Choice of a method of treatment of sterility or barrenness

[Tahni]

To me of 36 years. -2. The husband is surveyed, results spermogrammy good. Three years it was protected OK - Marvelon, Trikvilar, Femoden. Last 3,5 years it was not protected. Has passed or has taken place inspection: GSG - pipes are passed or taken place;passable. A hysteroscopy - a hyperplasia endometrija, a body of the womb with elements fibromiomatoza. Analyses on hormones: parity or ratio lg/o?u more than in 2,5 times, a level of Testosteron-Depotum also above norm or rate (other sexual hormones in norm or rate). US for 20 day of a cycle - a yellow body of 6 mm.

US for 13 day of a cycle - a dominant or prepotent follicle of 15 mm. A cycle 30-32 days. The schedule bazaltnoj temperatures biphase.



Consulted at two doctors of gynecologists-endocrinologists, has received 2 methods of treatment:



1. ZHanin since 1 day of a cycle 3 months - for normolizatsii hormones and calculation on effect of a cancelling. To come on reception accordingly in 3 months.



2. Stimulation of ovulation Klostilbegitom with 5 for 9 day of a cycle on 1 tablet for the night. To come on reception before the beginning of a following cycle with the schedule bazaltnoj temperatures for augmentation or decreases of a dose of a preparation. -monitoring the doctor did not suggest to do or make.



prokomentirujte please the appointed or nominated methods of treatment. What vybrt? Or it is necessary to come on consultation to other doctor?

[boris]

Uv. Tahni!



Both of a method are directed on achievement of an ovulation.



There is a question: or there is a discrepancy in -research (when the yellow body d 6 mm is described, that causes greater or big doubts in me, as well as presence of an ovulation in general considering the information resulted or brought by you) and then opinions of both doctors are correct

- It is necessary to spend stimulation of an ovulation

... With that only the amendment that differential diagnostics of a source giperandrogenii and consequently also schemes or plans of stimulation will be various is not spent.



Stimulation of ovulation Klostilbegitom with 5 for 9 day of a cycle on 1 tablet for the night. To come on reception before the beginning of a following cycle with the schedule bazaltnoj temperatures for augmentation or decreases of a dose of a preparation. -monitoring the doctor did not suggest to do or make.

It is necessary to be pleased only for knowledge of patients concerning methods of diagnostics.



And a question of the second:

If both the expert have considered the existing information on presence of an ovulation (let even according to functional diagnostics), what for then to spend stimulating ovulation therapy?



Both of a question it is meaningful to find out from endocrinologists observing you. Probably they own fuller information and their purposes or appointments have deeper sense.



With uv. A moderator of a forum Fruitless marriage or spoilage

B.Kamenetsky

[Tahni]

Thanks for the operative answer.