nza p彙lica de la Sociedad de Endocrinolog誕 \()Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
6.58 0 0 6.58 345.4425 47.6478 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0 Tw
[(www)36.7(.endo-society)36.6(.org)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
6.58 0 0 6.58 399.8328 47.6478 Tm
0 0 0 1 k
/GS2 gs
-0.0051 Tc
0.0996 Tw
(\), sirve de recurso al p彙lico para promover la)Tj
-40.8658 -1.228 TD
0.2157 Tw
[(prevenci溶, tratamiento y cura de condiciones hormonales. Esta pgina puede ser repro)-10.1(ducida para fines no comerciales por los p)]TJ
55.1743 0 TD
0 Tw
(rofesionales )Tj
-55.1743 -1.228 TD
0.025 Tw
[(e instructores m仕icos que deseen compartirla con sus pacientes y estudiantes.)-14164.8(ゥ La Fundaci溶 de Hormonas 2005)]TJ
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F2 1 Tf
6.04 0 0 6.36 66.626 68.4126 Tm
0 0 0 1 k
/GS2 gs
0.266 Tc
0 Tw
(EDITORES:)Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F1 1 Tf
6.36 0 0 6.36 59.7687 59.0326 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0.0249 Tw
(Robert B. Jaffe, MD)Tj
0.779 -1.1792 TD
(Lubna Pal, MBBS )Tj
ET
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
BT
/F3 1 Tf
6.36 0 0 6.36 25.1804 41.2125 Tm
0 0 0 1 k
/GS2 gs
-0.0053 Tc
0.025 Tw
[(3era edici溶)-3143.2(Enero del 2009)]TJ
ET
0 0.93 0.95 0 K
0 J 0 j 0.5 w 10 M []0 d
/GS3 gs
120.386 74.216 m
120.386 24.766 l
S
Q
q
1 i
18 84.46 520.2 -4.5 re
110.647 41.213 m
W* n
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
0.89 0 0.2 0 k
18 84.48 520.2 -4.56 re
f
q 2.0398 0 0 -0.0254 278.0944 82.2088 cm BX /Sh3 sh EX Q
Q
q
1 i
0 783 585 -783 re
0 783 m
W n
0 783 585 -783 re
W n
0 0 0 1 K
0 J 0 j 0.235 w 10 M [0.71 0.47 ]0.71 d
548.427 -7.299 m
548.427 792.271 l
S
Q
endstream
endobj
26 0 obj
<<
/ProcSet [/PDF /Text ]
/Font <<
/F1 6 0 R
/F2 7 0 R
/F3 8 0 R
/F4 9 0 R
>>
/ExtGState <<
/GS2 11 0 R
/GS3 12 0 R
/GS4 13 0 R
>>
/Shading <<
/Sh1 14 0 R
/Sh2 15 0 R
/Sh3 16 0 R
>>
>>
endobj
27 0 obj
<<
/Type /Halftone
/HalftoneType 5
/Red 28 0 R
/Green 29 0 R
/Blue 30 0 R
/Gray 31 0 R
/Cyan 28 0 R
/Magenta 29 0 R
/Yellow 30 0 R
/Black 31 0 R
/Default 31 0 R
>>
endobj
28 0 obj
<<
/Type /Halftone
/HalftoneType 1
/Frequency 63.246
/Angle 71.565
/SpotFunction /Round
>>
endobj
29 0 obj
<<
/Type /Halftone
/HalftoneType 1
/Frequency 63.246
/Angle 18.435
/SpotFunction /Round
>>
endobj
30 0 obj
<<
/Type /Halftone
/HalftoneType 1
/Frequency 66.667
/Angle 0
/SpotFunction /Round
>>
endobj
31 0 obj
<<
/Type /Halftone
/HalftoneType 1
/Frequency 70.711
/Angle 45
/SpotFunction /Round
>>
endobj
10 0 obj
<<
/Type /ExtGState
/SA false
/SM 0.02
/OP false
/op false
/OPM 1
/BG2 /Default
/UCR2 /Default
/HT /Default
/TR2 /Default
>>
endobj
11 0 obj
<<
/Type /ExtGState
/SA false
/SM 0.02
/OP true
/op true
/OPM 1
/BG2 /Default
/UCR2 /Default
/HT 27 0 R
/TR2 /Default
>>
endobj
12 0 obj
<<
/Type /ExtGState
/SA false
/SM 0.02
/OP false
/op false
/OPM 1
/BG2 /Default
/UCR2 /Default
/HT 27 0 R
/TR2 /Default
>>
endobj
13 0 obj
<<
/Type /ExtGState
/SA true
/SM 0.02
/OP false
/op false
/OPM 1
/BG2 /Default
/UCR2 /Default
/HT 27 0 R
/TR2 /Default
>>
endobj
14 0 obj
<<
/ShadingType 2
/ColorSpace /DeviceCMYK
/Function 18 0 R
/Coords [0 128 256 128]
>>
endobj
15 0 obj
<<
/ShadingType 2
/ColorSpace /DeviceCMYK
/Function 19 0 R
/Coords [0.135 0 0.949 0]
/Extend [true true]
>>
endobj
16 0 obj
<<
/ShadingType 2
/ColorSpace /DeviceCMYK
/Function 22 0 R
/Coords [-128 0 128 0]
>>
endobj
32 0 obj
<<
/Type /FontDescriptor
/Ascent 745
/CapHeight 704
/Descent -207
/Flags 34
/FontBBox [-168 -213 1001 967]
/FontName /FHMIJG+Goudy
/ItalicAngle 0
/StemV 73
/XHeight 418
/StemH 73
/CharSet (/bullet/P/r/o/b/l/e/m/s/space/w/i/t/h/p/d/u/c/v/a/parenleft/period/g/comma/k/f/n/hyphen/y/parenright/S/x/j/M/q/z/E/I/H/V/slash/A/D/B/C/T/quoteright/colon/F/L/three/U/four/zero/percent/two/one/O/R/eight\
/N/six/seven/copyright/five/J/iacute/acute/dotlessi/oacute/eacute/uacute/aacute/ntilde/tilde/Eacute)
/FontFile3 33 0 R
>>
endobj
33 0 obj
<<
/Filter /FlateDecode
/Length 7209
/Subtype /Type1C
>>
stream
H奥TiTg寒慮.J。JォZtワqD4>:qテニ「Fek!BモMtロヘレ活涼%FミQ*n! ftワrs2
?g"辧3#逹s|鄂wス゚ケ宗セ> A/_オhツ「販ト慇使>リ&Ho゙ャテo!%`0ナ:9!虻
ソOIヘI゚アm{blツ8Eリネi0稟護テ體Sカ&)ヨ(3致+KRメSSメキd$%NR(跫レ・XンキAゥX擘LJマ^痼。。~>h1尉8鼡ツ}ム`煤PBケェGィ 。ku ヤ禍u#エ\PDH
竕IトZツFワ 檍X|梔bD裟」|セ]籃禺達ソ~止ィ゚ノB、h*璃8ネ+!k畳o1ク) 4@-扮狙%ン■「>"メ34shsミあ熨チチ゚ミ:
sdリa_ヌ瞽瞹Y9{=ノ枋[リマルNカ駈Qネ2>ユ黼o^ネッエテ奚}@~Jj{ニP 長チ\'>)!kxゥ釧{ヒW゚ーエ;d|Lリ頒カノッ9イfシ、^Tb鵈霈゚ヒ。ラ[Jup艷キr鱇?e倔@攻%?瀕腴メА@較7輦{セネ^イ(6'65コンヘM'Uャho條韶uテ9
[ ッmt;n(Hhノ>レiuk6癨8錮gT]"hνXpャ@o4ル#q濂X樽ュ断 L)hィ!j?P諸&CエBコ鑢PRサオv[mー)q僚抛,Ll)66ミョスユ}槲ィカ[!精△k7ナ2ロLV5kヒ腕Sワセeet叭懦ek2