The causes of infertility are many and varied. The most common fault of infertility anovulation Anovulation - the cause of infertility?   (ie the absence or failure of oocyte maturation for subsequent fertilization). But it is not the last place in the event of infertility take various inflammatory diseases of the pelvic organs. Such conditions lead to the obstruction of the fallopian tubes, that is to tubal infertility. Treatment of tubal infertility, as well, and all other forms of infertility rather long and complicated. Important in this process is to be patient a married couple, as tubal infertility treatment often takes years.

What is tubal infertility

Tubal infertility, it is obstruction of the fallopian tubes, due to the different anatamo-functional disorders of the latter. The frequency of tubal infertility is thirty to seventy percent. There are also peritoneal infertility caused by adhesions is preserved patency at one or both tubes. Currently not allocate certain forms of tubal and peritoneal infertility, say tuboperitoneal infertility.

Treatment of functional tubal infertility

On the functional tubal infertility say, when there are no anatomical changes in the fallopian tubes .  In the treatment of functional tubal infertility therapy used, autosuggestion, anti-anxiety drugs, tranquilizers, antispasmodics, prostaglandin blockers (indomethacin, naprossin) and normalization of hormonal disorders .  It is widely used balneotherapy (hydrogen sulfide baths) and physiotherapy (ultrasound, electrical stimulation of the fallopian tubes) .  Keep in mind that with prolonged conservative treatment of tubal infertility functional genesis develops in the fallopian tubes gross anatomical and functional disorders: degenerative changes, the folds of mucous membrane fusion, the development of adhesions in the muscle and mucous layer and other .  In the absence of effect of conservative treatment for one and a half to two years are assigned for surgery (microsurgery) therapies .

Conservative treatment

Starting treatment of tubal infertility should be remembered that treatment should be comprehensive and primarily directed at eliminating the causes. The complex therapeutic measures in tubal infertility include:

• suppression of inflammatory processes;
• normalization of the fallopian tube patency Fallopian tubes: an important part of the reproductive system ;
• restoration of their functions (peristalsis);
• normalization of the hypothalamic-pituitary-ovarian system.

Conservative therapy begins with the appointment of antibacterial drugs. In addition to the antibiotics in the conservative treatment of tubal infertility drugs are used to stimulate the body's defenses, remedies, has absorbing action, such as enzymes (Wobenzym, lidasa, trypsin), glucocorticoids and biostimulants. In addition, in the conservative treatment of tubal infertility widely used swabs How to use sanitary pad - basic precautions , Gidrotubatsii (flushing pipes medicinal solutions) and physical therapy (iontophoresis using salts of iodine, magnesium, calcium, phonophoresis with Lydasum, oily solution of tocopherol acetate, various ointments). Also used gynecological irrigation (radon, hydrogen sulfide, kremniestnye) and pelvic massage Gynecologic massage physical therapy in a female .

Surgical treatment

By the operative methods of treatment of tubal infertility resort in the absence of effect of conservative therapy. For surgical treatment is preferable to laparoscopic surgery. Laparoscopy does not cause tissue trauma expressed pelvic heavy bleeding and allows the patient to recover quickly after surgery. There are the following microsurgical operations:

• fimbriolizis - division fimbriae tubes that are near the ovary from adhesions;
• salpingolysis - removal of adhesions around the pipes, bends and curvatures;
• salpingostomatoplastika - create a new hole in a pipe at a fusion of ampullar department;
• salpingosalpingoanastomoz - removal pipe portion followed by coupling end to end;
• transplant tube into the uterus in case of obstruction in the interstitial department.

Anna Sozinova

Barren marriage today is a problem not just spouses, but also to state, as every year the death rate exceeds the birth rate, ie, the population is shrinking. The causes of infertility can be different, including hormonal disorders Hormonal disorders - oversupply and a lack of equally dangerous , Inflammation of the male and female sex organs. Among the causes of infertility recently took psychogenic infertility.

Causes

The diagnosis of psychogenic infertility put in the case after a thorough examination at the couples showed no pathology, but the pregnancy did not occur. That is, it turns out that both spouses are healthy, but why did not become pregnant?

In this case, to understand the situation has to therapists and psychologists. In some women, the reasons lie on the surface - the consequences of severe stress How to beat stress? Create an oasis   or high nervous and mental and emotional stress. But sometimes the roots of trauma go far in the past, often in childhood, which is, at times, the woman has no idea. To identify these changes and help a woman can only be a specialist.

What happens in a woman's body in psychogenic infertility? To answer this question, we need to remember how to regulate the menstrual cycle - the basic mechanism that allows a woman to conceive a child.

The menstrual cycle is regulated and supported by the system: the cerebral cortex - the hypothalamus (a brain region responsible for the endocrine system) - the pituitary gland (the main endocrine glands, which "team" work of other glands) - ovaries. When under stress or high loads in higher nervous activity (responsible for it cortex) failure occurs, it is passed along the chain and cause a variety of abnormalities in the hypothalamus, pituitary and ovaries. Hormonal balance can be disrupted too much, but that's not allow a woman to become pregnant.

But sometimes no hormonal changes is not revealed, but infertility is. In this case, perhaps a failure occurs at the level of the central and autonomic nervous system (ANS - it supplies the internal organs and blood vessels). The spasm of blood vessels in internal genital organs of women, as well as spasm of smooth muscles of the uterus and its appendages can also be a barrier to conception and childbearing. In this case, it does not help even in vitro fertilization (IVF) - the uterus is not able to "hold" an embryo in its cavity.

How is it treated

Treatment of psychogenic infertility carries a psychotherapist after excluding other causes of infertility. First of all, the therapist brings out the inner cause of a psychogenic infertility, then shrugs course of psychotherapy sessions for the correction of this condition. The techniques used by one or another specialist may be different, but the goal is the same - the restoration of the normal functioning of the reproductive system.

So, it is well known that one memory and playback ill circumstances of his life and related experiences (the so-called catharsis) cause a relief, but recovery is not yet lead. It takes a long period of corrective action on the psyche of a woman in order to restore the proper interaction between regulatory authorities the process of procreation.

The therapist teaches the woman and self-adjust their mental state - it is of great importance for the entire treatment process. It is recommended:

• completely "forget" that pregnancy can not come and live an ordinary life;
• You can, on the contrary, to attract attention, but as if from outside, trying to "do not include" with the emotions Emotions and culture: how to decipher the emotional code ; calm and indifferent, even slightly, you can think, "Well, she fixated on the problems, it is clear also that all will be well, at the time and the baby will be born";
• one of the basic rules of psychology says that if you can not change the circumstances, you need to change your attitude towards them; in the circumstances should be considered positive aspects of the condition: career success (the child to secure the future), a full examination (this is very important for the process of carrying a child and his future health) .;
• All modern psychotherapeutic techniques aimed at creating positive thinking in a patient; the problem of women suffering from infertility psychogenic, create positive thinking, to think only about the good, to drive away negative thoughts and bad memories;
• you need to learn to relax, this will anger management technique Auditory training - you start to think positively? Who are trained therapist; the full development of anger management work of all organs and systems during the session bouncing back, especially if used in this technique of visualization - mental representation of pictures with the image before the eyes relaxes blood vessels, a rush of blood to the genitals and so on.

But the most important thing in the process of self-improvement, is to believe that everything will come and pregnancy, because it had no obstacles, except for changes in the psyche. That is what the therapist teaches the woman.

Galina Romanenko