Pregnancy and childbirth, pregnancy calendar, birth of the child, development of the child, health of children.

Absence of pregnancy within 6 months under condition of a regular sexual life (is not more rare than 2 times a week) without contraception - the occasion to address to the gynecologist to discuss with it the created situation. The diagnosis "barreness" is not exposed yet, but to begin on the sly deeper inspection of spouses it is possible.

The complex of such inspection necessarily joins inspection on sexual infections as it is the most frequent reason not pregnancy approaches, ultrasonic of bodies of a small basin in the first and in the second phase menstrualnogo a cycle help to estimate a condition of a uterus and jaichnikov. During 2-3х cycles it is necessary to measure bazalnuju temperature and to bring it in the special schedule. Whether this test of functional diagnostics allows to find out ripens jajtsekletka. It is very important to estimate, as work "adjacent" endokrinnye glands which can "brake" functioning of a sexual axis and provoke cycles without ovuljatsii (maturing jajtsekletki). Here concerns, a thyroid gland, adrenal glands etc.

At this stage the partner is in parallel surveyed: spermogramma, dabs on infections, bacteriological crops of sperm. After data acquisition of inspection the doctor in most cases can draw the conclusion about, whether there are problems with health of the future parents, and whether there is a necessity for the further inspection. If all tests set forth above are perfectly in order: that is speaking uproshchenno, jajtsekletka ripens and spermatozoidy is in enough and high quality, and pregnancy does not come, means, a problem in impossibility of their meeting. There is a necessity to check up passableness matochnyh pipes. After all in pipes meet jajtsekletka and spermatozoidy, and there is a fertilisation. It is the most frequent for these purposes earlier the x-ray method when the contrast solution and passableness of pipes was entered into a uterus was used was estimated on that contrast in a belly cavity has streamed or not. The method is not so exact and has by-effects. More physiological method now is ultrasonografija. By means of ultrasound define, whether the sterile physiological solution in a belly cavity after its introduction in a uterus has streamed. Informativnost a method same, as well as at X-ray use, but less than undesirable influences on an organism of the woman. Solderings is new cicatricial to weave, which is formed after an inflammation of appendages and sticks together among themselves close located bodies: jaichnik with a pipe, with a uterus, the gleam of the pipe is corked. The conglomerate of bodies which not always can correctly function turns out. To correct a situation it is possible only by operation - rassech solderings and to "release" bodies of a small basin from each other.

The most modern method of operative treatment in such cases is the laparoscopy. It endoskopicheskaja operation at which through small punctures in a forward belly wall in a belly cavity the special movie camera and manipulators is entered. An operational field the surgeon sees on the telescreen, and operation is made by special tools under the television camera control. During a laparoscopy passableness matochnyh pipes is most precisely defined. For this purpose the painted solution and the doctor is entered into a uterus sees, it from pipes has streamed or not. Such operations it is not enough travmatichny, in some hours after them the patient can already be at home. MAIN advantage - after operation the risk of formation of new solderings is minimum, and it is very important at the trumpet factor of barreness. During a laparoscopy the maximum specification of the diagnosis is made. The endometriosis tazovoj brjushiny which, proceeding bessimptomno, can cause barreness even in that case, when there is no solderings can appear a casual find at a laparoscopy. In such situation cauterisation of the centres of an endometriosis is made. After operation appoint endometriosis treatment that facilitates pregnancy approach in a consequence.

As a result of inspection it can be found out, that naturally pregnancy cannot come. It happens at some kinds of impassability of pipes, in the absence of both pipes, at some hormonal infringements in an organism of the woman etc., and as at man's barreness when the quantity normal spermatozoidov in sperm is sharply lowered. In such cases to a married couple offer auxiliary reproductive technologies - ekstrakorporalnoe fertilisation (EKO), so-called «the child in a test tube».

Method essence - reception jajtsekletok, in the special environment impregnate them spermatozoidami, during 2-3х for days in the special thermostat wait, when cell fission will begin, that is there will be embryos then them place in a uterus. As process of fertilisation and prizhivlenija plodnogo eggs in a uterus is combined enough, the chance of approach of pregnancy at first attempt EKO is not so high (25-40 %). Absence of pregnancy after the first attempt should not depress, the first cycle of stimulation ovuljatsii frequently happens "trial", the doctor selects the individual program for each patient. After all it is necessary to receive a maximum quantity jajtsekletok and not to receive heavy complications (a so-called syndrome of hyperstimulation). For today the large quantity of long-awaited children in which families the despair already reigned already was born.

New directions in this area is possibility to keep embryos is long. There is a special technique of fast freezing (kriokonservatsija) and storages of embryos. The matter is that in one cycle of stimulation ovuljatsii frequently receive very much a considerable quantity jajtsekletok, after their fertilisation it appears, that live embryos have turned out many. In one cycle EKO place no more 4-5ти embryos, the others "freeze". At failure in the first attempt, it is possible to use the remained embryos in following cycles, it allows to avoid repeated stimulation ovuljatsii. Now already there is an experience of a birth of healthy children after defrosting of embryos. As it is possible kriokonservatsija sperms. Thanks to it in centres EKO there are sperm banks. A new direction of reproductive technologies is possibility of the genetic analysis of embryos to them podsadki, that considerably reduces risk of casual chromosomal illnesses at children.

Thus, medicine development in modern conditions in most cases allows to help to fruitless married couples to find parental happiness.

The woman - mysterious, difficult creation of the nature to which the key role throughout a human race is taken away. It is important to understand, that health of the woman - invaluable property which should be valued. Besides regular surveys at your personal gynecologist and it - zakalivanie, playing sports, polyvitamins, struggle against excess weight, against stresses, with prostudnymi diseases … All is not only preventive maintenance of female illnesses, but also prolongation of your youth and beauty.