Infertility is treated and the long-awaited pregnancy occurs. Effective and dangerous folk methods of treating infertility: the opinion of obstetricians and gynecologists Treatment of obstruction of the fallopian tubes with folk remedies

Nowadays, it is not uncommon for a young, healthy couple to face the problem of infertility. What can be the cause of infertility and how such couples are helped in modern times, Tatyana Sergeevna Deyneko, a fertility specialist at the Isis-IVF clinic in Donetsk, will tell us.

1. What are the causes of infertility? Is the diagnosis of infertility, which is so terrible for many women and men, subject to treatment?

Currently, female (81%) and male (19%) infertility are distinguished.

The main causes of female infertility are:

Impaired maturation and release of the egg from the ovary due to hormonal imbalance in the woman’s body or abnormal development of the ovaries;

Impairment of the patency of the fallopian tubes, as a result of which the egg cannot meet the sperm;

Structural changes in the uterine cavity, which can be: congenital, hormonal in origin, acquired as a result of some kind of intrauterine intervention.

In such cases, fertilization occurs, but the fertilized egg cannot attach to the wall of the uterus.

The main causes of male infertility are:

A decrease in the number and motility of sperm or their complete absence;

Ejaculatory-sexual dysfunction. The so-called incompatibility factor stands out separately, when spermatozoa either cannot penetrate through cervical canal cervix, or cannot fertilize the egg.

Infertility is also divided into primary, when there was no pregnancy at all, and secondary, if there were pregnancies before.

In most cases, the above factors of infertility can be overcome with the help of modern methods treatment.

2. After how many unsuccessful attempts to get pregnant, do you need to go to the clinic?

3. What methods of assisted reproductive technologies are currently used in modern medicine?

Now there are different methods of treating infertility:

- stimulation of ovulation

- intrauterine insemination (introduction of sperm into the uterine cavity)

— in vitro fertilization (what is popularly called “in vitro” fertilization)

- intracytoplasmic sperm injection (forced introduction of sperm into the egg in case of male factor infertility)

— egg donation

— sperm donation

- surrogacy.

4. What is IVF? What is the probability of having a healthy IVF baby?

IVF is a method of fertilization outside the female body. Its essence is that eggs are obtained from a woman mechanically (ovarian puncture), a man donates sperm, and with the help of special equipment the eggs are fertilized with sperm. The result is embryos, which are then transferred into the uterine cavity. Those. the woman actually becomes pregnant, the embryos can only take root in the uterus. At the same time, the probability of birth healthy child almost the same as during pregnancy that occurs naturally on its own.

5. When is egg donation used?

Egg donation is used when a woman is unable to obtain her own eggs in sufficient quantity and/or normal quality.

This happens:

In women over 42 years of age, in perimenopause;

After ovarian surgery, radiotherapy or chemotherapy;

With abnormal development of the ovaries;

With the so-called “exhaustion” of the ovaries (when they do not work even at a young age).

In addition, indications for donation may include: the risk of transmission of hereditary diseases, as well as unsuccessful repeated IVF attempts (4 or more).

6. Who can be an egg donor?

A woman aged 20 to 32 years can be an egg donor if she has:

There is a healthy child;

There are no negative phenotypic manifestations;

No health problems;

There were no gynecological operations;

There are no hereditary diseases;

No bad habits (drug addiction, alcoholism, substance abuse).

7. Causes of male infertility?

Male infertility can be:

1) innate nature:

Anomalies of the development of the genitourinary organs

- genetic disorders

2) purchased:

For inflammatory diseases of the genital organs of a specific (gonorrhea, chlamydia, etc.) and nonspecific nature (prostatitis);

For injuries to the genital organs;

After childhood infections (“mumps”, etc.);

When a man’s body is exposed to radiation, harmful chemicals, certain medicines.

Even nicotine long-term use leads to decreased sperm motility!

8. What are the treatments for male infertility?

There are different treatments for male infertility depending on the cause. Sometimes results can be achieved simply by prescribing medications and procedures (this is done by an andrologist).

In other cases, you have to use more radical methods:

If there is a slight decrease in sperm motility, you can carry out a special treatment of the sperm aimed at improving its quality, and then perform insemination;

I would like to pay special attention to the technique that is used in the case of the complete absence of sperm in the semen, but their presence in the testicles.

This is the so-called obstructive form of male infertility, which occurs due to injury or inflammatory diseases genitals. In this case, sperm are produced in the testicles, but do not enter the sperm due to an obstruction in the vas deferens. In this case, the man undergoes testicular puncture (TESA), during which sperm are obtained. These sperm are then used to fertilize the woman's eggs, previously obtained during the IVF procedure.

9. How effective is the ICSI method?

The ICSI procedure increases the fertilization rate, and in some cases, fertilization does not occur at all without this method. As a result of ICSI, we obtain embryos in situations where it is not possible to obtain them naturally or during a regular IVF procedure.

10. Which method of assisted reproductive technology would you highlight in particular?

I would still like to highlight the technique using testicular puncture (IVF+TESA).

After all, in this way we can help those infertile couples who have no chance of getting a child genetically related to the father in any other way!

We thank Tatyana Sergeevna Deineko for providing the answers to our portal, and we look forward to further cooperation! (jcomments on)

Infertility- inability to have offspring. A marriage is considered infertile if pregnancy does not occur within 1 year of regular sexual activity (sexual intercourse less than once a week) without contraception.

Causes of female infertility

The main causes of female infertility: poor quality of cervical mucus, scars, cervical fibroids; endometriosis, fibroids and uterine scars; obstruction of the fallopian tubes; lack of ovulation, presence of an ovarian cyst. Often these causes are present in combination with pathogenic microorganisms.

The causes of infertility are varied and incorrectly selected folk remedy for infertility may not only not help, but also cause harm, delaying pregnancy even longer, so it is necessary not only to know your diagnosis accurately, but also to consult a doctor about the use of folk remedies.

Ovulation disorder

In women with a normal menstrual cycle (regular cycle, no additional bleeding or pain in the pelvis between menstrual periods, menstrual bleeding from 3 to 6 days, pain in the first days of bleeding is minor, in the last days - absent) and normal premenstrual phenomena (feeling of breast swelling, increased sensitivity, mood changes), as a rule, normal ovulation occurs.

To detect ovulation, use a determination schedule basal temperature. Its decrease to a minimum indicates that ovulation is approaching, and a sharp increase indicates that it has passed. Doctors practice ultrasound, which determines the diameter of the follicle (a follicle over 22 mm is considered mature), as well as a biochemical analysis for progesterone in the blood serum. Recently, ovulation tests have appeared in pharmacies, working in a similar way to pregnancy tests.

During anovulatory cycles (no ovulation), the generation of sex hormones that regulate contractions of the fallopian tubes and the normal development of the uterine mucosa is disrupted.

Reasons for violation: long-term use hormonal contraceptives, heredity, endocrine disorders, in particular the activity of the thyroid gland, pituitary gland, hypothalamus, adrenal cortex (produce excessive amounts of male sex hormones), intracranial pressure - as a rule, there are several reasons and they are interconnected.
Treatment. Drugs are prescribed to stimulate ovulation (for example, clomiphene), gonadotropins (stimulate the production of sex hormones), which must be taken according to a special regimen and only under the supervision of a doctor and ultrasound. Doses are selected individually.

Fallopian tube pathology

Congenital anomalies of the fallopian tubes are possible, but more often they occur after infectious and inflammatory diseases. Obstruction of the fallopian tubes or narrowing of the lumen develops.

Determination of patency is carried out using fluoroscopic examination (with the introduction of a contrast agent) - hysterosalpingography, which makes it possible to determine the shape of the uterine cavity and the patency of the tubes. Examinations are carried out using a hysteroscope - an optical system that is inserted through the cervix into the uterus.

Treatment. Drug treatment is carried out (antibiotics, enzymes - lidase), usually in combination with laparoscopy - excision of adhesions. What is laparoscopy: a contrast solution is pumped into the uterus and tubes under pressure (it cuts the adhesions), and an X-ray of the pelvis is taken to check the result. It hurts a little, but tolerable. To stop bleeding after the procedure (due to damage to the internal lining of the uterus) and to prevent infection of the damaged uterus, tampons with an antibiotic (usually Trichopolum) are placed for 7-10 days.
If the obstruction is caused by trauma, surgery is performed, but this method is used infrequently and is ineffective.

Pathology of the cervix

The cervix secretes mucus, which is a biological filter. It prevents microflora from the vagina from entering the uterus, and during ovulation it increases the viability of sperm. The consistency, composition and viscosity of cervical mucus change under the influence of estrogens in accordance with the phases of the menstrual cycle. In the first half of the cycle, little mucus is formed; in the middle of the cycle it becomes more viscous and abundant. Then the mucus becomes watery and its quantity decreases, causing vaginal dryness.

Possible violations:
Excessive thickness and viscosity of mucus, which interferes with the movement of sperm.
The presence of antibodies to sperm in the mucus, causing their agglutination (protein folding) and inability to fertilize. The methods allow one to evaluate the composition of mucus and the survival rate of sperm in it. A compatibility test is carried out in the middle of the cycle, when the conditions for fertilization are most favorable. A vaginal mucus sample is taken from 2 to 8 hours after sexual intercourse.

Treatment: selected individually. May include drugs to reduce the viscosity of mucus, or intrauterine insemination (fertilization by introducing seminal fluid directly into the uterine cavity).

Folk remedies for treating infertility:

• Pour 1 tablespoon of adonis herb with 1 glass of boiling water, leave, wrapped, for 2 hours and strain. Drink 3 times a day as tea for infertility.
• Pour 2 teaspoons of Adam's root herb with 1 glass of boiling water, leave, covered, for 2 hours and strain. Drink 1 tablespoon 3-4 times a day for infertility.
• Pour 1 teaspoon of sage herb into 1 cup of boiling water and leave for 30 minutes. Drink 0.3 glasses 3 times a day 30 minutes before meals in the first half of the menstrual cycle for infertility. If phase 2 of the cycle is insufficient and endometriosis is present, do not use sage!
• Drink 1 dessert spoon 2 times a day on an empty stomach, the juice of a fresh sage plant. The drug should be taken for 12 days, immediately after the cessation of menstruation in case of infertility. If phase 2 of the cycle is insufficient and endometriosis is present, do not use sage!
• Even ancient healers called sage a magic herb. The ancient Greeks considered sage one of the the best means against female infertility, and in Ancient Egypt After wars and epidemics with high mortality, women were even forced to take a decoction of herbs and sage seeds to increase fertility. However, you need to be very careful with sage, strictly follow the dosage - for brewing, 1 teaspoon per glass of water is enough, and take 1 tablespoon 2-3 times a day for 11 days, after the cessation of menstruation. Repeat for 3 months; if pregnancy does not occur, you need to take a break for 2 months. Sage contains special phytohormones, similar in composition to estrogens - female sex hormones. An infusion of sage seeds produces a so-called “suction effect” on the cervix in a woman, which facilitates the passage of sperm on the way to the egg.
• Pour 1 tablespoon of plantain leaf into 1 cup of boiling water, simmer over low heat for 5 minutes and leave for 1 hour. Drink 1-2 tablespoons 3-4 times a day 30 minutes before meals. The course of treatment for infertility is 1-2 months.

The same recipe is also used for male infertility.

• Pour 3-4 tablespoons of knotweed herb into 0.5 liters of boiling water, leave, covered, for 4 hours and strain. Drink 1-2 glasses 4 times a day 10 minutes before meals for infertility.
• Pour 3 tablespoons of one-sided ramishia into 0.5 liters of boiling water and leave in a thermos for 1 night. Drink 150 ml 3-4 times a day 1 hour after meals. The same plant helps with many female diseases.
• An excellent stimulator of sexual function for both men and women, an assistant in the functioning of the ovaries is vitamin E. The richest source of vitamin E has always been considered the rose flower, from which you can make “rose water” and drink it. The next source of vitamin E is sea buckthorn: you can drink sea buckthorn juice, oil, or eat fresh berries. Pumpkin pulp is another storehouse of this vitamin. In addition, pumpkin contains many other vitamins and microelements, replenishing deficiencies useful substances body. When pregnancy occurs, pumpkin prevents the risk of toxicosis and also increases milk production in nursing women.
• Knotweed herb is considered an excellent remedy for infertility. Knotweed has a healing effect on the uterus and ovaries, facilitating conception. It can be drunk as tea by brewing 1 teaspoon of dry herb with one liter of boiling water. A more concentrated infusion: 2 tablespoons of knotweed herb, 2 cups of boiling water. Leave for 4 hours, strain, cool and drink half a glass 4 times a day before meals.
• Fresh juice from wheat grains also helps cure female and male infertility. You should drink half a glass half an hour before meals, 2-3 times a day.
• Difficulties with conception due to inflammation of the ovaries can be corrected with the help of an infusion of a mixture of coltsfoot herbs, chamomile, sweet clover, centaury herb and calendula flowers. Mix 50 g of each plant and pour 0.5 liters of boiling water. Leave the mixture for 3 hours and take a third of a glass 5-6 times a day. Drink the infusion for 1-2 months, but during treatment you need to abstain from sexual activity.
• One of the very effective means, which has helped many - one-sided ortilia, popularly called hog queen. This remedy is successfully used for all ailments of the female reproductive system, including helping conception. To prepare the decoction you need to take 2 tbsp. spoons of leaves and flowers of the uterus, pour 30 ml of water and cook for 5-10 minutes. Then you need to let the broth brew for 30 minutes and strain. You need to take it 1 tablespoon 4 times a day. The duration of treatment depends on the severity of the disease; the course can last from a couple of weeks to 3-4 months.
• In addition to infusions of medicinal herbs, additional means were considered to attract good luck to the house with the help of willow branches.
• Healers advised women who wanted to get pregnant to place a ficus flower in their home and care for it like a child.

Vanga's recipes for female infertility

• Bulgarian ethnoscience recommends drinking an infusion of plantain seeds or sundew herb for infertility, keeping ficus in the house, as well as willow twigs.
• If you are infertile, it is advisable not to drink plain water. When infertility is combined with obesity, pour three teaspoons of dry crushed Veronica officinalis herb into 0.5 liters of boiling water, leave, wrapped, for 10 minutes, strain. Drink warm, three glasses a day for 1 – 2 months.
• Crush 100 g of garlic and pour in 0.5 liters of grape vodka. Infuse for 10 days in a warm place. Strain, take 1/2 teaspoon in the morning and evening as a folk remedy for infertility.
• Hang a ball of deer antler powder mixed with cow dung around your neck. From infertility.
• Give a cup a day of mare's milk without the knowledge of the person.
• Infusion of St. John's wort herb: pour one glass of dry crushed St. John's wort herb into five liters cold water, bring to a boil, immediately remove from heat, leave, covered, for 30 - 40 minutes, strain. Use for sitz baths to be taken before bed every day for two weeks to treat infertility.
• Infusion of knotweed herb: pour one tablespoon of dry crushed knotweed herb with one and a half glasses of boiling water, leave, wrapped, for two hours, strain. Take without the norm as a folk remedy for treating infertility.
• In case of infertility, it is necessary to eat parts of the body in which the attraction to love predominates, from animals and birds that are the most fertile.
• Preliminary fumigation of a woman with hot incense helps conception. It is also good to take a tube, one end of which is immersed in hot ash, and the other is inserted into the mouth of the uterus, so that the uterus heats up.
• Gum suppositories also have a good effect in treating infertility.
• Give a barren woman a decoction of anise, celery seed, and rue seed to drink.
• Do moisturizing enemas, drink goat's milk, eat fatty foods. It is beneficial for a woman to eat cabbage, celery, cumin, and anise.
• To treat infertility, insert into the vagina suppositories made from goose fat, dill, azhgon, cypress cones, laurel drupes, and wild cumin.

From letters from readers:

How to cure infertility

I'll start from afar, because it's important. We lived with my future husband civil marriage 7 years old, used the method of coitus interruptus (that is, nothing at all). I started to feel disturbed menstrual cycle, there were minor bloody issues In the middle of the cycle, I turned to a gynecologist, who advised me to drink Regulon for 3 months to normalize the cycle and, at the same time, contraception. Everything returned to normal, but 3 months after stopping Regulon, the discharge appeared again in the middle of the cycle. I didn’t go to the doctor and started taking Regulon again. A couple of times during this time I treated inflammation of the appendages. For some reason I lost (important!) 5 kg. And so we decided to have a child, but we couldn’t get pregnant..

I heard that sometimes after prolonged use oral contraceptives It takes some time for the body to recover and be able to get pregnant.
August 2005. A year passed in trying to get pregnant and I went to see a gynecologist-endocrinologist.

An ultrasound showed moderate adhesions, the uterus was tilted posteriorly (all this indicates a chronic inflammatory process).

The following treatment for inflammation was prescribed:

(I describe in detail, but under no circumstances self-medicate, be sure to consult a doctor. I’m just sharing my personal experience)

6 days gentamicin injections into the ovaries, 2ml syringe.
5 days tampon: ciprolet, erythromycin, doxycycline, Candida,
dimexide.
5 days tampon softening cream Candida.
20 days injection in the butt alternate with plasmol and aloe, 2 ml syringe.
10 days injection into the ovaries, novocaine + lidase, which resolves adhesions (they say it resolves even strong adhesions), 5 ml syringe.
10 days bifidumbacterin suppositories, bifidumbacterin powder orally, douche with chamomile infusion - this is for dysbiosis after treatment.

All injections and procedures except bifidumbacterin are done by a gynecologist or nurse in a gynecological chair.

In parallel, it is necessary to treat the husband:

Tinidazole 2 tablets in the morning 2 tablets in the evening
on the 3rd day:
erythromycin 2t 2 times a day for 6 days
tsiprolet 1t 2p 6 days
doxycycline 1t 2 times 6 days
on the 3rd day:
bifidumbacterin 1 serving 2 times 10 days
Miramistin into the urinary canal every evening, along with tetracycline or erythromycin ointment.

Naturally, during the treatment period, refrain from sexual activity!

November 2005. After treatment, dysfunctional bleeding did not stop. The doctor ordered a blood test for hormones.

The results of hormone tests are as follows:

PRL=1765.8 norm: 67-726
ktr=621.0 norm: 150-660 nmol\l
AT-TPO=209.3
AT-TG negative norm: 0
fT4=29.2 normal: 10-23.2 pmol/l
TSH=2.1 normal: 0.23-3.4 mIU\l
FST=6.6
LH=5.2
T=1.8 norm:<0,5-4,3
DHEA=1.8

Thus, hyperprolactinemia was discovered (prolactin (PRL) is much higher than normal) and minor abnormalities in the thyroid gland (st T4, which is why I lost weight). The endocrinologist prescribed Bromocriptine with monthly monitoring of PRL in the blood with dose adjustment and L-thyroxine, also under the control of a blood test, an individual dose is selected.

I took an X-ray of the brain and the fundus was examined by an ophthalmologist, everything was fine.

I measured my basal temperature every month.

After 2 months, the hormones returned to normal while taking the drugs (321), but it was necessary to take the pills under the supervision of a doctor for a long time.

After six months, bromocriptine was gradually reduced in dose and was discontinued, and after discontinuation, my BPD jumped sharply to 2000, bromocriptine was prescribed again.

At the same time, a general blood test and serological analysis were always normal.

They took an x-ray of the uterus, tubes and ovaries with a contrast solution - the tubes were contrasted, everything was normal.

In the first half of the cycle, we observed by ultrasound how the follicle was maturing - the size of the follicle reaches 20-21 mm, i.e. there should be ovulation. Judging by the basal temperature graph, there is insufficiency of the second phase of the menstrual cycle. I didn’t take any additional tests to confirm this, but I was prescribed Duphaston to drink for 10 days from the start of the upward jump in the temperature curve. Dysfunctional bleeding stopped immediately!

I forgot to say about my husband’s sperm: a sperm analysis showed that there were 50 to 50 mobile and immobile sperm in the sperm, so I was prescribed to drink “Speman” (some kind of herbal tablet). By the way, after taking them, desire increases greatly, so get ready to have sex often.

Looking back and summing up the results at the moment, we have: a year has passed since the first visit to the doctors. Hormones are normal (but I still take pills), the appendages are passable, chronic inflammation is cured, ovulation occurs, but not always, I take vitamins, sperm is good - but there is no pregnancy. Well, I can’t get pregnant!

In parallel with the main treatment, I began to try folk remedies for infertility:
To begin with, I cleaned all organs and systems.
I drank tea from sage in the first half of the menstrual cycle, tea from the herb boron uterus. - no changes.

According to ovulation tests, ovulation occurs, but there is no pregnancy.

I started drinking celandine tincture and it just went away.

The doctor recommended a position for conception, taking into account the fact that the uterus is tilted backwards - on all fours, the man behind, and stand like that for a while, then lie for half an hour on the side where the follicle was mature (according to ultrasound). Have sex every other day from the beginning of the jump in the temperature curve, before that abstinence for three days. That's what they did - nothing. Even standing on my head with my legs up after sex didn’t help.

And again, infertility treatment.

October 2006. Prescribed dexamethasone 1/4 tablet and clostilbegit to stimulate ovulation (only under strict ultrasound control!) to drink from the 5th day of menstruation for 5 days per quarter. The next month, half, the next month, a tablet. Then a 3-month break. The point, probably, is to cause the maturation of not just one egg, but more eggs. And in the second half of the menstrual cycle, duphaston is mandatory.

July 2007. Stimulated until a cyst appeared in the right ovary (consequences of ovarian hyperstimulation). The dose of duphaston was increased. The cyst was gone by the next cycle.

August 2007. I came across an article that infertility is a consequence of bad karma and we need to look for the cause in past generations, I rummaged through my memory. I discovered that we, three cousins ​​(daughters of my father’s sisters) have no children. I remembered the fact that my grandfather, when dying, told his grandmother that he did not forgive her... There was a reason... I mentally asked my grandfather for forgiveness for my grandmother.

The gynecologist advised me to go to a resort (without my husband, of course). This led me to think about what if there is an individual incompatibility between sperm and vaginal secretions. I accidentally discovered that when sperm gets on my face, my skin turns sharply red and itches. Banal allergies? I started taking allergy pills a few hours before sex, but only when the egg was already mature.

September 2007. The same clostilbegit was prescribed for my husband. Pregnancy did not occur in this cycle either. I spat on everything. We are saving money for IVF.

October 2007. On the 14th day of the cycle, spotting appeared again. I started drinking Duphaston. My period didn’t come on time, and my basal temperature lasted for more than two weeks, so I took a pregnancy test. Hooray! I am pregnant.

I don’t know which of the above worked, maybe it’s all included. And the gynecologist noticed that very often in her practice people with infertility become pregnant after a cyst.

The pregnancy proceeded without complications, I took L-thyroxine during pregnancy, and now I take it under the supervision of an endocrinologist. The child is healthy and full of energy.

I wish everyone who wants to get pregnant patience and good luck!
Katrina

Today, infertility is a pressing problem for many couples. This condition is diagnosed after active and unsuccessful attempts to conceive a child for a year.

Almost always, pregnancy with male infertility becomes a pipe dream for many. This statement can be explained by many medical facts.

It is worth asking the question, why does this happen? First of all, a man should reconsider his lifestyle, in particular this applies to drinking alcohol, smoking and taking drugs. To understand this issue in more detail, you need to consider all possible factors.

Reasons for the development of pathology

If we pay attention to the reasons for the diagnosis, then the question “how to get pregnant with male infertility?” disappears on its own. Of course, if a man undergoes full treatment and follows the doctor’s recommendations, then pregnancy is possible.

• The level of testosterone in the blood influences the parameters of sperm and spermatozoa in particular. If a person regularly drinks alcohol, this figure will decrease significantly. If male infertility was discovered against the background of this factor, is it possible to get pregnant? In fact, this is possible, only a man must completely give up bad habits. After a few months of abstinence, the reproductive system will resume its work.
• Infertility may be a consequence of abnormal development of the genital organs. Often this problem is solved through surgery. Sometimes even IVF doesn't help.
• Urogenital diseases cause the diagnosis of temporary male infertility, and pregnancy can only occur after treatment and rehabilitation therapy.
• The production of antisperm antibodies is a serious problem that is quite difficult to eliminate.

There are other reasons for decreased male fertility that can be identified through modern diagnostic methods.

Modern diagnostic methods

Before starting treatment, a man must undergo a comprehensive examination. The main diagnostic methods include:

• Taking a spermogram;
• Blood test for hormone levels;
• Specific test for immunoglobulins;
• Ultrasound diagnostics of the pelvic organs.

In addition to this list, there are other examination methods that can be prescribed at the discretion of the doctor.

In any case, diagnostics are necessary, since without it it is impossible to make an accurate diagnosis. Accordingly, it is impossible to prescribe correct treatment for the condition “male infertility”.

Is it possible to get pregnant with secondary infertility?

How to get pregnant if your spouse does not want to be examined? This issue must be resolved at a psychological level. You may need the help of an experienced psychologist who will convince the man, emphasizing that infertility treatment is not a shameful act.

Depending on the causes of secondary infertility, the prescribed therapy should be prescribed.

How to get pregnant with secondary infertility? First of all, you should consult a doctor who will carry out diagnostic measures and, based on their results, prescribe the necessary amount of treatment.

Many women are upset that they cannot get pregnant for a long time. Why does this happen, and what traditional medicine recipes can help with conception?

The instinct of procreation and motherhood is inherent in all women, even if some of them deny the desire to have children. After all, on a subconscious level, deep down, every woman wants to become a mother.

The desire to become a mother is natural for a woman

But many women who want to have a baby find themselves childless. Of course, the fact that you can’t get pregnant suggests that something is wrong in your body. Therefore, first of all, consult a gynecologist and undergo an examination together with your man for pathologies and infertility.

At the same time, official medicine cannot always determine why it is impossible to get pregnant. And then time-tested traditional medicine comes to the rescue - medicinal herbs and various signs.

The only contraindication to the use of medicinal plants for pregnancy is allergies, which can be caused by certain drugs. Although most folk remedies are completely harmless to the female body.

Possible causes of infertility

According to doctors, in 70% of cases of infertility occurs due to pathologies of the female genital organs. A huge number of reasons can lead to infertility, among which doctors identify several of the most common:

1. The pathological structure of the genital organs, usually the uterus, which may be bicornuate, curved or too small.
2. Various diseases of the endocrine system can lead to disruption of a woman’s hormonal levels.
3. Inflammatory processes of the genital organs, especially of a chronic nature. Often, as a result of inflammatory processes, adhesions are formed; they cause obstruction of the fallopian tubes.
4. Changes that occur in the female reproductive system due to previous infectious diseases.

Since infertility can be caused by many reasons, doctors often cannot determine why it is impossible to get pregnant. Therefore, pharmacological treatment prescribed by gynecologists rarely gives the expected effect, although such drugs are positioned as very effective and are quite expensive.

Therefore, a woman who is desperate to become pregnant with the help of medications turns to traditional methods. Many women note that the long-awaited pregnancy occurred after using folk recipes.

If you cannot get pregnant for a long time, then you can try using some traditional medicine recipes, because for the most part such remedies are completely harmless. And their action is aimed primarily at normalizing the functioning of the female reproductive system and relieving inflammation.

In the worst case, folk remedies that are supposed to help you get pregnant simply will not bring the expected result, but will not harm the female body in any way. But in any case, it is necessary to use only proven folk recipes, the use of which is not prohibited by your gynecologist.

Male infertility

Do not forget that not only malfunctions in the female body can lead to infertility. Male infertility is not uncommon, the main causes of which are:

• poor patency (obstruction) of the seminiferous tubules;
• sexual infections;
• hormonal imbalances;
• varicose veins of the ovaries;
• psychosexual disorders and other reasons.

Therefore, before starting treatment with folk remedies, we advise both partners who want to have children to undergo examinations.

An examination will help determine the cause of infertility.

Secondary infertility

The number of couples who, for whatever reason, cannot become parents has been growing inexorably lately. Moreover, even if there is already a child in the family, a second attempt to get pregnant may be unsuccessful. Doctors talk about secondary infertility if, for more than a year after giving birth, a woman was unable to become pregnant with regular unprotected sex.

Secondary infertility can also occur if a woman has been pregnant at least once, but has not given birth for any reason (miscarriage, abortion, ectopic pregnancy).

Secondary infertility is a fairly common phenomenon, because more than a third of all couples who cannot conceive a child already have children. There are many reasons for the development of secondary infertility, and they only increase with age, so you should be examined by a specialist as early as possible.

Reasons that can lead to secondary infertility include:

1. Age. Nowadays, it has become the norm to give birth to your first baby at the age of 30, and with the advent of subsequent children, young parents are also in no hurry. And a woman’s fertility (“fecundity”) depends precisely on her age. As you know, it is easiest to get pregnant between the ages of 15 and 30, and then the chances of having a child begin to decline. Secondary infertility has become a death sentence for many women over the age of 35.
2. Hormones. Often the cause of infertility is problems with the thyroid gland, which entail many gynecological diseases and disruptions in the menstrual cycle.
3. Gynecological diseases can cause secondary infertility. Diseases such as uterine fibroids, polycystic ovaries, inflammatory diseases of the vagina, cervix, fallopian tubes and ovaries require immediate treatment.
4. Abortion and other uterine injuries. During gynecological “cleansing,” the internal cavity of the uterus is mercilessly damaged—in some cases, the endometrium is completely scraped out. In this case, the mature egg has nothing to attach to, since the functional layer of the uterus is damaged.

Surgeries performed in the uterine cavity have a negative impact on the ability to get pregnant, as they often leave adhesions, polyps and scars.

1. Lifestyle and “biological incompatibility”. Although many will notice that in the modern world few people lead a healthy lifestyle, poor nutrition, bad habits and promiscuous sex life can result in both primary and secondary infertility.

For scientists and doctors, the “biological incompatibility” of couples who already have children together remains a mystery. But such a phenomenon exists, and it is impossible to explain it.

Sometimes we have to talk about the incompatibility of couples to conceive a child.

Traditional medicine methods aimed at combating female infertility, as a rule, consist of the following activities:

• The use of hormonal therapy designed to normalize the functioning of the female endocrine system.
• A surgical intervention aimed at eliminating obstruction of the fallopian tubes due to adhesions.
• ECO. Artificial insemination is used in extreme cases, if other treatment methods have not brought positive results.

Artificial insemination often gives a good chance of successfully conceiving a baby.

Unfortunately, none of the above methods guarantees that the long-awaited pregnancy will occur and the woman will be able to carry a child.

Adhesive processes

Adhesions and adhesive obstruction of the fallopian tubes most often occur due to inflammatory processes that occur in the pelvis. This type of infertility is often difficult to diagnose, since only adhesions occurring in the internal lumen of the fallopian tubes are visually visible.

The remaining adhesions are almost impossible to find, and under their influence the ovaries, fallopian tubes and uterus are modified, which leads to infertility or the development of an ectopic pregnancy.

If adhesions are detected at an early stage, then a woman has a better chance of getting rid of them completely. But the beginning of the adhesive process is quite difficult to notice, since it is characterized by rather vague symptoms:

• nagging pain in the lower abdomen;
• periodic bowel movements.

Since most women are unlikely to pay attention to such a mild ailment, adhesions are often diagnosed during a medical examination, when the woman is already concerned about her infertility.

By this time, the disease becomes chronic and it is quite difficult to cure it. And often the only method for getting rid of adhesions is surgical intervention to cut them.

In this case, doctors have two opinions about laparoscopy. Some doctors are confident that only surgical intervention can save a woman from infertility caused by adhesions. We would like to note that this method has indeed helped thousands of children be born.

By getting rid of adhesions, you can have a baby

But surgical intervention does not always bring the expected motherhood. Therefore, other doctors argue that laparoscopy only aggravates the severity of the disease. They are confident that adhesions are connective tissue, damage to which will lead to its intensive restoration. Therefore, the adhesive process is sure to repeat itself, but in a more severe form.

In case of adhesions in a woman’s body, surgical intervention can be avoided if you use traditional medicine recipes. But you should not stop the main treatment prescribed by your gynecologist.

Traditional methods for secondary infertility and adhesions

Traditional methods that can help you get pregnant with secondary infertility are aimed at relieving inflammatory processes in the reproductive system and stimulating the resorption of adhesions.

Important! When treating, strictly follow the recipe and do not change the dosage and components yourself, since medicinal plants that help get pregnant often have a strong effect on the female body.

Alder root infusion (douching)

Grind the dried alder root using a coffee grinder, 3 tbsp. spoons of the resulting powder should be poured into a thermos and pour 1 liter of boiling water. Leave for 10 hours, then open the lid and let the infusion cool to body temperature. After this, strain it through gauze and douche with this infusion. It is best to do the procedure immediately before bed.

The course of treatment is 21 days, then you need to take a break for a week and repeat the course again. To get pregnant, especially if there are adhesions in the body, you need to take at least 5 such courses.

Alder root powder (oral)

Since powder made from alder root has a powerful anti-inflammatory effect, it is recommended to take this product orally along with a course of douching.

Alder powder is an excellent remedy for infertility

To do this, add 1 teaspoon of alder powder and 2 tbsp to a glass of warm boiled water. spoons of honey. Mix thoroughly and drink in small sips. Take 2 times a day (in the morning on an empty stomach and before bedtime). Douching and ingestion of alder powder should completely coincide.

Decoction of dill and parsley

In order to quickly and completely get rid of adhesions, it is necessary first of all to cleanse the body of various infections, which cause inflammatory processes that cause adhesions and tubal obstruction.

A decoction of dill and parsley has a strong antibacterial effect and can relieve inflammatory processes, including in the reproductive system. To prepare a decoction, fresh herbs are crushed or dried.

It is necessary to boil 1 liter of water, reduce the heat and pour 1 tbsp. a spoonful of dill and parsley. Boil for 15 minutes over low heat, then pour the resulting broth into a thermos and leave for a day. Strain and pour into another bowl. Drink small sips throughout the day. The course of treatment is from 2 months.

Important for the successful treatment of adhesions is the restoration of the natural process of tissue regeneration. This helps start the process of replacing connective tissue (adhesions) with healthy tissue. There are the following traditional methods for this:

Flaxseed compresses

For compress 300 gr. flaxseed is passed through a meat grinder, place this pulp in a frying pan and pour in 3 tbsp. spoons of vegetable oil. Let the oil boil and place the resulting mass on a gauze cloth. Cool so as not to burn your skin, apply to the lower abdomen and cover with plastic wrap on top.

Secure the compress with a bandage and leave for 2-3 hours. Such compresses have a positive effect on the reproductive functions of the body, but only if they are done regularly. The course of treatment is about 60 days.

Flax seeds have a positive effect on reproductive function

Massage using linseed oil

An excellent remedy that stimulates the resorption of adhesions is a massage of the lower abdomen using linseed oil. You can buy flaxseed oil at a pharmacy or make it yourself.

To prepare flaxseed oil at home, add 1 teaspoon of flaxseeds to 200 g. vegetable oil (preferably olive oil). Then pour this liquid into a glass container and, tightly closing the lid, place it in a cool, dark place. Infuse the oil for at least 10 days.

The massage process is also quite simple: apply a little flaxseed oil to the palm of your hand and rub it in light circular movements into the lower abdomen in a clockwise direction. Rub in the oil until it is completely absorbed. The massage is best done before bedtime, and the course of treatment lasts from 3 weeks.

Fertility stimulation

If the causes of infertility cannot be determined, then traditional medicine recommends the use of the following remedies that help increase the overall tone of the reproductive system and stimulate fertility.

Fertility can be stimulated with drugs

Vitamin E is considered an excellent stimulant of sexual function

Rose flower is the richest source of it, so it is recommended to drink “rose water”. Sea buckthorn also contains a lot of vitamin E: you can drink its oil or juice, or eat fresh berries.

Another storehouse of this vitamin is pumpkin pulp. Pumpkin also contains a large amount of other vitamins and microelements, perfectly replenishing their deficiency in the body.

If you do not have the opportunity to supplement your diet with foods containing large amounts of vitamin E, then you need to purchase it at the pharmacy in the form of capsules and take 1 capsule 3 times a day with meals.

Knotweed herb is considered a wonderful remedy for infertility.

Knotweed can have a healing effect on the ovaries and uterus, facilitating conception. This herb can be drunk in the form of tea by brewing 1 teaspoon of dry herb with 1 liter of boiling water. To get a more concentrated infusion, pour 2 teaspoons of knotweed into 2 cups of boiling water. Leave for 4 hours, strain and drink half a glass 2 times a day.

The course of treatment is from 3 months, unless, of course, you get pregnant earlier.

Juice from wheat grains has a beneficial effect on the female reproductive system

Half a glass of juice obtained from wheat grains should be taken on an empty stomach every morning. This method helps even in cases where modern medicine is completely powerless.

Red brush decoction

The red brush copes well with female diseases and promotes rapid conception. Please remember that this product should not be used with other hormonal agents, including phytohormones.

To prepare the decoction 1 tbsp. A spoonful of the crushed root of this plant is poured with boiling water and placed in a water bath for 15 minutes. Leave for 45 minutes, then strain.

Take 1 tbsp. spoon 3 times a day on an empty stomach. The course of treatment is 30–40 days. Then you need to take a break for 10–15 days and, if pregnancy has not yet occurred, repeat the treatment.

Sage decoction is a powerful remedy against infertility

Sage has long been considered a magical herb. But with this medicinal plant you need to be very careful and strictly follow the dosage. Many women whom sage helped to get pregnant noticed that even with a slight deviation from the indicated dosage, severe dizziness appeared. Sage contains special phytohormones, their composition reminiscent of estrogens (female sex hormones).

A decoction of sage will work a miracle

To prepare a decoction of sage, place 1 teaspoon of sage in an enamel pan and pour a glass of water, boil with the lid closed over low heat for 10 minutes. Let it brew and take 2-3 times a day, 1 tbsp. spoon after the cessation of menstruation for 11 days. Repeat for 3 months; if pregnancy does not occur, take a break from treatment for 2 months.

Collection of medicinal herbs perfectly relieves inflammation of the ovaries

Such a nuisance as inflammation of the ovaries can also cause difficulty conceiving. For a medicinal infusion, take a mixture of chamomile, coltsfoot, calendula flowers, sweet clover and centaury herbs. Mix 50 grams of each plant and pour 0.5 liters of boiling water. Leave for 3 hours and take 1/3 cup 5-6 times daily. The course of treatment is 1–2 months, and during treatment it is necessary to abstain from sexual activity.

Ortilia unilateral decoction (beaver queen)

This remedy is considered one of the most effective traditional medicine recipes. Since the beaver uterus not only helps in conception, but also eliminates almost all problems in the female genital area (dissolves fibroids, relieves inflammation, stops bleeding).

To prepare the decoction 2 tbsp. spoons of herbs are poured into 1 liter of water and boiled for about 10 minutes. Then filter and take 1 tbsp. spoon before each meal. The duration of treatment depends on the severity of the disease. This could be several weeks or 3–4 months.

Plants that restore and preserve reproductive function

American viburnum(garden viburnum, lady's ball, plum leaf) is used in homeopathy to prevent miscarriage and to treat many female diseases. It is used in the form of herbal preparations for ailments caused by menstruation or menopause.

Vitex sacred or Abraham tree promotes ovulation. It is used for PMS, menopause, menstrual pain, and helps restore the normal course of the menstrual cycle in the absence of menstruation. Used as a homeopathic remedy for depression, impotence and nervous weakness.

Chamomile officinalis is a sedative, its decoction perfectly relieves muscle tension, and is used for uterine bleeding.

Angelica Chinese(Angelica sinensis, female ginseng) is used for menopause, hematuria, fibrocystic mastopathy and other diseases. This plant regulates the level of hormones in the female body and normalizes the menstrual cycle.

False unicorn(Chamelirium luteum, devil's mouthpiece) helps balance female hormones and prevents spontaneous abortion. In addition, the plant increases the metabolism of the reproductive system and ovaries, and has a vasodilating and tonic effect on the uterus.

Liquorice(licorice glabra) contains saponins (hormonally active natural compounds). Preparations based on it can normalize the menstrual cycle, and licorice also helps with polycystic ovary syndrome.

meadow clover(red clover) is used for painful menstruation, heavy uterine bleeding. A decoction of the roots is used for inflammation of the ovaries and as an antitumor agent.

Common raspberry– facilitates menstruation and tones the uterus. It is an ancient folk remedy for blood purification.

Willow sprig

A wonderful remedy to help you get pregnant is considered to be a willow twig, which you need to bring from church on Palm Sunday and place it at the head of your bed. Even if the twig withers, do not throw it away until you become pregnant.

Ficus

There is a belief that the ficus flower can help you get pregnant. You need to buy this plant and care for it like a living being (water, wipe, talk).

Eat foods that contain the germs of new life

For a woman who wants to conceive a baby, traditional medicine recommends eating caviar, cereals, eggs, nuts, and legumes. These products contain the germs of new life and contain large amounts of protein, which increases the chances of conception several times. This is also known to official medicine, and folk healers knew about this feature many centuries ago.

Invite a pregnant girl to your wedding

So that the bride is not bothered by problems with conception, a pregnant woman should be invited to the wedding and she should be the one who should help the bride put on the veil. And the first piece of wedding cake should be offered to the expectant mother.

Red thread

The red thread needs to be tied on the wrist. When she comes untied without anyone's help, the woman will become pregnant.

Even if such superstitions sound rather strange, their effectiveness can be confirmed by many women who have already become mothers.

Psychological techniques

In addition to traditional methods, psychological techniques are also successfully used that allow you to tune in to the birth of a child. Such simple techniques can really help cope with infertility, so they can help you too if you yourself believe in their effectiveness.

Experienced gynecologists know about this feature, so they try to set the woman up only for positive emotions and a favorable outcome.

Job change or vacation

In some cases, anything that can take your mind off the constant thoughts and stress of trying hard to get pregnant can be the most effective. Such a remedy can be a change of activity or, conversely, a long-awaited vacation.

Despite everything, the main way to finally get pregnant and become a mother is strength of spirit and confidence in achieving a positive result. After all, both doctors and traditional healers are confident that the cause of many diseases is the psychological discomfort of a person who is initially determined to lose in his fight against any disease.

Now you know what folk recipes are used for infertility and how to quickly get pregnant with their help. Therefore, we can only wish you good luck and healthy, strong children!

The long-awaited pregnancy has arrived. Numerous examinations and treatment are behind us. Finally, the pregnancy test is positive, and an ultrasound confirms the presence of a fertilized egg in the uterine cavity. It would seem that you can relax, enjoy the happy period of waiting for the baby... But some expectant mothers, on the contrary, are scared and anxious: what if something is wrong?

Women who become pregnant after fertility treatment can usually be classified into one of three types. Type one - overly anxious patients who are afraid of everything, worry excessively about any reason, and visit the doctor almost every day. Type two - on the contrary, overly calm women who believe that nothing bad can happen to them, put off visiting the doctor, do not register for pregnancy on time, do not take the necessary tests, and do not conscientiously follow the doctor’s instructions. Finally, the third type includes women who adhere to the “golden mean” - they treat their pregnancy reasonably and follow the doctor’s advice.

But, no matter how a woman perceives her long-awaited pregnancy, objective information about the problems that may await her will help her. This is exactly what we will talk about.

Very often, possible complications are interconnected with the cause that led to infertility. It can be:

• Hormonal disorders
• Obstruction of the fallopian tubes in the pelvis (infertility resulting from such anomalies is called peritoneal),
• Various gynecological diseases,
• Immune factors (when the body of a woman or man produces antibodies to sperm, which stick them together, reducing the ability of sperm to move),
• Spermatogenesis disorders.

Consequences of hormonal disorders

If the cause of infertility was hormonal disorders in a woman’s body (which occurs in 3-40% of cases of female infertility), then up to 14-16 weeks, i.e. before the formation of the placenta, which completely takes over the hormonal function, a woman may have problems carrying a pregnancy; threatened miscarriage, non-developing (frozen) pregnancy. Before the formation of the placenta, the ovaries support the pregnancy with hormones, and since there were initially hormonal imbalances, they can persist after pregnancy. Such women need to take a blood test for hormones (female, male, pregnancy hormone - hCG) and, up to 11-12 weeks, measure the rectal temperature in the rectum in the morning, without getting out of bed and without breakfast, provided that sleep lasts at least 6 hours (this procedure takes 7-10 minutes). If the temperature drops, the doctor will increase the dose of medications taken or prescribe a new medicine.

Lack of progesterone(a hormone produced by the corpus luteum of the ovary and supports the development of the embryo) often occurs in women with insufficiency of the second phase of the menstrual cycle (in the second phase of the menstrual cycle, after the release of the egg from the ovary, a corpus luteum is formed in its place, which produces progesterone). With this pathology, up to 14-16 weeks, a woman is prescribed progesterone analogues - Duphaston, Utrozhestan.

Very often the cause of infertility is hyperandrogenism(excess of male sex hormones in the female body). In this situation, microdoses of drugs that normalize the level of male hormones are prescribed. Without treatment, the rate of miscarriage in this category of women is 20-48%. At earlier stages (up to 16 weeks), a non-developing (frozen) pregnancy is possible, at later stages - intrauterine fetal death (critical periods - 24-26 and 28-32 weeks). In women between 16 and 24 weeks of pregnancy, the condition of the cervix is ​​monitored once every 2 weeks (and more often if necessary) using ultrasound and examination in a gynecological chair. In this case, parameters such as the length of the cervix, its density, the condition of the internal os and the patency of the cervical canal are assessed, since this category of women has a high probability of isthmic-cervical insufficiency (pathology of the isthmus and cervix); according to various authors, it occurs in 30-70% of cases.

With isthmic-cervical insufficiency (ICI), the cervix, which serves as a “foundation” or support for the growing uterus, gradually softens and shortens. Prolapse of the membranes occurs (the membranes enter the cervical canal) and become infected, which leads to rupture of the membranes and miscarriage. To avoid this, a woman's level of male sex hormones is constantly monitored during pregnancy. If ICN is suspected, she is prescribed bed rest, acupuncture is performed, and if there is uterine tone, antispasmodic or tocolytic therapy is administered (drugs that relax the uterus are administered). Once the diagnosis is made, surgical correction of ICI is performed: sutures are placed on the cervix, which mechanically hold the cervix in a closed state and prevent it from opening before birth. Sutures are removed during full-term pregnancy (at 37-38 weeks), and before that, discharge from the genital tract (smears for flora, culture from the cervical canal, vagina) is constantly monitored to avoid infection.

If pregnancy occurs due to stimulation of ovulation, the woman needs a thorough examination: she needs to take blood tests for hormone levels, undergo an ultrasound scan and regularly visit her obstetrician-gynecologist. When stimulating ovulation with clomiphene, the rate of abortion is 24-38%, multiple pregnancies - 8-13%, late toxicosis occurs in 22% of women, fetal hypoxia - in 23%.

During the use of various ovulation stimulants (more often when stimulating superovulation with gonadotropins during ECR, less often when using Clomiphene or Clostilbegide) with chronic anovulation, when the egg does not leave the ovary, ovarian hyperstimulation syndrome (OHSS) may occur. Its main symptoms:

1. A significant increase in the size of the ovaries, detected during examination or ultrasound,
2. Effusion (fluid) in the abdominal cavity (with significant effusion, women themselves note an increase in abdominal volume); effusion may also appear in the pleural cavity, where the lungs are located (this results in difficulty breathing and shortness of breath),
3. Bleeding from the ovaries into the abdominal cavity may begin due to rupture of the stretched capsule,
4. As a result of increased blood clotting, thrombosis of the pelvic vessels, thromboembolism of large vessels,
5. Multiple pregnancy.

There are 3 forms of severity of ovarian hyperstimulation syndrome (OHSS). In mild forms, patients feel well, the diameter of the ovaries does not exceed 5 cm. In moderate forms of the syndrome, women report pain in the lower abdomen, heaviness, nausea, vomiting, and diarrhea. The diameter of the ovaries, according to ultrasound, is from 5 to 12 cm. The severe form of OHSS is accompanied by a pronounced accumulation of fluid in the abdominal and pleural cavities, where the lungs are located, increased blood clotting, decreased blood pressure, increased heart rate, impaired renal function up to renal failure .

When pregnancy occurs, OHSS is more severe than in its absence. In moderate and severe forms of OHSS, a woman needs hospitalization and constant medical supervision. In the hospital, intravenous infusions are carried out aimed at restoring the volume of circulating blood, stimulating kidney function, drugs are prescribed that reduce vascular permeability, and if blood clotting increases, drugs that normalize it are prescribed. If there is a large amount of fluid in the abdominal cavity, it is removed using a puncture: a needle is inserted into the abdominal cavity through the posterior wall of the vagina under ultrasound control and the fluid is sucked out. In severe cases, with significant bleeding from the ovaries into the abdominal cavity, a laparoscopic operation is performed to stop the bleeding: an optical device is inserted into the abdominal cavity through a small incision, with which you can see everything that is happening in the abdominal cavity on the screen; instruments are inserted through another hole to stop the bleeding.

Consequences of peritoneal infertility

If the cause of infertility was obstruction of the fallopian tubes or adhesions in the abdominal cavity, then when pregnancy occurs, it is first necessary to exclude its ectopic form. The fact is that due to the initial poor patency of the fallopian tubes or after reconstructive operations on them, a fertilized egg can “get stuck” in the fallopian tube, attach to its wall and develop to a certain size. Then, at 6-8 weeks, either the fallopian tube ruptures, or the tube expels the fertilized egg towards the abdominal cavity (the so-called tubal abortion). The frequency of recurrent ectopic pregnancy after microsurgical operations on the fallopian tubes reaches 25%. If the pregnancy test is positive, it is necessary to confirm the presence of a fertilized egg in the uterine cavity using ultrasound. If a woman had no other causes of infertility and the fertilized egg ended up in the uterine cavity, then such women have no more complications during pregnancy than other pregnant women.

Consequences of various gynecological diseases

If a woman had sexually transmitted infections before pregnancy, then even if they were not detected before pregnancy after therapy, they can worsen during pregnancy, which is associated with a weakened immune system that is common in pregnant women.

Therefore, after pregnancy, tests are taken again for those infections that the patient suffered (smear, culture of secretions from the genital tract, blood for a viral infection), ultrasound monitoring of the state of the amniotic fluid, the fetal placenta is carried out (indirect signs of intrauterine infection may be the presence of a suspension in the amniotic fluid waters, polyhydramnios, “thick” placenta, accumulation of gases in the fetal intestines, etc.). If an infection is detected, antibacterial therapy is carried out (from 14-16 weeks of pregnancy), in case of a viral infection, immunoglobulins are administered intravenously, ozone therapy, immunotherapy with drugs approved during pregnancy and therapy aimed at improving the general condition of the mother and baby are carried out.

Infertility with uterine fibroids(benign tumor of the uterus) is most often the result of inflammatory diseases of the uterus and appendages (which can result in obstruction of the fallopian tubes, chronic endometritis - inflammation of the uterine mucosa) or changes in the function of the endometrium (inner lining of the uterus) as a result of hormonal disorders. When pregnancy occurs in the first trimester, rapid growth of fibroids is observed, but it often stops at 16 weeks. This is due to hormonal changes in the body that occur during pregnancy. Sometimes swelling and necrosis (death) of the node occur. Constant nagging pain appears in the lower abdomen.

If for swelling of the myomatous node conservative treatment is carried out, then for necrosis - careful removal of the tumor against the background of drugs that relax the uterus and antibacterial therapy. During pregnancy, there is often a threat of miscarriage, mainly during the period of implantation (when the fertilized egg penetrates the mucous membrane and attaches to the wall of the uterus), then at 16-18 and 36 weeks of pregnancy. With uterine fibroids, insufficiency of the 2nd phase of the menstrual cycle is very often determined, therefore, if the level of progesterone in the blood is low, progesterone analogues are prescribed until 14-16 weeks of pregnancy.

With uterine fibroids, hypoxia and fetal growth retardation are possible, mainly in the case of attachment of the placenta to the myomatous node, especially if the node tends to grow towards the uterine cavity.

In cases of pregnancy occurring after removal of a myomatous node, if the placenta is located along the scar (especially if the operation was performed with the opening of the uterine cavity, in the postoperative period there were inflammatory processes in the uterine cavity, curettage), fetal hypoxia, fetal growth retardation due to placental insufficiency are also possible , abnormalities of placenta attachment, threat of miscarriage (in 1/3 of women), incorrect position of the fetus in the uterine cavity. During pregnancy, ultrasound monitoring of the condition of the scar, fetal size, and cardiotocography (assessment of fetal cardiac activity) is performed.

Abnormal placentation (incorrect attachment of the placenta) often occurs not only with uterine fibroids, but also with chronic salpingoophoritis- uterus, endometritis- inflammation of the mucous membrane of the uterus, cervicitis - inflammation of the mucous membrane of the cervical canal, cervical erosion, endocrine diseases, in cases where a woman has suffered curettage of the uterus etc. In these cases, either placenta previa occurs (the placenta covers the internal os of the cervical canal), or its low attachment. If abnormal placentation is detected, the woman undergoes an ultrasound once every 4 weeks. Placenta migration occurs very often (as the uterus grows, the placenta moves upward). This process may be accompanied by the threat of miscarriage, bleeding from the genital tract, and anemia. Such phenomena require treatment and observation in a hospital. (FPN) - a condition of the placenta and fetal-placental circulation, in which the baby does not receive enough oxygen and nutrients - occurs in 2/3 of women with abnormal placentation. In 1/5 of women, fetal hypotrophy develops due to FPN, so constant monitoring of fetal size and assessment of fetal cardiac activity is required for timely detection of signs of hypoxia.

Consequences of impaired spermatogenesis

If fertilization of the egg occurred initially with an inactive, defective sperm, which brought incorrect genetic information into the egg, leading to the formation of gross chromosomal pathology in the embryo, there is a possibility of a non-developing pregnancy in the early stages (mainly up to 6-8 weeks).

A woman must undergo a timely ultrasound, during which the size of the ovum, the presence of a fetal heartbeat, etc. are assessed.

Pregnancy after immune infertility

In this situation, pregnancy usually occurs after artificial insemination with the husband's sperm, when, after special treatment, sperm are introduced into the uterine cavity, bypassing the mucus barrier in the cervix, where the concentration of antibodies that glue them together is especially high. In this case, pregnancy usually proceeds without complications.

Jasmina Mirzoyan
Obstetrician-gynecologist, medical center "Capital-2", Ph.D.
Article from the February issue of the magazine