Pregnancy after laparoscopy PCOS
author: doctor Kuznetsov MA
To get pregnant with the syndrome of polycystic ovaries, you need to make the right treatment. After all, with PCOS, the maturation and ovulation of the egg are broken, and hence pregnancy without treatment may not be.
So far, there are no precise reasons for this syndrome. However, there are a number of factors that will contribute to the development of this disease. Polycystic ovary syndrome is associated primarily with an overabundance of male sex hormones - androgens. It was also noticed that in women the sensitivity to insulin is reduced - the hormone of the pancreas. In fact, these two phenomena are interrelated and an increased concentration of insulin (due to its reduced sensitivity to the perception of tissues) and leads to the provocation of androgen production.
Male sex hormones thicken the walls of the maturing outer shell of the egg, thereby preventing future ovulation - the release of the egg from the ovary.
In general, there are three main reasons that are related to the mechanism:
2) Diabetes mellitus and, as a consequence, increased insulin;
3) Obesity, which one way or another can lead to both an increase in insulin in the blood, and to the production of androgens themselves;
Laparoscopy in the syndrome of polycystic ovaries is carried out not only with a diagnostic purpose. This intervention makes it possible to produce a partial triangular form of removal of the affected ovary or to burn the tissue of the ovary with an electric current. Wedge-shaped resection of the ovaries can relieve the part that produces male sex hormones. It can also be used if an operation is performed in the ovarian cyst . Electrocautery affects electric tissue on the ovary tissue more precisely and is characterized by a shorter duration of laparoscopy and less traumatic for the woman herself. However, resection has its plus - if there are concomitant problems such as a commissural disease or obstruction of the fallopian tubes - it is in this case that a laparoscopic wedge resection should be performed.
After laparoscopic treatment, ovulation reappears and it will be possible to become pregnant six months to a year later. If no additional help is required, menstruation should be in three to five days, and after half a month at basal temperature, it will be possible to identify and ovulate. If, for several cycles, ovulation is not restored, then resort to taking clomiphene. This drug can be prescribed independently as a conservative therapy.
If pregnancy after laparoscopy for PCOS has not occurred a year later with the joint application of operative laparoscopy and conservative treatment, then resort to in vitro fertilization. The same is recommended to women if pregnancy after removal of the ovarian cyst is difficult.
Do not think that the successful appearance of ovulation after laparoscopy will be forever. Doctors note the recurrence of infertility in women who do not control their weight and do not follow the level of insulin, because the syndrome of polycystic ovaries does not vanish. Such women should start taking combined oral contraceptives (mersilon or femoden) or with their intolerance gestagens of the second phase of the menstrual cycle (dyufaston).
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author: doctor Novikova S.P.
Ovarian cyst is a pathological benign neoplasm, which is a capsule with a liquid inside. Ovarian cysts are divided into follicular, mucinous, endometroids, dermoid, as well as cysts of the yellow body.
author: gynecologist Kuznetsov MA
Tumor formation of the ovary, developing from the dominant follicle, is called the follicular cyst.
author: gynecologist Gurshtynovich VM
Resection ( from Latin resectio - cut ) of the ovary is an operation that consists in partial excision of the affected organ.
author: gynecologist Ambrosova IA
The yellow body is a temporary intrasecretory organ that arises in the ovary after the ovum leaves it. This gland is formed on the site of the ruptured follicle. It should be noted that there are two types of yellow body: the yellow body of pregnancy and the menstrual yellow body. Their structure and stages of development are exactly the same, but there are differences in terms of existence and in functional activity.
Development of the yellow body is divided into 4 stages:
author: doctor Valiullina Z.S.
The gallbladder is located at the lower edge of the liver, serves to accumulate bile. With certain diseases of the gallbladder, there is a need for its surgical removal. The operation is called cholecystectomy. The most sparing option is laparoscopic cholecystectomy, when the incisions of the anterior abdominal wall are not used to remove the gallbladder, but small punctures in it.
author: doctor Kuznetsov MA
Adhesive disease is a condition in which connective tissue tissues are formed between the internal organs of the abdominal cavity. Adhesive disease can develop for various reasons, including with laparoscopy, especially when it was not only of a diagnostic nature.
author: cosmetologist Kochetkova Olga
Today, surgical operations using laparoscopy have become very popular. Very tightly entered this method into the practice of surgical gynecology.
author: doctor Sholenkina О.N.
In recent decades, the number of people with chronic diseases has increased, life expectancy and survival have changed with some almost fatal pathologies. It's nice to hear that medicine does not stand still. It is through progress in diagnosis and treatment that it is now possible to expose and cure, or at least to achieve deep remission of many diseases. But how is it with already well-known in terms of diagnostics problems? For example, the ovarian cyst was diagnosed perfectly by ultrasound. What achievements in science have brought the treatment of this process to a new level? It's simple, but let's start in order.