The dear doctor, my spouse was without results treated in occasion of sterility or barrenness on...

[Natalia]

The dear doctor, my spouse was without results treated in occasion of sterility or barrenness on faculty of urology and an andrology at professor Mihajlichenko. To us have advised to try or taste iskustvennuju an insemination a semen of the donor by introduction in a vagina. To me have made (on GSG-an obstruction mat. Pipes) a successful canalization of the left pipe of 4 mm. And gidrotrubatsiju right (in right there was a slime). After that was 5 insemminatsy (5 months) for 7, 9, 9, 10, 11 day of a cycle accordingly. Pregnancy is not present. My doctor speaks, that schedule BT at me ideal, the ovulation attacks 12 day. In 4 m a cycle Clostilbegytum with 2 for 6 day on 1 t has been registered. The temperature became raised or increased with 3 days of m. ts. And the cycle from 26 days has increased up to 31. In the fifth cycle on BT the ovulation has attacked 15 day, and all cycle of 29 days. Next 6 insemminatsii term is appointed or nominated to 12 day. As you consider or count, whether it is necessary to me to continue or additional analyses and procedures are necessary. An inflammation never hurted. To me 31 year.

[Kamenetskij B.A.]

It is a question about trubno to the peritoneal form of sterility or barrenness. 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 and expediency of carrying out of an artificial insemination 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./