Differences in the clinical picture of women

Infertility in women can be caused by a variety of pathological conditions, the clinical picture is dominated by these or other symptoms. Symptoms of infertility in women are due to the predominance of a particular causal factor. For each form of infertility characterized by specific clinical manifestations, which greatly simplifies the process of diagnosis and differential diagnosis.

Manifestations of Endocrine Pathology

Most clearly in the clinical symptoms manifest themselves endocrine disorders in women. If you violate the level of central structures (the development of the state of hypogonadotropic hypogonadism) is a leading symptom of menstrual dysfunction. The woman has no menstrual period for more than six months (in this case to speak about the presence of amenorrhea). Hormonal changes lead to a shortage of female hormones, which is reflected in the physical appearance of the woman or her phenotype. This is expressed as follows:

• marked changes in body type - in the high growth observed increase in the length of the patient hand. Shoulder width changes to increase. This body type is called eunuchoid
• from the secondary sexual characteristics marked hypoplasia of, and in some cases even no. Most clearly this can be seen when viewed from the mammary glands, the degree of underdevelopment which are the envy of the degree of hormone deficiency
• hypoplasia also applies to the internal genitalia, which is confirmed by clinical data conducted gynecological examination Gynecological examination: an important component of women's health   and instrumental investigations

The symptoms of hormonal deficiency can be identified in an objective examination of the patient, and the data are necessary for the diagnosis.

Almost 40% of patients with infertility revealed elevated blood levels of the hormone prolactin. When this state cycle disorders in the form of absence of menstruation (amenorrhea) combined with secretions from the breast or galactorrhea. If a woman has identified changes in thyroid hormone production Thyroid hormones: mechanism of action and physiological effects , Against the background of existing symptoms of amenorrhea Amenorrhea - Symptoms depend on the cause of the disease   galaktorei and draws attention to the changes the appearance of the complaints from the skin, skin appendages (skin becomes dry, brittle nails), general weakness, and weight gain. If a woman has hypothyroidism speech becomes slow, the state itself can be characterized as inhibited, reduced total body temperature even. Clinical manifestations of thyroid disease in infertility are so varied and non-specific, so it is important that the patient's complaints were examined carefully enough the doctor.

Clinical symptoms of uterine and tubal factor infertility

If the leading factor in the genesis of infertility is a mother, that is, pathological changes in the uterine cavity, the main symptom is pain, and menstrual dysfunction woman. The pains are drawing or aching in nature, can be permanent, but intensified in the days of menstruation. There is also the intensity of the symptoms of pain, in which section of the uterus, changes are observed. Significant pain intensity may be the case, if the result of the disease is disturbed blood flow during menstruation. Menstrual function changes - decreases the duration of menstrual bleeding and the amount of lost blood. Such isolation are called "spotting or spotting." With the defeat of the uterine cavity and mucous membrane to a considerable extent with the time of menstruation cease, and there comes amenorrhea.

Pain syndrome is the principal in setting tuboperitoneal factor. Long flowing inflammatory processes lead to the emergence of persistent pain due to inflammatory changes and the formation of adhesive disease Adhesive disease: almost inevitable after surgery . In the period of acute intensity of pain can be so severe that in some cases it is necessary to diagnose acute surgical pathology or "acute abdomen." Menstrual function is also changing - monthly not come on time, with delays of up to several weeks or months, the number of allocated blood becoming scarce, spreadable. Another symptom that occurs in women with this form of infertility, are changes in vaginal discharge. As a result of infectious diseases on the number of discharge becomes greater, change their color, odor and texture. Character discharge varies depending on what kind of pathogen detected in laboratory tests.

Moxibustion nitrogen cervical erosion

This method is known as cryoablation or cold cauterization. Cooling is carried out with liquid nitrogen at a temperature of from -90 to -150˚S. Cryosurgery is considered lenient view cauterization, since it does not leave behind scars. Therefore, it is trying to apply to women who are planning a pregnancy in the future. However, this method is only effective for a small and shallow erosions.

Cryodestruction considered painless, since low temperatures quickly to block the sensitivity of nerve endings. However, some women with increased sensitivity to pain felt initially short-term pain of varying intensity, so sometimes used local anesthesia. The advantages of this method is the absence of bleeding (cold causes a spasm of blood vessels), minimal injury to healthy tissue and immunostimulatory effects of the cold, which helps to suppress infectious processes.

The disadvantage of cryoablation is a relatively long period of tissue repair, after cauterization of erosion Moxibustion cervical erosion - which method is right for you?   cervix it may take up to 1, 5 months. The recovery period may be accompanied by heavy liquid discharge.

Moxibustion cervical erosion current

This method has a few decades ago was considered the main, but today most experts believe it is too traumatic and therefore obsolete. Moxibustion erosion current (electrocautery) is very effective, so is still used in the deep erosion in women who are not planning a pregnancy (mostly older women). The procedure of cauterization of cervical erosion current painful, so performed under local anesthesia, but it may well be carried out in an outpatient setting. There are consequences cauterization of cervical erosion of electric shock - a severe scarring and deformity of the cervix. After such an operation independent labor becomes practically impossible.

Electric shocks are also in the vast deep erosions, when coupled with changes in the epithelium is removed and part of the deeper tissues of the cervix (electroconization).

Laser cauterization of cervical erosion

Moxibustion cervical erosion by laser - the most popular method today. Modern surgical lasers allow very carefully and strictly to a predetermined depth to remove epithelial changes, without affecting healthy tissues. With the help of a laser can be removed as a small surface and deep erosion, occupying vast areas of the cervix.

The advantage of this method is the absence of bleeding from surface vessels, inhibition of infection and fairly rapid tissue healing. But laser cauterization has its drawbacks, first of all, it is impossible to cauterize extensive erosions in one session, to cauterize them usually requires multiple treatments.

Moxibustion cervical erosion argon

Argon ablation - a relatively new method of moxibustion, in which diseased tissue necrotic epithelium under the influence of ionized argon gas, which is transmitted to the tissue high-energy electromagnetic field. This leads to local heating and coagulation of the surface layers of the epithelium. The method of non-invasive (the tool is not in contact with the tissues), painless and low-traumatic, that is, leaves no scarring and deformation of the cervix. But using argon plasma ablation is impossible to remove deep erosion.

Moxibustion cervical erosion radio waves

Today this method is considered the most modern, efficient and less traumatic. The procedure is performed using the apparatus Surgitron. Moxibustion cervical erosion Surgitron removes abnormal foci of various sizes and depths, leaving little scarring. Radiowave moxibustion cervical erosion can be performed for women of any age, the procedure is painless, is not accompanied by bleeding and addition of the infection.

Methods cauterization of cervical erosion Cervical erosion - almost without symptoms, but with consequences   lot, it allows you to choose the most appropriate method for a particular woman.

Galina Romanenko