SG and the decision of problems

[Lala]

Good afternoon, dear doctors!

At me sterility or barrenness on a background naruzhnego an endometriosis of 2-3 degrees, it is found out on a laparoscopy in it or this to year. Hormones in norm or rate, a cycle of stable 26-29 days. An endometriosis prizhgli, permeability of pipes have restored. Now I have 2-nd nyxis Zoladeksa. For that time while ovaries are disconnected or switched-off, have checked up the husband.

Have now taken away results SG and very much it would be desirable to listen to your opinion by results of SG about what actions to us should be undertaken further: AI or is better at once EKO.

Parameters SG of Rate (CART)

1. The quantity or amount 5,2 2 and is more

2. Appearance it is grey-.. It is grey-..

3. A consistence 0,1 0,1-0,5

4. 7,5 7,2 and more

5. A colliquation 40 minutes up to 60.

6 Concentration 20 20O10/ml and is more

7. Mobility of 61 50 % and more

Fast progressive 16 25 %

Slow progressive 45

Movement on a place 8

Motionless 31

8. Viability (%) 82 50 % and more

9. Morphology (pat.formy) 78 up to 70 %

Head 30

shejka 21

Tail 8

The mixed pathology 19

10. Unripe cells of a spermatogenesis 2,3 million/ml up to 10 %

11. Leucocytes *lt; 1 up to 1O10/ml

12. Erythrocytes ots. No

13. Epitelalnye cells individual individual

14. Letsitinovye grains it is moderate much

15. Agljutinatsija is absent is absent

16. The MAR-test 0 up to 50 %



Akrosomalnaja reaction:

Spontaneous 8 (N*lt; =20)

Induced 25 (N*gt; =30)

Indutsiruemost 17 (N*gt; =19)



To us have told or said, that there are any deviations or rejections. Whether educate it is possible on something raschityvat with such results.

[boris]

Uv. Lala!



From your spouse (even if to consider or count insignificant deviations or rejections otnormy) most likely problems are not present.

Presence of an endometriosis speaks 2-3 items about the expressed adherent or adhesive process of organs of a small basin.

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? Since 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 for some reason 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). And than the description *quot is longer; iOyiU*quot; with solderings in the report surgical the intervention, is especially probable, that solderings are formed again. 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 *quot; nu?nNO*quot; 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 also the nervously-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.

If pipes have remained passed or taken place;permeable in this case there is no necessity of carrying out of AI, and pregnancy should come or step independently. Most possibly it to expect in the first year after the spent operative measure and restoration of a cycle after application Zoladeksa.

[Lala]

Many thanks to you for so developed or unwrapped and clear answer.