Hello Sterility or Barrenness secondary. It is found out ureplazma, and in a blood of an antibody...

[Irina]

Hello
Sterility or Barrenness secondary. It is found out ureplazma, and in a blood of an antibody to a chlamydia and Trichomonases. Treatment is spent. Pipes are passed or taken place;passable. But on US it is visible, that one ovary is pressed to a uterus. Whether it is necessary to make a laparoscopy after carrying out of treatment of infections?
Whether it can appear, what the four-year-old daughter as has the same infections? (5 years of sexual communications or connections outside sem it is not had)
Thanks.

[Kamenetskij B.A.]

At your daughter of these infections is not present. As if to inspection at sterility or barrenness there are certain algorithms of inspection. Besides at the transferred or carried infection of a pipe can really remain passed or taken place;permeable for a contrast agent, and here the ootid in them can already and not get. 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 trasportnyh the 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, 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.
As to inspection: Within the limits of this forum questions concerning pilot survey are very often asked at sterility or barrenness. Below I would like to result or bring the list of inspection before carrying out of the treatment, recommended in the International Center Genesial Medicine (SPb). Naturally, at revealing any pathology this list can be changed:

Inspection of the husband:
1. spermogramma in view of 3 5 days of continence
2. Morphological research of spermatozoons on Kruger
3. Bacteriological research of an ejaculate

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
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 it is necessary), we spend series of the researches necessary for carrying out of an operative measure.

Yours faithfully
To. M. n. B.Kamenetsky
In occasion of carrying out of procedure EKO you can address for the detailed information in the Center on bodies (812 3282251 or 3289822 (by the way at the link to the information received on this site, primary consultation will be free-of-charge)