HELLO UV. DOCTORS! Prompt please it is how much correctly appointed or nominated...

[Elena.]

HELLO UV. DOCTORS!
Prompt please hormonal therapy is how much correctly appointed or nominated. A hormonal background (analyses) in the first phase of a cycle in norm or rate and shchitovidka too. A cycle 31 day. An ovulation in this cycle could not trace, I so think, that she was on 18 19, and uzi monitoring did or made on 16. For 22 day of a cycle have defined or determined, that the ovulation has occured or happened. To the beginning menstr-ii the breast starts to hurt or be ill;be sick and only with arrival monthly the pain passes or takes place. The doctor has told or said, that Prolactinum in 2 phase is raised or increased. Has appointed or nominated this month OK, t. To. Have decided to spend GSG, whether and on a trace month DJUFASTON on 3 tab. reasonably it without carrying out of analyses in the second phase, leaning or basing only on indirect attributes (a stethalgia and a late ovulation). In advance thanks.

[Kamenetskij B.A.]

Elena! On mine it is a question in general of finding-out of the reason of sterility or barrenness. Naturally any therapy can be appointed or nominated only after an establishment of the diagnosis. 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 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./