Hello! To me have made lapar-ju (solderings, gidrosalpings, an endometritis)....

[Lilja]

Hello!

To me have made lapar-ju (solderings, gidrosalpings, an endometritis). To case histories it is written " pipes are passed or taken place;passable hardly ". The surgeon has told or said, that if within 3 months. Will not come or step, it is necessary to do or make a tubal insufflation by air. But I have gone on uzi which has shown absence of an ovulation - the follicle was not broke off or has not become torn. What to me now to do or make? The surgeon insists on the opinion, in zhk me refuse to treat, t. To. I did or made operation in private or individual clinic. Or what pipes are passed or taken place;passable hardly is a verdict and precisely it is necessary 1 more operation?

Thanks.

[Kamenetskij B.A.]

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
/ Rossijsko-the Finnish Center AVA-PETER Sankt-Petersburg./
To you cannot give up in. To without dependence from where you spent treatment, however most likely provlema with permeability of uterine pipes and if pregnancy will not come or step samostojatelnro, will have to resort to procedure eko.

[Xenia]

Hello the Doctor! I not for a long time with you communicated in occasion of a laparoscopy In our conversation, I have mentioned, that my doctor has let me know education new spek and, that if I vse-taki shall decide to do or make laparu it is necessary to do or make at once and endometrial treatment. You to me otveteli, what is it not so! Also that not clearly than my doctor was guided! And now I read your answer to the letter of the patient... And you write: " 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)... "

[Kamenetskij B.A.]

Xenia! Efficiency and expediency of a spent operative measure in many respects depends on gravity of adherent or adhesive process. The less travmatichnaja there was an operation, the it is more than chances of its or her success.

[Lilja]

MANY THANKS for the developed or unwrapped answer!

And the insemination here and or is better at once EKO?