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Infertility


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The married couple is considered sterile if pregnancy at the woman does not occur within a year of regular sex life (sexual contacts at least 1 time a week) without use of means and methods of contraception. According to data of World Health Organization<:около 8 % супружеских пар в течение репродуктивного периода жизни сталкиваются с проблемой бесплодия>.
At the person distinguish the absolute infertility predetermined by incurable changes in the sexual device of the man or the woman (defects of development, operational, removal of gonads, injuries and in), and relative which causes can be removed. Infertility is called primary if pregnancy never was, and secondary if earlier the woman was a pregnant woman.

Can be the causes of female infertility:

1) Pathology or lack of ovaries - bodies where ova ripen and is developed hormone oestradiol. Exhaustion of ovaries, a syndrome of polycystic ovaries, follicular or endometrioid cysts of ovaries and so forth can be carried to pathologies of ovaries.

2) Impassability or lack of fallopian pipes - bodies on which spermatozoa to an ovum in which there is a fertilization move and on which the embryo moves towards a uterus. The impassability of a fallopian pipe can be inborn or can be caused by inflammatory processes (salpingitis), surgical intervention (for example, elimination of extrauterine tube pregnancy) and so forth.

3) Pathology or lack of a uterus - body in which there is an incubation of a fruit. It is possible to carry a hysteromyoma, an endometritis, endometriosis (though it can be considered as a general disease) to the most widespread pathologies of a uterus and so forth.

4) Hormonal disturbances - can be a consequence of pathology of ovaries, or a consequence of pathology of a hypothalamus and/or a hypophysis, or a consequence of disturbance of other endocrine organs (adrenal glands, a thyroid gland), also a consequence of disturbance of exchange processes, a mental stress and so forth.

5) Immune infertility - is connected with presence at the woman of immune responses against spermatozoa (existence of so-called antispermalny antibodies), or immune responses against an embryo.

6) Chromosomal disturbances in ova - lead to emergence of impractical embryos which perish within the first week of development before implantation. In this case the woman does not manage to notice the interrupted pregnancy.


Sperm pathology is the reason of male infertility. Including:

1) Aneyakulyation - lack of an ejaculate (sperm). Including a retrograde ejaculation - ejaculation in a bladder.

2) An oligospermatism - insufficient amount (volume) of sperm. On norms of WHO the volume has to be not less than 2 ml.

3) An azoospermism - lack of spermatozoa in an ejaculate. Distinguish a secretory azoospermism when spermatozoa in testicles are not formed, and an obstructive azoospermism when spermatozoa are formed, but are not thrown up owing to impassability of seminiferous ways.

4) An oligozoospermia - insufficient quantity of spermatozoa in sperm. On norms of WHO the concentration of spermatozoa in sperm has to be not less than 20 million/ml.

5) Astenozoospermiya - insufficient mobility of spermatozoa. On norms of WHO the share of active and mobile spermatozoa in sperm has to be not less than 25%.

6) A teratozoospermia - the increased quantity of abnormal spermatozoa. On norms of WHO the share of morphologically normal spermatozoa in sperm has to be not less than 30% at vital microscopic examination, or not less than 15% at microscopic examination of the painted sperm smear.

7) Existence of antispermalny antibodies in sperm.

The drugs used at treatment of this disease:

Adiurecrinum
Adiuretin sd (Adiuretinum SD)
Beclomethasone Dipropionas (Beclometasoni dipropionas)
Betamethasonum
Bucarban
Butamidum
Halometasone
Hydrocortisonum
Hydrocortisoni acetas
Hydrocortisone gemisuktsinat (Hydrocortisoni hemisuccinas)
Glibenclamidum
Glibutidum
Gliquidone
Gliclazide
Glipizide
Gliformin
Gonadotrophin menopauzny (Gonadotropinum menopausticum)
Gonadotrophin chorionic (Gonadotropinum chorionicum)
Danazol
Cortexone acetate (Desoxycorticosteroni acetas)
Cortexone trimetilatsetat (Desoxycorticosteroni trimethylacetas)
Dexamethasonum
Depersolon
Dihydrotachisterolum
Dimoestrolum
Disethylstilboestrolum
Intermedinum
Calcitonin
Calcitrinum
Clomiphen citras
Cortisonum
Corticotropinum
Lactinum
Mercazolilum
Methylprednisolonum
Metformin
Monosuinsulinum
Parathyroidin for injections (Parathyreodinum pro injectionibus)
Prednisolonum
Prednisolonhemisuccinas
Presomen
Collecting Mirfazin (Species "Myrphazinum")
Collecting arfazetin (Species "Arfasetinum")
Sygethinum
Synaflanum
Synoestrolum
Somatotropinum humanum
Suspension of insulin-longum (Suspensio Insulini long)
Suspension of insulin-seven-longum (Suspensio Insulini semilongi)
Suspension of insulin-ultralongum (Suspensio Insulini ultralong)
Suspension zinc-corticotropin (Suspensio zinc-corticotropini)
Thyreoidinum
Tocopherol acetate (Tocopheroli acetas)
Triamcinolonum
Triamcinolonum acetonide (Triamcinoloni acetonidum)
Triiodothyronine hydrochloride (Triiodthyronini hydrochloridum)
Flumethasonum pivalat (Flumethasoni pivalas)
Fluodrocortisone acetate (Fludrocortisone acetate)
Chlorpropamidum
Chlortrianisenum
Homorap-Penfil
Oestradiol Dipropionas (Oestradioli dipropionas)
Oestronum
Aethinyloestradiolum
Comments:
Zhanna
25.09.2010 14:12
I have an infertility too!!! And if there is no man constant what then to do?
mzia
12.01.2012 21:50
navernoae nado naiti mujchinu.u menia toje takaia problema
Apr
17.05.2012 00:13
it is necessary a poznakomitsa with you
Evgenia
22.07.2012 17:45
there is no man - infertility))) the same problem)))
l.
20.08.2012 07:17
the husband is, and there is no pregnancy...
l.
20.08.2012 07:19
very strongly I want to become pregnant and give birth to the child. 4 years it is impossible.
13.04.2013 17:46
10 years are impossible went on doctors, made the diagnosis a lack of a falikul. What help to do.
Vasilisa
22.04.2015 23:11
Who has such problem, to the doctor and run and. Without wasting time. We too with the husband thought that as soon as we want zaberemney at once. Yes far from it ((Long we on doctors ran, tests were made also other. In the husband there was a problem, the spermogram bad was. When it became clear, at once saw a doctor which on it pofilyu. Having looked at the husband's spermogram, told saw worse, you should not worry. Everything is reparable!! Advised to exclude beer, to eat more fish and shrimps. Still Profertil it is obligatory to buy and at once to begin to drink. it is piece for sperm improvement. Honestly all this helped us. In 5 months us was already three!!!

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