diff --git a/modules/turnero/views/recepcion.php b/modules/turnero/views/recepcion.php
index fce0d35..625bfaf 100644
--- a/modules/turnero/views/recepcion.php
+++ b/modules/turnero/views/recepcion.php
@@ -1630,14 +1630,15 @@ function filtrarExamenesPorGenero() {
     if (!examTS) return;
     const genero = (pacienteActivo?.genero || '').toUpperCase();
     const bloqueados = [];
-    Object.values(examTS.options).forEach(opt => {
+    Object.entries(examTS.options).forEach(([val, opt]) => {
         const gp = (opt['data-genero'] || '').toUpperCase();
         const incompatible = !!(gp && genero && gp !== genero);
         opt.disabled = incompatible;
-        if (incompatible && examTS.items.includes(String(opt.value))) bloqueados.push(String(opt.value));
+        if (incompatible && examTS.items.includes(String(val))) bloqueados.push(String(val));
     });
     bloqueados.forEach(id => examTS.removeItem(id, true));
     if (bloqueados.length) recalcularPrecios();
+    examTS.clearCache();
     examTS.refreshOptions(false);
 }