Hello! 3 years ago to me it has been made laparaskopija, the diagnosis dvustoro...

[Anna]

Hello!
3 years ago to me it has been made laparaskopija, the diagnosis bilateral salfingovarit (? I do not warrant or vouch for correctness of a writing or spelling), solderings. The surgeon not rassekla all solderings as was afraid peretonita. Last time treat for dysfunction - the cycle has been brought down completely, now the menses was established or installed time in two months. I can not understand to achieve from the doctor, what to do or make further. I understand, ganantii and at an adhesiotomy and cleanings of pipes at me are not present quiet pregnancy, but can, I all taki should insist on any direction or to address kuda-that? Probably, procrastination of terms even more aggravates my situation?

[Kamenetskij B.A.]

Within the limits of this forum often enough ask a question on permeability of uterine pipes, restoration of their permeability, partial permeability (insignificant solderings in a small basin) both td and td and td.
At once I wish to note, what even after carrying out of reconstructive operation on uterine pipes and to separation of solderings in a small basin and zakljucheniii the surgeon, that pipes became passed or became taken place;became passable, literally it means the following.
1. The uterine pipe carries out the transport function not only due to permeability. After restoration of its or her permeability operative she is by really formally passable (why formally? t. To. She is passed or taken place;passable for a contrast agent (liquid) which enter for check of its or her permeability after a canalization. The patient pochemu-that piously believes, that restoration of permeability means permeability for an ootid.
2. In the second at once after the termination or ending of an operative measure new solderings can be formed again (and often happens so). Besides do not forget, that for check of permeability of a uterine pipe a contrast agent enter by means of a syringe under pressure, and the ootid should pass or take place this way without it or him, but under influence of other transport factors.
3. Now about the transport factors also influencing passage of an ootid on a uterine pipe. Vnutrennja the wall of a uterine pipe is covered by a special tissue (a villiferous epithelium) which by means of microvillis "adjusts" an ootid to a uterus. The transferred or carried inflammatory process (a salpingitis, a salpingo-oophoritis, adnesit), destroys or blasts a villiferous epithelium and by that this component of transport function is lost. Appear vnutritubarnye solderings which besides at formal permeability are prepjadstviem for passage of an ootid. The probability of offensive or approach of an extrauterine pregnancy or a salpingocuesis after such intervention increases.
4. The transferred or carried inflammatory process breaks and nervno-the muscular apparatus of a uterine pipe, that it or her sokratitelnaja activity (in norm or rate muscular reductions allow an ootid to move on a permeable uterine pipe to the necessary party or side) can be absent or can be diskoordinirovannym.
Well and conclusions, in occasion of the conclusion uterine pipes are passed or taken place;passable try to make.>>
Absence of effect from the spent therapy is the basis for change of tactics of treatment. I think, that in the given situation it is necessary rassmatrivait a variant of application metodm for an auxiliary reproduction (EKO). Yours faithfully
To. M. n. B.Kamenetsky
In occasion of carrying out of procedure EKO you can address for the detailed information in the Center on bodies (812 3282251 or 3289822 (by the way at the link to the information received on this site, primary consultation will be free-of-charge)

[anna]

Dear sir Kamenetsky!
Yes, at your forum really quite often there were reports concerning to neprohodimym-to permeable uterine pipes. However I shall dare once again you to disturb. As it is written in my previous report, I do not hope for easy or light;mild pregnancy after rasschenija solderings and "purge" of pipes. But I nevertheless hope for a certain activity from the doctor. When three years treat me for dysfunction which actually is (I repeat, on the last a floor of year the menses of times in two months was established or installed), and speak, that only after that, it is possible to speak about your desire to have the child there is a natural question - either I am incurable, or me not so treat. I repeat, whether it is necessary to me to address to other doctor, other hospital, or silently and more to treat couple of years dysfunction?! Whether this time of my life is not necessary?..
Yes, to me 26 years, live I in Moscow.