Hello the doctor! We with the husband live 8 years and all of us still do not have children. At me...

[Elena.]

Hello the doctor! We with the husband live 8 years and all of us still do not have children. At me were pregnancy up to it or him and during a joint life, but not from it or him. 2 months ago I have handed over its or his semen on the analysis in female consultation, results have shown for the first time, 0, 1 % active, the others as I understand not active. In a week of the second
an-from has shown, 50 % the certificate or act, 20 % less the certificate or act, 30 not the certificate or act., in slime. Have handed over analyses on an infection, an-from pokazal-a ureaplasmosis, a mycoplasmosis, and more any I do not remember, t. To there is no near at hand an information or inquiry as the doctor objasnila, it means, that spermotozojdy in pus on it or this there does not come pregnancy. We have spent on drink or saw through a course of antibiotics, I have handed over the analysis, he has appeared not so good, and he needs to hand over in a month. We any more do not know to what doctors to believe, give them good money, and results are not present, and is possible or probable, that incompatibility, hormonal either by birth or still any. Prompt the doctor correct lechenie-stages that is particularly necessary for him, and such answer as address to andrologu it clearly, he goes, but we would like to learn or find out, how it is better to construct a treatment planning from you! With greater or big respect, in advance I thank!

[The anonym]

http: // larina. by. ru/-its or her liked subject (will free of charge respond).

[Kamenetskij B.A.]

Correctly to construct a treatment planning it is necessary to establish or install the exact reason of sterility or barrenness, and she can be not one. 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:
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./