Hello! I cannot become pregnant, have found out weed ts/to - have removed in May...

[Marina]

Hello! I cannot become pregnant, have found out weed ts/to - have removed in May, then have found a myoma - three sites of subserous 15, 19, 20 mm. After excision of a polyp pilp three cycles djufaston, have then appointed or nominated Norcolutum. Pipes are passed or taken place;passable, at the husband it's OK. Now the second cycle I shall drink Norcolutum if suddenly I shall become pregnant, he kak-that can affect or influence a fetus or on pregnancy. Can it or him at all it is necessary accept after djufastona? At me still like attributes of an endometriosis, but cannot precisely tell or say, here and have written out Norcolutum. It seems to me, that he is already obsolete. It is smeared before monthly some or a little bit days, after monthly too, very morbid monthly. But a cycle regular - 28 dn, schedule BT biphase. What it is possible for me to undertake? At us the province to consult there is no place. Thanks.

[Kamenetskij B.A.]

I think, that spent therapy is adequate to your status. If pregnancy will come or step, therapy will be corrected in view of the come or stepped pregnancy.

[Julia]

Hello Boris Aleksandrovich! It would be desirable to hear your independent opinion. Mine diagnoz-solderings in a small basin. Recommend to do or make a laparoscopy, but 5 years ago I had an appendicitis with a peritonitis, there was kiloidnyj cicatrix nearby 30 see I was at several doctors, opinions are various. Speak there can be complications after operation, spaki can be formed again. Did or made gisterosalpingografiju-pipes are passed or taken place;passable, osumkovannaja a cavity on the right. By US the ovulation is absent, BT without any law, hormones FST and LG are exceeded. What will you advise me? Whether it is necessary to do or make a laparoscopy?

[Kamenetskij B.A.]

Julia! Considering the transferred or carried peritonitis, I do not think that the spent laparoscopy can give any positive effect. 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
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