Hello! In 1998 was microabortion, anything in a consequence was not disturbed...

[Natalia]

Hello!
In 1998 was microabortion, anything in a consequence was not disturbed. With 2000 tried to become pregnant, in July 2002 a laparoscopy, result: a polycystosis of ovaries (cauterization is made), an occlusion of uterine pipes in intramuralnyh departments. In September 2001 conservative treatment, hydrotubations of 10 times (with Lydasum, Hidrocortizonum, Gumisolum), in July 2002 control GSG, the right pipe is passed or taken place;passable. From January till March 2002. Accepted klostilbegit tb. Monthly increasing or enlarging a dose with 50 up to 150 mg with 5 go on 9 j day of a cycle, djufaston on 2 tb. In day with 11 for 26 day. Has stopped reception klostilbegita in svajazi with intensifying pains in a bottom of a stomach or belly to the middle of a cycle, djufaston to drink continued. Result any. Jump in ovuljatsionnye days is absent, the curve of the schedule rises smoothly. t in the beginning of a cycle 36, 2 36, 3 36, 4 36, 6, t in the extremity or end of a cycle 36, 9 37, 0 37, 1. Has handed over a blood on hormones, 15 day of a cycle, results the following:

Hormones Norm or rate
LG 17, 5 13, 2 82, 7
FSG 11, 8 4, 9 20, 4
Progesteronum 4, 5 6 40
Prolactinum 341, 0 67 726
3 1, 3 1, 05 2, 80
TTG 1, 1 0, 3 3, 5
The norm or rate was specified for
fol. A phase
ovul.
ljut. A phase
The menopause, I took is correctly?
Now my doctor has gone on leave will leave in October, respond please:
Whether 1. In norm or rate hormones?
2. You think pregnancy does not come iz-for hormonal disturbances? (the schedule basal t smooth).
3. Than except for klomifena it is possible to stimulate an ovulation still? Or what else combination of hormones apply? Why in house conditions do not apply the preparations used for stimulation in EKO?
Whether 4. It is necessary to buy the test for definition of an ovulation or to make US for 2, 8, 14 day of a cycle (at whom above reliability).
5. In my case you would advise What following step?
6. Spermogramma the husband normal.

[Kamenetskij B.A.]

Natalia, I think that a principal cause of sterility or barrenness here are not gomonalnye disturbances, and problems with permeability of uterine pipes, t. e. trubno-the peritoneal form of sterility or barrenness. The treatment (hydrotubations) spent to you now is recognized not only ineffective, but also harmful. Uchittyvaja the given laparoscopies, I think that application of methods of an auxiliary reproduction will be unique the correct decision in this situation. 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 (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 try to make.


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)