boris
01.09.2004, 19:30
I quote the letter which earlier is already published in a forum.
Uv. Lilu!
Considering your anamnestic danye
The diagnosis after the first adherent or adhesive process in a small basin of 4-th + a hydrosalpinx (though pipes are passed or taken place;passable)
The probability of offensive or approach of spontaneous pregnancy very much also is very small.
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 vosstanovlenieprohodimosti means permeability for an ootid.
2. In the second at once after the termination or ending of an operative measure can be formed again (and often happens so) new solderings). 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 *quot; nu?nNO*quot; 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 extrauterine beremennsi after such intervention increases.
4. Transferred or carried are inflammatory process breaks 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.
And the last: I am not assured or confident, carrying out of reconstructive operation at adherent or adhesive process in a small basin 4 items can lead to desirable result.
Now about that what to do or make.
Either to do or make EKO, or to not do or make anything. Once again I repeat, that the probability of offensive or approach of spontaneous pregnancy in this situation very much and is very small.
Should be established or installed (or are even taken any measures) for an establishment of the reason of failure in pregoing attempts EKO, very much often it is an accompanying chronic endometritis. Bole in detail look in disussii Flora, the last 5 reports etozdes (http: // forums./showthread.php3? s = and amp; threadid=109*amp; perpage=20*amp; pagenumber=2)
It would be desirable to see here S.Beloborodova's reports which he has reported at a seminar on sterility or barrenness Saratov
Uv. Lilu!
Considering your anamnestic danye
The diagnosis after the first adherent or adhesive process in a small basin of 4-th + a hydrosalpinx (though pipes are passed or taken place;passable)
The probability of offensive or approach of spontaneous pregnancy very much also is very small.
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 vosstanovlenieprohodimosti means permeability for an ootid.
2. In the second at once after the termination or ending of an operative measure can be formed again (and often happens so) new solderings). 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 *quot; nu?nNO*quot; 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 extrauterine beremennsi after such intervention increases.
4. Transferred or carried are inflammatory process breaks 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.
And the last: I am not assured or confident, carrying out of reconstructive operation at adherent or adhesive process in a small basin 4 items can lead to desirable result.
Now about that what to do or make.
Either to do or make EKO, or to not do or make anything. Once again I repeat, that the probability of offensive or approach of spontaneous pregnancy in this situation very much and is very small.
Should be established or installed (or are even taken any measures) for an establishment of the reason of failure in pregoing attempts EKO, very much often it is an accompanying chronic endometritis. Bole in detail look in disussii Flora, the last 5 reports etozdes (http: // forums./showthread.php3? s = and amp; threadid=109*amp; perpage=20*amp; pagenumber=2)
It would be desirable to see here S.Beloborodova's reports which he has reported at a seminar on sterility or barrenness Saratov