The dear doctor! At me secondary sterility or barrenness, is the child 4 years, is removed...

[Natasha]

The dear doctor!
At me secondary sterility or barrenness, is the child 4 years, one pipe (one year ago there was an extrauterine pregnancy or a salpingocuesis) is removed.
After that I can not conceive (the second pipe is passed or taken place;passable, has passed or has taken place two cycles of stimulation klostilbegitom, the ovulation has not come or stepped, ovaries well reacts, ripens on dva-three follicles from both parties or sides, but any not ovulliruet. A question: whether there are methods of restoration of this process or how insists vrach-only EKO? I in doubt. Very much I want the second child. Level LG for 5 day of a cycle 11 (norm or rate 5 6), whether testifies it to the reason of absence of an ovulation and how it or him to lower? The doctor has suggested to block for two months LG regividonom, and then again stimulation? Whether there Is a sense?

[Kamenetskij B.A.]

It is described rebaund-effect (stimulating an ovulation) at application of oral contraceptives. As if to methods of treatment in your concrete case here there is not enough information for the decision of a question. Considering presence of operation in anamneneze, the variant and tubal sterility or barrenness (is not excluded at a permeable one pipe).
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.