The diagram of treating infertility. Causes and treatment of infertility. simple ways of treating infertility at home

Infertility to choose to choose treatment. Many of the diagnoses are not as terrible, as they sound. After, the gynecologist will appoint you a treatment scheme, takes into account the individual features of each woman. Including the diagnosis, the age of the patient and the duration of infertility. After the course of treatment, if a woman is not pregnant in reasonable lines. It is necessary to re-pass tests, to confirm the diagnosis or change the method of treatment.

Inflammation of the cervical canal caused by bacteria is the course of treatment with antibiotics. Due to inflammation of the cervical mucus, the sperm cannot get into the uterus, for its fertilization. All treatment is aimed at restoring a natural mucus. The easiest and fastest way is intrauterine insemination. When in the period of ovulation, spermatozoa is introduced in the intrauterine catheter, directly to their destination, where their meeting with an egg cell is carried out. Using, while laundered cum, which increases the chance of fertilization several times, due to the absence of antispermal antibodies and unwanted cell elements, which are not beneficial to the activity of spermatozoa.

The uterine infertility is combined with various factors and depends on a pronounced violation of the structure of the uterus:

• Single uterus. When pregnancy leaks without complications, a woman may not know about his anomalies. In some cases this violation It has direct attitude to the work of the kidneys. If you have suspicions, to check the risk, go through the ultrasound kidneys and an excretory urography.
• Curry uterus, in rare cases causes problems during pregnancy. It is worth aware of the operation, only in cases of extreme necessity, if the anomaly directly affects the process of conception or toxiousness.
• The arcate uterus, in most cases there is no relation to infertility.
• The uterus with the inner partitions due to the possible implantation implantation of the embryo, performs the basis for the inability to conceive or endure the child. Treatment with surgical intervention is not fully studied.
• The uterine (sobbing, asherman syndrome) treatment occurs, due to cutting of the battleship, the name of the hysteroscopy procedure. This procedure is used in the treatment of polyps endometrial, but in this case, it is also removed by scraping.

Treatment of fibromyomoma or uterine misa can be produced in two ways: surgical or conservative. With this diagnosis, each case must be considered separately. It takes into account the age of the patient, the number of nodes, the number of their localization. And only on general data prescribe a course of treatment.

Photo: method - intrauterine insemination

Treatment of pipe and peritoneal infertility factors

To date, one of the types of treatment is a microsurgical plastic surgery. With this form of intervention, the full restoration of pipe patency is possible. But the chance to get pregnant naturally is very small. He becomes approximately three
percent. You can cure infertility of pipes, by using auxiliary reproductive technologies of fertilization.

Treatment of endometriosis

Depending on the age of the patient and the severity, occurs in four approaches:

1. Tactics of waiting, if this ailment is located at the primary stages, then a permanent career is leading over a woman to assess the degree of the disease.
2. Surgical method. As a rule, it is a laparoscopic surgical intervention, with which the visible foci of endometriosis is removed and spikes are dissected. As a result, the natural structure of the egg seizure of the uterine tube is restored.
3. Medical method. Its base is the use of hormones, with the help of which the growth of endometrioid foci is blocked. Since it decreases the production of gonadtropins.
4. Combined method, it includes the combination of two methods: drug and surgical. Of all the methods, it is the most efficient, as it combines several options.

The treatment of ovarian (ovarian) infertility factor, occurs with the help of diet and specially prescribed drugs restore the normal operation of the axis of the hypothalamus-hypophysis - ovaries. Preparations are selected individually, given which of the functions, gives failure.

Treatment of secondary amenorrhea under infertility passes by normalizing the diet and eliminate non-treat hormones. If this course does not bring results, it is replaced by the induction of ovulation, this method has similarities to the treatment of ovarian (ovarian) factor. The choice stops on preparations that stimulate ovulation.

Is it possible to cure male infertility?

As in women, there are different forms infertility. But among the male most often occurs, such as spermograms - asthenosospermia and oligozoospermia. How to cure male infertility in these cases and what does it affect? In the first case, it is to reduce the mobility of spermatozoa, in the second amount of them.

With oligozoospermia, intrauterine insemination of sperm washed. When sperm laundering, the number of active spermatozoa may increase to two million. This is a minimum figure in which successful fertilization may occur. The success of this procedure is that spermatozoa immediately fall into the place where they can fertilize the egg. If after washing the sperm, the number of active spermatozoa is below the norm. ICSI or IVF technologies will be required to achieve the required level.

How to cure infertility in men with a diagnosis. Or what is it? There are no spermatozoa in ejaculate, or sperm. Here it is necessary to eliminate the cause that causes a failure in admission. Unfortunately, this can be done only by surgical intervention. But in most cases, it does not affect the result of ejaculate. The most effective solution puncture eggs. In the future, spermatozoa, which were extracted in this way, with the help of intracitoplasmic administration to the egg, switch to the fertilization process.

If, when analyzing, a man has a reduced testosterone, then it is first worth bringing this indicator to normal. Stimulation of spermatogenesis with exogenous testosterone.

Modern methods of treating infertility

Make just one step and be in close proximity to your dreams. Innovations in medicine are relevant for each industry, many new and "old" species of diseases have become a reason. One such trouble is the inability to have children. Overcoming infertility is the main task for reproductor doctors. That is why modern science and medicine constantly explores the ways of prevention and therapy of childlessness and offers innovative treatment of male and female infertility.

Treatment with infertility - long and sometimes not a very pleasant process. The first priority will define the reasons for the impossibility of having children and its stage. Clinical examination, delivery of all necessary analyzes and testing with the help of ultrasound diagnostic tools will help you learn more likely to learn about the disease much more and the technique of overcoming it. Methods and methods of treating infertility are diverse, and directly depend on the degree of complexity of the disease.

Methods for treating infertility in medicine

In particularly difficult cases, when the kid to conceive a natural way is problematic and infertility treatment does not bring the desired results, resort to the use of the method of artificial fertilization. Treatment of infertility in women with the help of Eco (full name - extracorporeal fertilization) significantly increases the chances of becoming pregnant. The successful use of this method contributes to more "reliable" conception. A feature is that it is "conception in a test tube", that is, the eggs fertilize exclusively in the laboratory conditions, and then the process of introducing into the uterus.

The method of extracorporeal fertilization is also often used as treatment of infertility in men, affecting the mobility and quantity of spermatozoa.

The diagram of treating infertility in intrauterine fertilization is simple: female eggs and men's spermatozoa and are directly transferred to a natural place where the egg fence is fertilized, that is, directly to the uterine tube. When the stage of the disease is quite complicated, then a fertilized cell is tolerated into the tube - embryos. In 30% of cases, this method gives a positive result. Before applying the method, it is necessary to undergo diagnosis on the patency of the uterine pipes.

Another way is insemination of men's sperm. In other words, this is the preparation of a previously taken male seed to enrichment in order to improve both the concentration and quality of spermatozoa. There is no particular popularity method, since its effectiveness is only 15%, but it is still better than nothing.

Video: How to treat infertility

The long-awaited pregnancy may occur if you comply with all the recommendations of the doctors and apply effective treatment infertility. You should also not forget that the treatment of infertility is an integral part of the fight against mindlessness. Methods collected throughout the existence of humanity can also help watch with hope for tomorrow.

Is it possible to cure infertility folk remedies? The choice of each person does it yourself. In any case, before starting treatment, you need to know your diagnosis. And methods can be delivered different:

• The healing power of Sage is known to many, even in the ancient east of a woman used it to conceive. They took a spoonful of herbs, and brewed boiling water. They left for an hour bite and took the throat before each meal.
• In ancient Persia, if a woman could not become pregnant, she was treated with the help of the leaves of the scarlet. The leaves were cut, flashed, and then poured with goose bending fat and honey, the mixture was added to the milk.
• IN Ancient Russia We used wormwood, prepared and brazers, and tincture.
• And in ancient Greece Rhododendron, they prepared alcohol tincture, or brewed as tea.

Video: infertility treatment. Babushkina Methods

Maternity is one of the main functions performed by a woman in society. However, in view of a number of factors of the environmental, social, economic, physiological nature, the fulfillment of this role has recently difficult. In addition, without referring to possible theories of a conspiramic nature, this is due to the activities of the Institute and family planning centers, in most cases recommending healthy women to refuse maternity. The purpose of this article is the characteristics of existing methods of treating the loss of a fertile woman. How serious and whether infertility is treated in women?

In contact with

By analogy with the male type, female infertility can be two types. In the first case, during the life of a woman did not conceive and nourishing children. The second form is characterized by the fact that the previously pregnant and giving birth to a woman due to a number of reasons during life loses this ability. Due to a number of features and specifics of determining the causes of female infertility, for accurate diagnosis and treatment, it is recommended to turn to qualified specialists. The difference of specialized agencies is not only the presence of a large number of technical means that determine the source of the problem, but also a large number of proven diagnosis methods of infertility. Among the main reasons, the loss of the reproduction function is as follows:

• changes of chromosomal genetic nature, cause the sterility of a woman;
• pathology or lack of uterus, There are in 5% of cases, and may be congenital (double-size, jumper inside the uterus) and purchased (scars or scars on the surface of the uterus after abortion);
• obstruction, characterized by spike uterine and fallopian pipes and indicates inflammatory processes in them; It is a consequence of the lack of pipes due to their overlapping or surgical interventions at the stage of improper pregnancy beyond the uterus or to prevent infectious and inflammatory processes;
• caused inflammatory processes, The phenomena of stagnation of blood circulation in the Lonno-coccular region and the area of \u200b\u200bthe small pelvis;
• departure of work endocrine system , acquiring the nature of deviations from the proper operation of hormones and the change in the ovulation cycle, is quite a significant part (about 40%) of the total number of violations in the work of the woman's urogenital system;
• related Factors Violation of female immunity and manifestations in the production of antibodies to spermatozoa, is observed in several percent of the total number of violations;
• come on about 1/5% of cases processes the growing of the uterus beyond her shell, called endometriosis;
• no uterus or change in its normal work, It is found in 5% of the total number of disorders and is a consequence of congenital pathologies, as the presence of partitions in the middle of the uterus or its hypertrophized size and surgical in surgery.

How to treat infertility in women: primary methods

Methods for the treatment of female infertility can be divided into primary and secondary. Primary applied with the possibility of restoring the reproductive function without penetration into the cell and without using external sources for successful pregnancy.

Fundamentals of drug treatment

The treatment itself is not treatment for drugs, but is mandatory when carrying out laparoscopy or insemination of uterus according to the ECO method.

Hormonal therapy

Reception hormonal drugsTo restore the disorders of the endocrine type and the massage of the uterine-vaginal zone is used in the obstruction of the pipes in combination with the symptoms of disorders of the internal secretion glands.

Before appointing this treatment, it is necessary to carefully examine the hormonal background of a woman for an increased concentration in its organism of male hormones, such as estradiol, testosterone, progesterone. The essence of the method lies in the dosage intake of female hormones in combination with drugs provoking ovulation cycle. The danger of the method is that with independent reception of drugs, a change in the body can occur in the direction of the mass increase. There may also be problems in the cardiovascular system and most importantly, lead to the extension of the ovaries and the aggravation of the problem.

Physiotherapy

Physiotherapy, mudaterapy are prescribed for the therapy of inflammatory disorders and as a preventive measure. The main methods of physiotherapy include methods based on the effects of magnetic, electromagnetic, electric fields, exposure to light, ultrasound, laser rays and ultrasound.

To the same group of methods can be attributed to manual therapy with many methods and techniques of conducting, used as auxiliary treatments or during the period of rehabilitation and sanatorium treatment on female infertility. For example, the use of a Magnetic field of a constant or alternating nature has an anti-inflammatory effect, and serve to stimulate blood circulation. And the use of the current of the variable nature of the small size serves as the mentioned targets for removal pain syndromes In case of launching processes and to improve tissue power.

Gironotherapy for infertility

The use of hirudotherapy is to use leeches for the treatment of infertility, which put in the pelvis area. They, due to the activation, leading to a local change in blood flow in capillaries, prevent stagnant processes in the small pelvis organs. Additional effects using leeches are to normalize the thickness of the uterine wall by exposure to the endometrium layer; It affects the increase in immunity and normalizes the hormonal background in the female organism. This method refers to alternative ways to return fertile ability, its effectiveness is very individual and depends on the complex of individual indicators of the body of a woman.

Diagnostic laparoscopy and hysteroscopy when infertility

In case of diagnosis, to identify the cause of infertility, impairment of uterine or phallopy pipes is recommended to carry out laparoscopy and hysteroscopy. Hysteroscopy is necessary to determine the state of the surface of the uterus, detecting disorders in it. Laparoscopy is a process operational intervention In the abdominal cavity of a woman. During the operation, the displacement of the cyst of ovaries is removed, the restoration of pipe patency by dissection.

Decompression

The decompression of the vagina is used for therapy for disruption of fertility associated with pipe diseases.

Hydrotubation

When sticking pipes, the hydrotubation method is also used, which is noted by high efficiency.

Secondary ways to return fertility

The essence of secondary ways to return fertility consists, as a rule, in the application of one of the ways of artificial conception. These methods are characterized by a high cost of services, the application of the latest developments and methods for returning the woman the right to motherhood and to implement it.

During the ovulation period, it is used in diagnosing problems with ejaculation in a man or low sperm quality.

To increase the probability of success, the seed material is additionally processed in the laboratory by the so-called enrichment.

The efficiency of the method ranges from 25-45% at the price of the service close to the value of the ICSI method.

Program for the treatment of infertility by Eco method

The method of extracorporeal fertilization (ECO) is mixed with healthy female cells with a donor sperm conducted in the laboratory and the further introduction of a genetic material inside the female uterus. The effectiveness of the method is low and is within 30%, however, with the joint venture with the ICSI method, the success of the operation increases significantly.

Ickey method

Ixi method, the sperm room in the middle of the egg in the laboratory and the introduction into the body of a woman using surgical intervention. It is used in diagnosing low seed indicators (low mobility of spermatozoa, a small amount of sperm, the presence of antibodies or in autoimmune diseases). With an average efficiency, the method found quite widespread. The difference of this method from the previous one is that the sperm of her husband is used as a seed material, and not a donor. The likelihood of success using this method is located in the area of \u200b\u200b40-50% with a much lower in comparison with the ECO method of the service.

XIFT method

The introduction of the embryo in the cavity of phallopy pipes (ZIFT) is used in the case of the presence of pipes and lack of effectiveness when using other methods of fertilization. It is recommended for carrying out at low quality seed or in cases of disruption of the ovulation cycle in the woman's body. The method consists in a consistent call for calling ovulation, female material, mixing with men's sperm. Next should be introduced into the cavity of the pipes of the embryo for consolidation and development. The probability of a successful implementation of the method is extremely low and amounts to about 25% at the price of an operation that makes up half of the cost of Eco.

What advise will tell video:

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Female infertility is a disease in which the woman who has reached puberty is not capable of conception, which is manifested in the absence of pregnancy for more than a year with unprotected regular sex.

Attention! If a woman for a long time can not get pregnant, it is worth checking the reproductive system of a man. Female infertility associated with a male factor is determined if a woman is healthy, and a man has a sharp decrease in the fertilizing sperm ability. That is why the doctor's consultation is necessary for both partners.

Views

Depending on the healing, women's infertility are divided into two types:

• absolute (incurable);
• relative (may be subject to correction).

By nature, the disease is distinguished:

• primary female infertility (a woman never was pregnant);
• secondary female infertility (the woman has lost the ability to have children).

Depending on the reasons, different forms of female infertility are distinguished:

• immunological;
• tube;
• endocrine;
• uterine;
• polycystic;
• endometriosis;
• genetic;
• psychological.

The reasons

The causes of the disease are many and every form of infertility they are different.

The immunological form of the disease involves the presence of antispermal immunity, which prevents the fertilization of the egg and implantation of the embryo. The causes, as a rule, are defects or sexual tract infections, congenital or acquired.

The causes of female infertility of pipe origin can be deviations in the organs of a small pelvic of two types: functional or organic.

Functional disorders are changes of tone, coordination of cutting pipe cuts, reducing the mobility of the epithelial layer cilia, defective reproduction of mucus. This is due to active inflammatory processes and hormonal imbalances.

Organic pipe infertility is the impassability of uterine pipes. It may arise as a result of inflammation, surgical interventions, invasive procedures (abortions, scraping, etc.), injuries, sterilization, tumor appearance or neoplasm in a small pelvis.

The endocrine form of the disease is manifested in the failure of the functioning of the ovaries, the thyroid gland, adrenal glands or gland internal secretion in the brain. The reasons are the syndrome of insensitive ovaries, violation of their functioning, premature menopause, the effects of drugs into ovaries, hypothalamus dysfunction (brain department) or pituitary gland (inland secretion gland), hormonal imbalance of the thyroid gland or congenital hyperplasia of adrenal cortex.

The uterine infertility is caused by congenital or acquired pathologies of the uterus. The reasons are the changes inside the uterus (most often benign formations), endometriosis (the growth of the tissue of the uterus mucosa outside its inner layer), intrauterine infection, uterus developmental defects, the federal bodies of the uterus, the obstruction of the cervical channel or the change in the mucus composition.

Polycystic - education in the ovaries of many small cysts. The causes of the disease can be hereditary, hormonal, viral or psychological.

Endometriosis is a disease in which the inner mucosa is located outside its cavity. Causes may be hormonal, immunological or mechanical (various injury).

The genetic form of the disease is activated either at birth, or due to factors such as smoking, use of a number of drugs, ionizing irradiation, etc.

The psychological form of the disease is associated with stress, depression. Typically, the causes lie in the subconscious uniforms or fear of having children.

Symptoms

Can suspect the disease, if during the year or more woman leads regular unprotected sex lifeBut pregnancy never comes.

• lack of ovulation;
• painful, abundant monthly;
• discomfort in the field of small pelvis;
• excessive nonypical discharge from the vagina;
• presence in infertility;
• a sharp decline or weight gain;
• excessive hair cover;
• threshable body addition;
• multiple acne.

According to statistics, women's infertility associated with the lack of ovulation is the most frequent occasion. Usually, the reason is that the ovaries do not produce healthy follicles in which the egg cell should be ripe.

Diagnostics

The diagnosis of female infertility consists of several stages. For a start, information is revealed, which directly affects the diagnosis:

• symptoms (general condition, lack of pregnancy, process of leakage of menstruation, etc.);
• genetic predisposition to the disease;
• the history of the disease (reasons of infertility often performed previously transferred diseases);
• nature of sexual life;
• the history of preceding pregnancies.

Visually, the doctor sets:

• features of body addition;
• general condition of the skin and mucous membranes;
• general condition of hair cover;
• the nature of the mammary glands.

External deviations from the norm may indicate a hormonal imbalance, disorders in the thyroid gland, etc., which can indirectly indicate in infertility.

To clarify the diagnosis, the following tests and procedures may be needed:

• blood test and urine per hormones;
• ultrasound procedure;
• colposcopy;
• diagnostic scraping of the uterus of the uterus;
• radiography of the lungs, samples for tuberculosis;
• radiography of the uterus and phallopy pipes;
• radiography skull.

Of the surgical methods of the survey, most often apply:

• hysteroscopy;
• laparoscopy.

The probability of determining the disease with modern methods reaches almost 100%.

Treatment

Depending on the form of female infertility, the necessary clinical recommendations are given and an individual treatment is appointed. It can be carried out by a drug or surgical method.

The medication method is applicable to the endocrine form of the disease. It is used to eliminate hormonal imbalances. For this purpose, drugs containing citrate clomiphene (causes ovulation), urinary gonadotropins (stimulates ovaries) and recombinant gonadotropins (contribute to the growth of egg cells). Antibiotics are also used if infertility arose due to inflammatory disease.

Surgical methods - laparoscopy and hysteroscopy - apply not only to establish a diagnosis, but also for treatment.

During hysteroscopy, the uterine cavity is inspected by a special optical instrument, which is introduced into the uterus. If necessary, an operation is immediately carried out to eliminate intrauterine pathologies.

Laparoscopy is an inspection of a small pelvic organs with a special optical instrument, which is injected through the puncture into the abdominal cavity. Also during the procedure eliminate the identified pathology.

The psychological form of infertility is treated by consulting with the relevant specialist.

If no treatment helps, a woman still has a chance to have children. Modern medicine Invites a number of reproductive technologies:

1. Extracorporeal fertilization (ECO) - in the laboratory of eggs fertilized in the test tube spermatozoa men, and then transferred to the women's uterus.
2. Intrauterine insemination - the transfer of male spermatozoa in the uterus with a special tool - catheter.
3. Egg donation (if deviations are observed in the egg cells of the alleged mother).
4. Surrogate motherhood - a fertilized sperm of a man's egg places in the uterus of a surrogate mother, where the embryo is developing.

Prevention

• comply with the rules of hygiene at sexual acts;
• eat healthy food;
• minimize the use of alcoholic beverages;
• avoid stressful situations.

Important! Female infertility is a common disease. Increase the risk of infertility is easy, and the disease is difficult to cure, and sometimes it is impossible. It should be remembered that the chances of a positive outcome of treatment are higher if you contact a specialist in time and strictly adhere to its recommendations.

According to statistics, approximately each fifth pair faces infertility problem. The absence of a pregnancy in 50-55% of cases is caused by a violation of the reproductive function in a woman. The World Health Organization allocates 22 reasons for its occurrence. Tactics of treatment is chosen after analyzing the results of the diagnosis: restoration of the reproductive function of the patient with drugs or surgical methods or using the use of auxiliary reproductive technologies, if the natural conception is excluded.

This article will consider modern methods of treating infertility in women.

How to treat female infertility

Treatment of endocrine form Women lies in the correction of hormonal disorders and ovarian stimulation. The process of ripening the follicle and development of endometrials against the background of drug therapy is monitored by folliculose (ultrasound monitoring), as well as by laboratory testing of blood. In 70-80% of cases of hormone therapy ends with pregnancies. Against the background of obesity, non-drug measures are shown - normalization of body weight with diet and physiotherapy and physiotherapy.

Method of treating pipe and peritoneal form Female infertility is to restore the patency of the uterine pipes by the method of laparoscopy. The effectiveness of this method is 30-40%. Against the background of the progressive adhesive process, as well as in the absence of effectiveness of previous operations, artificial fertilization was shown.

Basic formation of infertility It is to eliminate existing anatomical defects by surgical reconstructive plastics. With pronounced vices for the development of the uterus or in its absence, when the patient's independent baking is excluded, surrogate motherhood is recommended.

Treatment of female infertility caused by endometriosis, It is to remove pathological foci by the method of laparoscopic endo-adaging. The result is fixed by a course of drug therapy. The effectiveness of the technique is 30-40%.

Treatment of immunological form It lies in the artificial fertilization by the method of insemination of the partner's sperm. The technique allows you to overcome the immune barrier of the cervical canal and in 40% of cases contributes to the occurrence of pregnancy.

In the treatment of idiopathic (inexplicable) infertility Used primarily auxiliary reproductive technologies:

• intrauterine insemination (IISM and IISD);
• extracorporal fertilization (ECO);
• intracellular insemination (ICSI);
• surrogacy.

Listed methods for treating female infertility are also applied:

• with complete pipe obstruction;
• lack of uterine pipes;
• negative result of conservative endometriosis therapy;
• unsuccessful treatment of endocrine form;
• exhaustion of ovaries;
• associated pathologies incompatible with pregnancy;
• in some cases of uterine form of infertility.

• restoration of a normal menstrual cycle;
• stimulation of ovulation;
• elimination of cyst, inflammatory diseases, consequences of abortion and sexually transmitted diseases;
• elimination of antisperm antibodies of cervical mucus;
• normalization of the blood supply to the small pelvis;
• restoration of adrenal functions, pancreas and thyroid gland;
• normalization of work nervous system and psycho-emotional state;
• stimulation of local and general immunity;
• treatment of concomitant diseases.

Technologies for restoring reproductive functions are intensively developing, which makes it possible to achieve the fertilization of eggs in particularly complex cases. With a properly selected method of treating infertility after the end of the course of therapy, the natural conception occurs approximately 60% of women.

Among the methods of treating infertility today, the greatest distribution was obtained: operational endoscopy, induction of ovulation and auxiliary reproductive technologies.

Laparoscopy (Operational Endoscopy)

The modern surgical method, the essence of which lies in the operation or examination of the abdominal cavity under the control of the high-tech video system, so that the doctor can monitor the progress of the manipulation.

Operational endoscopy, if we talk about it as a method of treating infertility, is rather diagnostic in nature and to a lesser degree of therapeutic. Thus, laparoscopy has become one of the most reliable methods of examination, when the family couple is suspected of infertility of unclear genes. At the time of experienced research, she proved its effectiveness and brought the diagnosis of this type of infertility to a new level.

Ovulation induction

Medical treatment used most often in the endocrine of infertility in women, the result of which an anointulation becomes, that is, the absence of the ovulation process. The purpose of this method of treating infertility is to stimulate ovulation by the patient through the reception of drugs.

The induction of ovulation, as a rule, is carried out in three diagrams of infertility treatment, the difference of which is the choice of drugs appointed by a specialist individually for each familylike.

So, at the heart of one of the treatment diagrams of infertility is a drug called Claostilbyt. It is a drug double action, which, with an elevated content in the blood of the female hormone estrogen plays the role of anti-estrogen, and with a reduced exhibit an estrogen effect. Its main action is to stimulate the main reproductive hormones, such as a follicle-stimulating hormone (FSH), which is responsible for the formation and growth of the follicle, as well as luteinizing hormone (LH), initiating the process of ovulation and the endometrium preparing to attach the embryo. According to the accepted treatment scheme of infertility by closting in the first cycle, its dosage should not exceed 50 mg per day. In this case, the maximum dosage should not be greater than 750 mg per cycle. It is also necessary to know that the reception of this medication is more than 5-6 times in life can stimulate the exhaustion of the ovaries, and therefore lead to premature climax.

The second group of drugs, which is used with this method of treating infertility: Gonadotropins, which, in turn, are divided into two types with different strengths. Thus, human menopausal gonadotropin has a more sparing effect, and recombinant, developed with the use of genetic engineering - is a more powerful preparation.

The third diagram of treating infertility is to combine medicines.

The final stage of the induction of ovulation becomes a hCG (human chorionic gonadotropin), which is necessary for the ripening of the egg and the offensive of the ovulation process.

However, the most effective modern methods of infertility treatments are auxiliary reproductive technologies, such as artificial insemination, eco, eco with Ixi, Eco with preimplantic chromosomal screening and eco with donor cells.

Artificial insemination

The method of treating infertility, which was first tested more than two hundred years ago. And among other modern methods of treating infertility, it is most close to natural conception. Undoubtedly, his current version is very different from the one that has practiced a century ago, but the essence remains the same - delivery of the partner sperm artificially in the cervical canal or a woman's uterus, which significantly increases the chances of conception. This is explained by the fact that spermatozoids do not have to "pass" all the way to the egg.

Artificial insemination is used in a diagnosed male factor when spermatozoa has low mobility or numbers, as well as in infertility of unclear genes. Recently, the introduction of a sperm of a husband is practically in the uterus cavity.

The diagram of treating infertility when using artificial insemination is:

• obtaining sperm to a procedure that should not exceed a few hours or defrosting, if it was cryopervated in advance, which in this case increases the time for its preparation;
• sperm processing; With natural conception, the Cervical Canal is performed by the Cervical Canal, where the sperm naturally gets rid of seed fluid, cell elements, as well as inactive spermatozoa. Unprocessed ejaculate with artificial insemination, in the cavity of the uterus threatens the woman with infectious inflammatory diseases, as well as anaphylactic shock;
• the introduction of sperm is painless and a short procedure, which, as a rule, is carried out either once per cycle, directly in the days of ovulation, or a few days before it, but in this case it is repeated twice for the cycle with an interval in two or three days.

Also before insemination, in the case when infertility in spouses combined, the ovulation is stimulated. At the same time, artificial insemination as a method of treating infertility is not carried out in the diagnosis of "impassability of uterine pipes".

Extracorporeal fertilization (ECO)

Auxiliary reproductive technology, which in its "classic version" consists of the following steps:

• the preparatory stage, the essence of which is to conduct the necessary surveys of both partners;
• the next step is the procedure for superstimation of ovulation in a woman whose purpose in obtaining several eggs at once, which cannot be in normal ovulation, this is a prerequisite for Eco, as it raises the chance to obtain a viable embryo;
• collection of biological material (extraction of eggs, as well as the preparation of partner / donor sperm);
• directly the procedure of extracorporeal fertilization itself, that is, obtaining embryos "in the tube";
• final part: Embryo transfer to the uterus cavity, which happens, on average after 3-5 days.

After that, the reproductist doctor monitors the onset and the continued course of pregnancy in the patient.

The first step towards the extracorporeural fertilization was carried out in the 19th century, when a group of English scientists tried to fertilize the rabbit egg outside the body. After that, several decades were assigned to the scattered experiments, conducted by scientists from different countries, but to achieve evidence that the embryo obtained by this method can lead to successful pregnancy and the appearance of offspring, they could not.

Already by the middle of the 20th century, experiments with female eggs were carried out. However, before the emergence of the first child, born by Eco, it was necessary to go through the way for a long twenty years. The appearance of Louise Brown, the first "child from the test tube" - divided everything that was done in the field of reproductology on "to" and "after".

Today is the most effective modern method of treating infertility. The treatment diagram of infertility, with the help of the ECO procedure, the same for all the clinic of the world, the only difference may be in the length of the protocol, which varies in each particular case and is characterized by the drugs used by the methods of manipulation and their timing.

Icia

Intracitoplasmic injection of spermatozoa technology at which spermatozoa is administered directly into the cytoplasm of the egg. Together with Eco is the most efficient way of treating infertility with an unclear genesis. Ixi technology is also used under reduced sperm quality and in the case when the pair detected infertility at the cellular level.

Unlike " classic option»Eco with Ixi spermatozoa is introduced into the" manual "egg, for which microinstruments are used, as well as micromanipulators, which convert hands with the help of joysticks in the tool microd.

Eco with preimplantic chromosomal screening

The development of ECO as a modern method of treating infertility has influenced such sciences as embryology, surgery, pharmacology and, over, genetics. Each of them made its invaluable contribution to the fact that today is infertility for most married couples ceased to be incurable diagnosis. The genetic approach, which today becomes a priority with such auxiliary reproductive technologies as Eco, not only the present, but also a promising future for all reproductology.

If we talk about testimony to screening, then it is recommended to all those who applied for Eco to families, since even ideal embryos, according to the immibiologist, can hire chromosomal anomalies that lead to the interruption of pregnancy early timing or the appearance of a kid with limited features.

Eco with donor cells

This method is widespread both abroad and in Russia. Women are resorted to him who, for a number of reasons, cannot conceive a child with their egg cell. For example, due to genetic problems or early depletion of ovaries, it is premature menopause, as well as when a woman has already reached a late childbearing age. For them, Eco with donor oocytes is the last chance of motherhood. Today, Eco is held with two groups of oocytes - fresh and vitrified. Using the latest achievements of embryology that have achieved over-fast frosting eggs, oocytes can be stored indefinitely and be dropped at any necessary moment.

All modern methods of treating infertility are successfully implemented in the NGC clinic.

It has developed 12 ECO programs. The main advantage of the clinic is considered to be a highly qualified team of specialists who will help you choose the treatment program you need, go with you all stages of the procedure and give a chance to become parents.