Pri sdachi analizov na gormoni prolaktin bil vishe v 2 raza normi, vse ost...

[Asya.]

Pri sdachi analizov na gormoni prolaktin bil vishe v 2 raza normi, vse ostalnioe analizi v poryadke, sdavala na 5 den m. z., vrach naznachila bromergon s posleduyshim uvelichenie dozi v techenii 3mesyazev, na kontrolnom analize na prolakein tage samaya istoriya kakbil povin uroven tak i ostalsya, seychas propisalo Dostineks po1/2 tabl. 2 raza v nedelu. Moget li etot prepart snizit uroven prolaktina, dolgoe vremya lechus diagnoz - 2 e besplpdie, bila 9let nazad vnematochnaya, v yanvare bila giperplaziya endometriya, delala chistku, gisteroskopiya nichego plohogo ne pokazala. Moget li povisheniy uroven prolaktina bit prichinoy besplodiya?

Spasibo.

[Kamenetskij B.A.]

giperprolaktinemija can cause absence of an ovulation and as consequence or investigation of sterility or barrenness, however not always and to specify it it is possible after carrying out of monitoring of an ovulation. Probably exists not only this reason and then treatment naprvlennoe on restoration of an ovulatory cycle will be useless. Considering presence of the extrauterine pregnancy or salpingocuesis, the first on what is necessary to pay attention is a permeability of uterine pipes, t. e carrying out GSG or laparoscopies. 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 both from the husband, and from the wife, this list can be changed:

Inspection of the husband (it is desirable to spend first of all):
1. spermogramma + MAR-the test in view of 3 5 days of continence
2. Morphological research of spermatozoons on Kruger
3. Bacteriological research of an ejaculate (under indications)

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 (under indications)
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 this procedure is planned), (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,
To. M. n. B.Kamenetsky
For consultation i/or carrying out of procedure EKO/IKSI you can
Preliminary to enter the name to me on reception on bodies: (812 325 92 72; 312 30 65
/ Rossijsko-the Finnish Center AVA-PETER Sankt-Petersburg./