The doctor, me very much excites a question - about what speaks excess of hormone LG esl...

[Anja]

The doctor, me very much excites a question - about what speaks excess of hormone LG if all other parameters in norm or rate? And whether it is possible to speak about a polycystosis at a regular cycle?

[Kamenetskij B.A.]

Anja! It really one of attributes SPKJA (a syndrome of polycystic ovaries). About the diagnosis it is possible govrit only on the basis of a several clinical attribute. Most important of them the following: an anovulation (absence of an ovulation; can be and at a regular cycle), giperandrogenija (rising of a level of Testosteron-Depotum in a blood), polycystic ovaries (according to uz-researches). On t. n. " rotterdamskomu to the agreement " accepted in 2003 presence even two of the above-named criteria, at absence of other endocrine pathology is the basis for statement of diagnosis SPKJA.

[Anja]

By BT the ovulation occurs or happens, on US on 16 dts have found out a yellow body, US has not shown like as polycystic ovaries, Testosteron-Depotum on 7 dts 3, 5 (0, 45 3, 75). Comment please!

[Kamenetskij B.A.]

Normal ovulatory cycle. If pregnancy does not come - it is necessary to search for the reason not here. Below I would like to result or bring the list of the inspection, allowing to establish or install the reason of sterility or barrenness and to spend adequate treatment. Naturally, at revealing any pathology both from the husband, and from the wife, this list can be changed:

Inspection of the husband (it is desirable to spend first of all):
1. spermogramma + MAR-the test in view of 3 5 days of continence
2. Morphological research of spermatozoons on Kruger
3. Bacteriological research of an ejaculate (under indications)

Inspection of the wife:
1. Research of a status of a uterus and permeability of uterine pipes (a hysterography or a hysteroscopy and a laparoscopy)
2. Analyses of a blood on FSG, LG, 2 (Oestradiolum), Prolactinum, Testosteron-Depotum, Progesteronum, 3, 4, TTG (under indications)
3. Inspection of a blood on presence antispermalnyh and antifosfolipidnyh antibodies
4. The conclusions of narrow experts (under indications)
5. Bacteriological research of a material from a urethra and the cervical channel on chlamydias, a mycoplasma and a ureaplasma

Except for the aforesaid before carrying out of procedure EKO (if this procedure is planned), (group of a blood and rezus-the factor, analyses of a blood on RW, AIDS and the Australian antigen, the analysis of a blood on a/t to a virus of a hepatitis With, the clinical analysis of a blood + coagulability, smears series of the researches necessary for carrying out of an operative measure are appointed or nominated to flora and a degree of cleanliness, documents on the inspection spent earlier and treatment)

Yours faithfully,
To. M. n. B.Kamenetsky
For consultation i/or carrying out of procedure EKO/IKSI you can
Preliminary to enter the name to me on reception on bodies: (812 325 92 72; 312 30 65
/ Rossijsko-the Finnish Center AVA-PETER Sankt-Petersburg./

[Anja]

The doctor, on US all in norm, the schedule biphase, the truth temperature keeps 36, 9, 37, the doctor wishes to appoint djufaston. Whether it is normal provided that the analysis on Progesteronum in norm? And whether Has sense now to check pipes? Pregnancy is not present 10 months, a cycle of regular, 28 days, beremennostej, abortions were not, tablets never drank.