Dear Sergey Arkadevich, by your answers you it is not so good otnos...

[Tatyana]

Dear Sergey Arkadevich, by your answers you not so well concern to provironu. My husband to destination the doctor of the urologist in connection with small mobility of spermatozoons has appointed or nominated to the husband this medicine. The husband accepts already 3 j month, results have improved, but not so that it was possible to become pregnant, with pokzatelja 8 up to 21. As my attending physician speaks (genekolog-eendrokrinolog) it very little even to enter a semen mechanically (is necessary a parameter not less than 40), conceiving without the help of the doctor, advises to accept any other medicine, well certainly after the coordination with the urologist. Here only vrach-the urologist pochemu-that recognizes only proviron. I remember your answer, that after prima during 3 h months and not offensive or approach of pregnancy probably sharp deterioration and in general sterility or barrenness. What will you advise? What analogues provironu are still? I understand, that for purpose or appointment of medicines results of analyses are necessary, but to get to you from Ukraine for us yet it is not given possible or probable. I ask you to inform only what reception of a medicine we can discuss with our doctors?

[Kuharkin S.A.]

Tatyana, unfortunately helps or assists you I can not. Business not in my bad attitude or relation to proveronu. He and its or his analogues are rather useful, but is the extremely rare. More often man's sterility or barrenness is a problem nedoobsledovatelnosti the patient. If Vym closely or attentively read conference will understand, that any agents stimulating a spermatogenesis can be appointed or nominated after exception though following 4 syndromes: 1) varikotsele (US + doppler moshoki costing or standing about assay or breakdown Valsalvy) 2) Immune sterility or barrenness (MAR-test, or even IFA) 3) paritsialnoj obstructions - difficult, but very rare or infrequent diagnosis. 4) gipegonadotropnyj gipogonadizzm (in spermogramme the expressed oligozoospermia, analyses on FSG are raised or increased, on Testosteron-Depotum are lowered, possible or probable (and genetic disturbances are probable)). I am afraid, that on () Ukranine will be also, as well as each marriage or spoilage with man's fpaktorom sterilities or barrennesses instead of lesenija will go or be referred to Russia on IKSI. And proveporn without inspection is a first way to attempts to get or start children artificial by (the probability ktoryh in the best a case does not exceed 30 %).