Female factor in the structure of the various causes of infertility is from 40% to 60%. These figures are confirmed by data on the significance of irregularities in the female reproductive system, as an important causal factors of infertility. Treatment of female infertility must be assigned to the definition of the main goal - the restoration of fertility or reproductive potential.
Correction of endocrine disorders
Selection of a particular method of treatment (which may be conservative therapy or surgery), as well as the selection of individual dose supportive hormone therapy for infertility associated with the presence of hormonal disorders, should be determined by the appropriate specialist (gynecologist-endocrinologist). Assigned patients received hormonal therapy for three, four months. Then if pregnancy does not occur, it should be used, aimed at stimulation or ovulation induction.
If the patient has a form of endocrine infertility combined with metabolic disorders and overweight (obesity body mass index over 30), it is necessary first to normalize weight. Clinically proven to normal levels after the weight is self-restoring fertility and pregnancy occurs. In order to reduce the weight of developing a low-calorie diet, prescribed a variety of physical activities. Strictly to the food intake of orlistat administered one capsule. For a more rapid achievement of normal weight recommend the use of sibutramine
Sibutramine - effective but not safe
. Such therapy is carried out for four months. If during the specified time pregnancy has not occurred, it is necessary to carry out the stimulation of ovulation
Ovulation - How to determine as accurately as possible?
, And no matter how the patient was able to reduce its weight. Before starting therapy, women should be clarified that it is unacceptable to take hormones and not to engage in excessive weight decrease. It is a profound error, and largely determines why there is no restoration of fertility.
The problem of infertility treatment when adhesive disease
The form of infertility, which is caused by the presence of the pipe, and peritoneal factors required treatment in several stages
. The main goal of treatment is to achieve the separation of adhesions, restore patency of tubes and normal anatomic location of the internal organs in the pelvis
. Perform these tasks can be during endoscopic surgery
. Please be sure to appoint a laparoscopy for diagnosis, that is, specify the severity and localization of adhesions
. Further, at the same time carry out a surgical correction of the pathological changes were found in the internal organs in the survey
. In the early postoperative period (first two days) must be assigned to a course of rehabilitation therapy
. It includes antibiotic therapy, the impact of physical factors and efferent methods (laser blood irradiation, ozone)
. Only a month after the operation, you can use other additional methods to restore the fertility of the patient
. Successfully prescribed cyclic hormonal therapy, ovulation induction and other methods of treatment
Laparoscopic reconstructive plastic surgery for infertility and their value depends on the detected changes and their nature. Technology endosurgical enable divide adhesions (salpingolysis) to fully restore the entrance to the tube (fimbrioplastika) or create a new hole when the pipe department zaraschen (salpingostomy). Any surgery should be performed only if there are no contraindications for its implementation, namely:
- any inflammatory process in the period of acute or subacute
- expressed extensive adhesions grade III-IV according to the existing classification
- the prevalence of endometriosis
Endometriosis - a serious problem with serious consequences
- previously deferred endoscopic surgery on uterine appendages
Tuberculosis - a full recovery is not guaranteed
with the defeat of the genital organs
- Women age 35 and older and duration of infertility for over a decade
The above contraindications should be considered when there is a question to the doctor about the choice of treatment strategy. After the operation, use a variety of physical therapy to increase the effectiveness of surgical treatment. Successfully used ultrasound, electrophoresis with copper and zinc. Continue physiotherapy should be within one month. After the completion of the entire course of treatment can proceed to the question of pregnancy.