Good afternoon, the doctor. I shall be very grateful for the answer, t. To. Now on rasput...

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Good afternoon, the doctor. I shall be very grateful for the answer, t. To. Now at the crossroads, to try to conceive independently or to not waste time and send on EKO.
One week ago there was a laparoscopy.
Have found out. Uterine pipes are hydropic, rigid, in solderings with ovaries (at the left, on the right), fimbrias are absent (gidrosalpingsy at the left, on the right), are not passed or not taken place;not passable (at the left, on the right) due to an occlusion of distal departments. A uterus, ovaries - normal.
That have made:
Adhesiotomy, stomatoplasty.
At me it is some or a little bit questions: whether to try to become pregnant independently, what chances?
Or can go at once on EKO.
And more, will not prompt, how it is better to be restored after operation?
Now prniimaju junidoks (10 days), Trichopolum (10 days), lineks.

[Kamenetskij B.A.]

Uv. Julia! Within the limits of this forum often enough ask a question on permeability of uterine pipes, restoration of their permeability, partial permeability (insignificant solderings in a small basin) both td and td and td.
At once I wish to note, what even after carrying out of reconstructive operation on uterine pipes and to separation of solderings in a small basin and zakljucheniii the surgeon, that pipes became passed or became taken place;became passable, literally it means the following.
1. The uterine pipe carries out the transport function not only due to permeability. After restoration of its or her permeability operative she is by really formally passable (why formally? t. To. She is passed or taken place;passable for a contrast agent (liquid) which enter for check of its or her permeability after a canalization. The patient pochemu-that piously believes, that restoration of permeability means permeability for an ootid.
2. In the second at once after the termination or ending of an operative measure new solderings can be formed again (and often happens so). Besides do not forget, that for check of permeability of a uterine pipe a contrast agent enter by means of a syringe under pressure, and the ootid should pass or take place this way without it or him, but under influence of other transport factors.
3. Now about the transport factors also influencing passage of an ootid on a uterine pipe. Vnutrennja the wall of a uterine pipe is covered by a special tissue (a villiferous epithelium) which by means of microvillis "adjusts" an ootid to a uterus. The transferred or carried inflammatory process (a salpingitis, a salpingo-oophoritis, adnesit), destroys or blasts a villiferous epithelium and by that this component of transport function is lost. Appear vnutritubarnye solderings which besides at formal permeability are prepjadstviem for passage of an ootid. The probability of offensive or approach of an extrauterine pregnancy or a salpingocuesis after such intervention increases.
4. The transferred or carried inflammatory process breaks and nervno-the muscular apparatus of a uterine pipe, that it or her sokratitelnaja activity (in norm or rate muscular reductions allow an ootid to move on a permeable uterine pipe to the necessary party or side) can be absent or can be diskoordinirovannym.
Well and conclusions, in occasion of the conclusion uterine pipes are passed or taken place;passable try to make.


Yours faithfully,
To. M. n. B.Kamenetsky
For consultation i/or carrying out of procedure EKO you can preliminary enter the name to me on reception on bodies: (812 325 92 72; 312 30 65

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Yes, I already saw this all, thanks.

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And gidrosalpingsy again can be formed? Whether they can prevent EKO?
Can it is necessary was remove pipes or try so to go on EKO?

[Kamenetskij B.A.]

Yes, can also the correct decision in the given situation there would be just an excision of the changed uterine pipes. However if for today the liquid in uterine pipes is not defined or determined, preliminary additional oprativnogo interventions before planned procedure eko it is not required.