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Methods of treatment
World medical practice today only 3 types of treatment Print E-mail
Written by Administrator   
Monday, 23 March 2009
World medical practice today only 3 types of treatment:

    1. Conservative to which the stimulation of the ovaries (ovulation induction), drugs (klostilbegit - no more than 3 menstrual cycles,

Gonadotrophins for lowering and raising the protocols). This treatment is useful to experience infertility, with up to 2 years in the age group do30 years. Duration of treatment is not more than a year. This method of treatment is carried out for women with endocrine factors in sterility.

     * Endoscopic --
           o on the testimony of any age group for any period of infertility (ovarian cysts, uterine myomas, etc.)
           o in order to restore fertility in the spaechnom process in a small tazu or violation of patency tubal ligation in ampulyarnyh divisions - with the experience of infertility is not more than 5 years and under 30 years of age.
           o If you like the different forms of endometriosis

    1. Assisted reproductive technologies - in the duration of infertility more than 5 years old, the age of 30 years, with mixed and associated forms of infertility.

By the methods of assisted reproduction are:

    1. Artificial insemination of husband or donor sperm - an introduction to the uterine cavity using disposable catheters sperm subjected to special cleaning and processing of nutrient media. In order to improve efficiency, the program is conducted against the backdrop of the induction of ovulation. A while male factors of infertility. Efficiency of the procedure is 20-25% when using the sperm donor and 8-12% when using the sperm of her husband.

     * The classical in vitro fertilization program - consists of

           * Drug induced superovulyatsii (for a large number of growing follicles in the ovaries), under the control of ultrasonic monitoring
           * Puncture ovaries (as in / to the anesthetic), vaginal sensor, ultrasonic device to puncture a nozzle,
           * In vitro fertilization or donor sperm of her husband,
           * Cultivation of embryos in the incubator on nutrient media,
           * Transfer of embryos into the uterine cavity.

The effectiveness of the program over the past 2 years was 38-42% (average rate - 37.5%).

     * Program ovodonatsii differs from the classical program of IVF using eggs from female donors, after her induction superovulyatsii and ovarian puncture. A women with ovarian depletion syndrome, genetic factor infertility, where the use of eggs, women can not be, or not. The efficiency reaches 45-50%.
     * Program of surrogate motherhood - after the first stages of IVF embryos and to obtain a sterile couple, they are transferred into the uterus of healthy women gave birth under the age of 34 years, which bears the pregnancy. After birth the child is registered at the genetic parents. These programs are conducted when it is not possible to make pregnancy or surrogacy pregnancy is a threat to the health of women. Effectiveness sosotavlyaet 35-40%.
     * ICSI - injecting a single sperm obtained from the ejaculate or testis, with a puncture in the egg. Next, the resulting embryo is transferred into the uterus. The program is conducted with male infertility. The introduction of this technology is planned in 2008.
     * Cryopreservation of embryos is carried out at the request of couples in the event that after the transfer of embryos in the IVF embryos are of good quality. Subsequently, these embryos after defrosting can be transferred into the uterine cavity. The efficiency reaches 25-35%.
Last Updated ( Monday, 04 May 2009 )
 
The treatment method of IVF Print E-mail
Written by Administrator   
Monday, 23 March 2009
The method of in vitro fertilization (IVF) are used with an absolute infertility in marriage - the absence of persistent obstruction or tubal ligation for women. IVF may apply in cases where there was no effect in the treatment of infertility, other methods - with endometriosis genitalia, endocrine forms of infertility.

The treatment method of IVF, one menstrual cycle. Stage 1 - Ovarian stimulation - The introduction of drugs with therapeutic or 2-3 the previous 21 days menstrual cycle, causing the growth of multiple eggs, which greatly increases the frequency of pregnancy. This is done through the designation of special products (puregon, menopur, Gonave-F), which imposed strict intramuscularly or subcutaneously at certain hours. Controlling the growth of follicles is done using hormonal and ultrasound studies, which begin with 7 -8 days menstrual cycle.

By 12 - 13 day cycle of egg maturation occurs and is appointed by the ovaries for puncture cells. For 34 - 36 hours before the puncture of ovaries for ripening eggs appointed chorionic gonadotropin (pregna, ovitrel). Puncture ovaries performed on an outpatient gynecological chairs a special needle through the vagina under the control of an ultrasonic apparatus. Anesthesia - a short-term intravenous anesthesia.

The resulting egg Physician - embryologist looks under the microscope for selection of normal cells are able to fertilize. My husband collects the semen on the day of ovarian puncture. Sperm and ovum, immediately placed in an incubator in a special dish for embryological nutrient. Incubator simulates the conditions of the human body, ie maintains a certain temperature, the gas regime, humidity. After 48 - 72 hours of fertilization occurs - the formation of embryos. Fertilization exposed according to the natural 50% of the sex cells of male and female.
Last Updated ( Monday, 04 May 2009 )
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