Gynecologist's advice: infertility
|Dmitry Lubnin,gynecologist, Ph.D.|
Your story is pretty revealing. In young patients, an endometriotic ovarian cyst is detected, laparoscopy is performed, then the cyst recurs, the operation is repeated, but adhesions and obstruction of the tubes are added and, as a result, infertility is treated again with laparoscopy. This is a kind of vicious circle. I can say that at the moment it is permissible to become pregnant and perform IVF with the presence of small endometrioid ovarian cysts (up to 2-3 cm). They are safe, do not affect the course of pregnancy. Surgical trauma to the ovary during cyst removal is more serious than the presence of a cyst. And in the presence of small cysts, IVF is performed, and therefore the refusal to perform IVF in this case is not authorized.
FEEDING MOTHERIn | The child is already a year and 2 months old, I still breastfeed him. But for some reason there is no menstruation. And pregnancy tests are negative. This is normal?
Against the background of breastfeeding, menstrual function is usually suppressed, but not all. Your violation of the cycle is due to the fact that you continue to feed the baby, your level of prolactin rises, which disrupts the production of hormones that regulate the menstrual cycle. Menstruation should recover as soon as you completely stop feeding. But even with this cycle, you can get pregnant, so be sure to use contraception. Condoms or topical spermicides are suitable in your situation. I also advise you to go to the gynecologist and do an ultrasound.
DO YOU KNOW that ... preparations containing phytohormones should be selected only by a gynecologist.
NOT THE BEST METHODIn | I have had a spiral for three years, they say that it is safe and there are special alloys that prevent diseases. This is true?
This is not the best method of contraception. The intrauterine device "prevents" the fertilized egg from entering the uterine cavity and gaining a foothold in it. That is, pregnancy still occurs, but just a fertilized egg dies, being already an embryo. In addition, the spiral increases the risk of developing inflammatory diseases. There are no curative alloys, there is a spiral containing a hormone that is slowly produced over 5.5 years. Such a spiral has truly healing properties.
SIMPLE TIPSHow to calculate the right time for conception
According to statistics, every second couple tries to conceive a child on inappropriate days. The number of days in each cycle when a woman is capable of conception is limited. Most methods for determining the timing of ovulation are ineffective (for example, a method for measuring basal temperature). The 2 days most favorable for fertilization can be determined by the innovative digital Clearblue ovulation test. It is simple and convenient to use, and the accuracy of its results is over 99%.
Letters to Dr. Dmitry Lubnin were sent to the editorial office or by e-mail: [email protected]