Tell or Say, pzhs, for what day there comes an ovulation. We with the husband want the child...

[Julia]

Tell or Say, pzhs, for what day there comes an ovulation.
We with the husband want the child but while something is impossible. What it is necessary to hand over analyses for that establishment, what I can have children?

[Kamenetskij B.A.]

At 28 day time cycle is usually 14 18 days. If pregnancy does not come within a year in this case it is necessary to spend special inspection which will allow to establish or install the reason of sterility or barrenness. Within the limits of this forum questions concerning inspection are very often asked at sterility or barrenness. Below I would like to result or bring the list of the inspection, allowing to establish or install the reason of sterility or barrenness and to spend adequate treatment. Naturally, at revealing any pathology this list can be changed:

Inspection of the husband:
1. spermogramma in view of 3 5 days of continence
2. Morphological research of spermatozoons on Kruger
3. Bacteriological research of an ejaculate

Inspection of the wife:
1. Research of a status of a uterus and permeability of uterine pipes (a hysterography or a hysteroscopy and a laparoscopy)
2. Analyses of a blood on FSG, LG, 2 (Oestradiolum), Prolactinum, Testosteron-Depotum, Progesteronum, 3, 4, TTG
3. Inspection of a blood on presence antispermalnyh and antifosfolipidnyh antibodies
4. The conclusions of narrow experts under indications
5. Bacteriological research of a material from a urethra and the cervical channel on chlamydias, a mycoplasma and a ureaplasma

Except for the aforesaid before carrying out of procedure EKO (if it is necessary), (group of a blood and rezus-the factor, analyses of a blood on RW, AIDS and the Australian antigen, the analysis of a blood on a/t to a virus of a hepatitis With, the clinical analysis of a blood + coagulability, smears series of the researches necessary for carrying out of an operative measure are appointed or nominated to flora and a degree of cleanliness, documents on the inspection spent earlier and treatment)

Yours faithfully
B.Kamenetsky
The doctor akusher-the gynecologist, to. M. n.