Physiotherapy and solderings

[Irina]

At me sterility or barrenness 4 years. Temperature - an anovulation, hormones norm or rate. Has transferred or carried a ureaplasma and gardnerelez 2 years ago as there was an erosion. A picture of pipes - permeability, adherent or adhesive process is complicated. Now I pass or I take place treatment a physiotherapy (laser), a course gentometsina, Trichopolum, Nistatinum. Tell or say, whether this treatment is effective at bad permeability of pipes?

[boris]

Uv. Irina!

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? Since 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 for some reason 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 trasportnyh the 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 *quot; nu?nNO*quot; an ootid to a uterus. The transferred or carried inflammatory process, 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 also the nervously-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.

[Irina]

Thanks big for so detailed answer.

I ask you tell or say please if this treatment will not give results what should be my following step? Laporoskopija or EKO? The Doctor offers *quot; OnOOy*quot; pipes. But it seems to me, what is it not so effectively.

[boris]

Both are possible or probable a variant: and a laparoscopy - in this case you receive a maximum of the information and exact enough diagnosis (and if it will be possible or probable the reconstructive intervention will be spent, at impossibility - EKO), or EKO. And here about *quot; OnOOy*quot; pipes, i.e. carrying out of a hydrotubation - this method is recognized now not only noneffective, but also harmful.

[Irina]

After a course of a physiotherapy at me uhudshelis analyses, leucocytes above norm or rate, now I have handed over the analysis on an infection, but result yet I do not know. Whether could aggravate a course of a physiotherapy an infection. I in despair, treated solderings, and have received still that that, can and is worse. What to me now to do or make? Whether I can be solved on EKO???