Royal infertility - the inability to attack the desired pregnancy in women of childbearing age as a result of existing uterine pathology. The causes of infertility buy clomid online can be a uterine submucous fibroids, intrauterine adhesions, uterine structural abnormalities, adenomyosis, endometrial polyps, and others. To confirm this or that helps uterine pathology, pelvic ultrasound, hysteroscopy, WFD, hysterosalpingography. mother of infertility treatment depends on the nature of the changes identified; it can include operational methods (myomectomy, the removal of polyps, dissection of adhesions, and so metroplasty. d.), cyclic estrogen-progestin therapy.
Royal infertility - a form of female infertility caused by congenital anatomical abnormalities or acquired diseases of the uterus. In gynecology uterine factor infertility as the reason is revealed about 15% of women who are not able to conceive within one year of regular sexual intercourse without using contraception. In other cases diagnosed endocrine (35%) and pipe / tube-peritoneal (30%), immunological (5%), cervical (5%), psychogenic (3%), infertility or unexplained infertility. Thus, the mother is given the factor of the third position in the structure of the causes of female infertility. Inside masterbatch form of infertility identify different variants, due to different reasons and have unequal forecast the possibility of conceiving and carrying a child.
Causes of fertility associated with uterine factor may be congenital or acquired; accordingly diagnosed primary or secondary infertility.
By order of congenital causes include uterine malformations: Rokitansky-Kyustnera syndrome, uterine atresia, a doubling of the uterus, a change in its form (saddle, two-horned), the presence of an intrauterine septum. In some cases, uterine infertility can become a consequence of improper body position - uterine retroflexion. Much more often at the heart of the mother of infertility are acquired diseases caused by hormonal, neoplastic, infectious, post-traumatic changes in endometrial and uterine cavity.
The most common form of infertility etiofaktorom uterine pathology becomes the inner layer of the uterus, which can be represented by glandular, glandular-cystic, atypical hyperplasia or endometrial polyps. At the heart of hyperplastic processes is increased proliferative activity of the endometrium, associated with giperestrogeniey. Lack of secretory transformation of the endometrium makes it impossible for the attachment of a fertilized egg and the further development of the embryo in the uterus. In addition, endometrial polyps can create mechanical obstacles to the implantation of the ovum.
Fibroids is uterine factor infertility is diagnosed in one in five infertile patients. Contact uterine fibroids and infertility is confirmed by the fact that after conservative myomectomy possibility of conception in these women is often restored. The immediate cause of infertility with uterine myoma of the uterus can become a progesterone deficiency and distortion of the uterine cavity and submucosal interstitial myoma, which causes difficulty of implantation of a fertilized egg.
The frequency of endometriosis among infertile women is 20-48%. The mechanisms of infertility in the background of adenomyosis are manifold: they are associated with giperestrogeniey, and the imbalance of gonadotropins, and disability cyclic transformation of the endometrium and immune reactions disturb the process of implantation of the blastocyst in the endometrium. Endometrial hyperplasia, uterine fibroids and adenomyosis often accompany each other, causing the complexity and duration of the treatment of patients with uterine infertility.
Asherman's syndrome uterine infertility is due to obliteration of the uterine cavity and tube angle synechiae (adnations). This pathology is usually associated with trauma to the basal layer of the endometrium and the subsequent development of an infectious process. By the formation of intrauterine adhesions can cause abortion complications, hysteroresectoscopy, diagnostic curettage, endometritis, genital tuberculosis, use of intrauterine contraceptive devices.
Royal infertility induced by the presence of foreign bodies in the body cavity is rare. Mechanical interference with implantation in this case may create IUDs and their individual parts, ligatures, the skeletal remains of the fetus. Royal infertility is often associated with cervical factors - the hypertrophy of cervical atresia and cervical polyps, cervical endometriosis changes the properties of the cervical mucus and so forth.
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