Infertility is a major concern of many couples. And though the majority are now successfully treated infertility, the relevance of this "trouble" has not lost so far. Very often infertility is one of the symptoms of menstrual disorders. There are many forms of violations of the menstrual cycle, but they are all in one way or another lead to anovulation, and, consequently, to the development of infertility. That is why doctors urge women to seek advice in a timely manner in the event of a sudden and regular menstrual irregularities.

What is Infertility

Infertility is the inability to people (both men and women) to the conception and birth of a child. Infertility may occur due to violations of fertilization and implantation of the egg. About infertile marriages say, when a regular sexual life for one year a woman does not become pregnant. Today, the percentage of infertile couples is fifteen (and it only examined the wife). There are male and female infertility.

Infertility in violation of the menstrual cycle

Violation of the menstrual cycle leading to anovulation, which can develop at any stage of formation, maturation and release of the egg. Before you start treatment of infertility in women, it is necessary to find out all the features of her menstrual cycle (the duration of the menstrual cycle and menstruation, painful periods, the amount of menstrual blood loss).

Hysteromyoma

Uterine fibroids, among other symptoms (abdominal pain, especially during menstruation, a violation of the act of defecation and urination, etc.) is accompanied by a failure of the menstrual cycle. Violation of the menstrual cycle may be in its shortening, lengthening menstruation, profuse bleeding. The large size of uterine fibroids Uterine fibroids - size matter They tend to cause absolute infertility (usually the uterus is removed). Small uterine fibroids can be successfully treated with hormones and not a further obstacle to the birth of the child.

Endometriosis of the reproductive system

Endometriosis of the reproductive system are also often accompanied by disturbances of the menstrual cycle. The frequency of infertility in endometriosis (uterus, ovaries) reaches 90%. Treatment of the disease is the purpose of hormone therapy, which reduces the percentage of infertility 50.

Adhesions in the uterus

Adhesions in the uterus occur after frequent abortion or dilatation and curettage and pathological after childbirth. The main feature is the development of adhesions amenorrhea The absence of menstruation (amenorrhea) - ambiguous symptom   (absence of menstrual periods) and infertility. Treatment of adhesions is their destruction under the control hysteroscopy immediately after menstruation (if they survived), followed by the appointment of cyclic hormone therapy for two to three menstrual cycles. Favorable prognosis when mild.

Ovarian cyst

Ovarian cyst is also accompanied by a variety of menstrual irregularities and infertility. Treatment depends on the type of cyst. In some cases, appointed by hormone therapy, carried out in other surgical removal of the cyst. After the disappearance of ovarian cysts restored menstrual cycle and reproductive function.

Polycystic ovaries

Polycystic ovaries or Stein-Leventhal syndrome is characterized by obesity, hirsutism, menstrual irregularities and infertility. The disease is quite common. This pathology can be successfully treated with hormonal drugs, with no effect on the treatment carried out surgery (wedge resection of the ovaries). As a rule, after the treatment is reduced ovulation Ovulation - How to determine as accurately as possible?   and the ability to fertilize the egg.

Genital infections

Various sexual infections (gonorrhea, chlamydia, ureaplasmosis Ureaplasmosis - inflammation of the urogenital system   and others) often lead to inflammation of the fallopian tubes and ovaries. The disease is accompanied by pain in the abdomen, fever, and menstrual irregularities. Infertility due to lesions of the ovary develops and violation of its functions, as well as the development of obstruction of the fallopian tubes. Treatment of anti-inflammatory. Prognosis is poor.

Anna Sozinova

Uterine amenorrhea develops not so rare. This woman neurohormonal system works fine, but there is no menstruation. The reason for this phenomenon is becoming an obstacle to any leakage of blood from the uterus. Uterine amenorrhea may be congenital (primary) or acquired (secondary) origin.

Types and causes of uterine amenorrhea

Uterine amenorrhea develops when a normally functioning hormonal system absent menses in a woman. Uterine amenorrhea, like all other types of amenorrhea may be primary or secondary. Primary amenorrhea uterine shown a complete lack of menstruation in women from the beginning, that is, when it has not developed any menstruation. There is a primary amenorrhea uterine under some birth defects of the uterus, or external genitalia. Sometimes these violations are the result of the transferred in early childhood infection or just a serious illness.

Improper development of the internal and external sex organs (uterus, cervix, vagina) is an obstacle to the outflow of menstrual blood. That obstacle can be a lack of openings in the hymen, imperforate cervical canal or vagina, some defects in the structure of the uterus.

Since the hormonal system is operating normally, the mucous membrane of the uterus (the endometrium) promptly rejected, accompanied by bleeding. But blood does not flow outside and is accumulated in the uterine cavity, causing discomfort and pain. In addition, a monthly accumulation of blood in the uterus creates the risk of inflammatory processes in the uterus and its appendages, so it is important to detect and treat the primary uterine amenorrhea The absence of menstruation (amenorrhea) - ambiguous symptom   the girl.

Sometimes the cause is a congenital uterine amenorrhea uterine insensitivity to sexual steroids. In this normal hormonal woman, and the endometrium does not respond to hormonal stimulation.

Secondary amenorrhea uterine types occur most often after a difficult birth, abortion, and various gynecological operations and in tuberculous endometritis or after suffering a severe bacterial endometritis. As a result of various injuries of the mucous membrane in the uterus or tuberculous lesions in the uterus and cervical canal may develop adhesions (connective tissue adhesions) and scarring to the partial or complete imperforate uterus, preventing the outflow of blood.

After abortion uterine amenorrhea may be associated with hormonal disorders, which are often a function of a temporary character.

Signs

A sign of uterine amenorrhea may be a monthly abdominal pain Abdominal pain: when to sound the alarm? . Intensity of pain can be different: aching from standing up to very strong paroxysmal. In some cases, there are even signs of "acute abdomen", indicating the occurrence of inflammation within the uterus, which switched to the peritoneum covering it.

The presence in the uterine cavity accumulates blood is a breeding ground for the breeding of various bacteria and the development of inflammation - endometritis. Joining endometritis accompanied by a sharp rise in temperature, increased pain and impaired general condition of the woman.

Uterine amenorrhea usually accompanied infertility, since even if pregnancy occurs, it is then interrupted because of the fact that the embryo can develop in the uterus.

Diagnosis and treatment

Diagnosis is based on X-ray, ultrasound and endoscopy. The absence of hormonal disorders Hormonal disorders - oversupply and a lack of equally dangerous   Study confirms blood on hormones.

Treatment of uterine amenorrhea operative. Type of surgery depends on the cause of the violation of the outflow of menstrual blood. If it is complete imperforate hymen, the operation is conducted its perforation (in the hymen make a small hole). When adhesions in the uterus or the cervix canal is carried out using a hysteroscope dissection. Sometimes, if after the start of amenorrhea induced adhesions Adhesions - how to get rid of them?   in the cervical canal, it took no more than six months, adhesions are separated using probes. If it has been more than six months, this method becomes ineffective. In tuberculous endometritis Policy Pay TB therapy, but in this case, to restore the normal endometrium is very difficult.

Uterine amenorrhea requires timely detection and treatment - only in this case, you can avoid most of the complications and get the woman to have children in the future.

Galina Romanenko