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In Russia, the frequency of marriages in which there are no children due to any medical reasons, that is, infertile marriages, is 8-19%. The female factor in infertile marriages accounts for 45%. The causes of infertility in women are very numerous, but in most cases, infertility can be overcome thanks to a huge step forward in modern medicine.

Classification of infertility

How to determine infertility? Infertility is said to be when a woman of childbearing age is not able to become pregnant within a year, subject to regular sexual activity and without the use of contraceptive methods. Female infertility is classified according to the following factors:

Development mechanism

Depending on the mechanism of occurrence, infertility is distinguished congenital and acquired.

History of pregnancies

If a woman who is sexually active has had no pregnancies at all in the past, they speak of primary infertility. In the case of previous pregnancies in history, regardless of their outcome (abortion, miscarriage or childbirth), they speak of secondary infertility. There are no degrees of infertility, as indicated on many sites on the Internet. The degree of the disease means the severity of its manifestation (mild, moderate or moderate), and infertility is either present or not.

Possibility of pregnancy

In this case, infertility is divided into absolute and relative.
With absolute infertility a woman will never be able to become pregnant naturally due to the presence of irreversible pathological changes in the reproductive system (no uterus and ovaries, no fallopian tubes, congenital malformations of the genital organs).

Relative infertility implies the possibility of restoring fertility in a woman after the treatment and elimination of the cause that caused infertility. Currently, the allocation of relative and absolute infertility is somewhat arbitrary due to the use of new treatment technologies (for example, in the absence of fallopian tubes, a woman can become pregnant through in vitro fertilization).

duration of infertility

In terms of duration, infertility can be temporary, due to the action of some factors (prolonged stress, weakening of the body during or after an illness), permanent (when the cause cannot be eliminated, for example, removal of the ovaries or uterus) and physiological, due to transient physiological factors (prepubertal, postmenopausal period and period of breastfeeding).

Etiopathogenesis (causes and mechanism of development)

There are infertility due to anovulation (endocrine), tubal and peritoneal, uterine and cervical (various gynecological diseases in which there are anatomical and functional disorders of the endometrium or cervical mucus), immunological and psychogenic infertility, as well as infertility of unknown origin.

And as separate forms of infertility:

  • Voluntary - the use of contraceptives because of the unwillingness to have not only a second - third, but also the first child.
  • Forced - the adoption of certain measures to prevent fertility (for example, the presence of a serious illness in a woman, in which pregnancy significantly increases the chances of its aggravation and the risk of death).

Causes

Signs of infertility in women are due to the reasons that led to the inability of a woman to become pregnant. The loss of fertile function is determined by the following factors:

ovulation disorder

Infertility due to anovulation develops when there is a violation at any level of the relationship between the hypothalamus, pituitary gland, adrenal glands and ovaries and develops with any endocrine pathologies.

Tubal-peritoneal infertility

They speak of tubal infertility when an anatomical obstruction of the fallopian tubes has developed or in violation of their functional activity (organic and functional infertility of tubal genesis). The prevalence of sexual infections, random change of sexual partners and early sexual activity, environmental degradation contributes to an increase in the number of inflammatory diseases of the reproductive organs, including inflammation of the tubes.

The formation of connective tissue strands (adhesions) in the small pelvis after an infectious process or as a result of genital endometriosis leads to fusion of the uterus, ovaries and tubes, the formation of constrictions between them and causes peritoneal infertility. 25% of cases of infertility in women (obstruction of the fallopian tubes) is associated with tuberculosis of the female genital organs.

Psychogenic infertility

As a rule, long-acting psychogenic factors affect the activity of the tubes, which leads to a violation of their peristalsis and infertility. Constant conflicts in the family and at work, dissatisfaction with social status and financial situation, a feeling of loneliness and inferiority, hysterical states during the next menstruation can be combined into a "pregnancy expectation syndrome". Infertility is often noted in women who passionately dream of a child or, conversely, are terribly afraid of becoming pregnant.

Infertility that has developed due to various gynecological diseases

This group of factors includes various diseases, due to which ovulation or subsequent implantation of a fertilized egg becomes impossible. First of all, these are uterine factors: uterine fibroids and polyps, adenomyosis, endometrial hyperplastic processes, the presence of intrauterine synechia or Asherman's syndrome (numerous curettage and abortions), complications after childbirth and surgical interventions, endometritis of various etiologies and chemical burns of the uterus.

Cervical causes of infertility include:

  • inflammatory changes in the cervical mucus (vaginal dysbacteriosis, urogenital candidiasis)
  • anatomically modified cervix (after childbirth or abortion or congenital): cicatricial deformity, ectropion
  • as well as background and precancerous processes - erosion, dysplasia.

Also, infertility of this group of causes may be due to a subserous nodule of the uterus, which compresses the tubes, cysts and tumors of the ovaries, anomalies in the development of the uterus (intrauterine septum, the "children's" uterus), the incorrect position of the genital organs (excessive bending or bending of the uterus, prolapse or prolapse uterus and/or vagina).

Infertility due to immunological factors

Immunological factors can also be attributed to the problems leading to the development of infertility, which is due to the synthesis of antibodies to sperm, usually in the cervix, and less often in the uterine mucosa and fallopian tubes.

Factors that significantly increase the risk of infertility:

  • age (the older a woman becomes, the more various somatic and gynecological diseases accumulate in her, and the condition of the eggs deteriorates significantly);
  • stress;
  • inadequate and malnutrition;
  • overweight or its deficiency (obesity or weight loss diets, anorexia);
  • physical and sports activities;
  • bad habits (alcohol, drugs and smoking);
  • the presence of hidden sexual infections (chlamydia, ureaplasma, human papillomavirus and others);
  • chronic somatic diseases (rheumatism, diabetes mellitus, tuberculosis and others);
  • living in megacities (radiation, water and air pollution from industrial waste);
  • character warehouse (emotionally labile, unbalanced women) and mental health.

Frequency of occurrence

According to statistics, the frequency of occurrence of certain forms of infertility has been determined:

  • hormonal infertility (anovulatory) reaches 35 - 40%;
  • infertility due to tubal factors is 20 - 30% (according to some reports it reaches 74%);
  • the share of various gynecological pathologies accounts for 15 - 25%;
  • immunological infertility is 2%.

But it is not always possible to establish the cause of infertility even with the use of modern examination methods, so the percentage of so-called unexplained infertility is 15-20.

Diagnostics

Diagnosis of infertility in the weaker sex should begin only after establishing the fertility of the sperm (spermogram) in the sexual partner. In addition, it is necessary to treat inflammatory diseases of the vagina and cervix. Diagnosis should begin no earlier than 4 to 6 months after the therapy. Examination of women unable to become pregnant begins at the outpatient stage and includes:

Collection of anamnesis

It turns out the number and outcomes of pregnancies in the past:

  • induced abortions and miscarriages
  • the presence/absence of criminal abortions is specified
  • also
  • the number of living children is established, how the post-abortion and post-natal periods proceeded (were there any complications).

The duration of infertility, both primary and secondary, is specified. What methods of contraception were used by a woman and the duration of their use after a previous pregnancy or in case of primary infertility.

The doctor finds out the presence of:

  • systemic diseases (thyroid pathology, diabetes, tuberculosis, or others)
  • is the woman currently undergoing any drug treatment with drugs that negatively affect ovulatory processes (taking cytostatics, X-ray therapy of the abdominal organs, treatment with neuroleptics and antidepressants, antihypertensive drugs such as reserpine, metindol, provoking hyperprolactinemia, steroid treatment).

The transferred surgical interventions are also established, which could contribute to the development of infertility and the formation of adhesions:

  • wedge ovarian resection
  • removal of the appendix
  • operations on the uterus: myomectomy, caesarean section and on the ovaries with tubes
  • operations on the intestines and organs of the urinary system.

Transferred are specified:

  • inflammation of the uterus, ovaries and tubes
  • also sexually transmitted infections, the identified type of pathogen, how long the treatment lasted and what is its nature
  • the nature of vaginal leucorrhoea and cervical disease is clarified, by what method the treatment was carried out (conservative, cryodestruction or electrocoagulation).
  • the presence / absence of discharge from the nipples (galactorrhea, lactation) and the duration of the discharge are established.

The action of production factors and the state of the environment, bad habits are taken into account. It also turns out the presence of hereditary diseases in relatives of the first and second degree of kinship.

Be sure to specify the menstrual history:

  • when did menarche occur (first menstruation)
  • is the cycle regular
  • whether there is amenorrhea and oligomenorrhea
  • intermenstrual discharge
  • pain and profuse menstruation
  • dysmenorrhea.

In addition, sexual function is studied, whether sexual intercourse is painful, what type of pain (superficial or deep), whether there is blood discharge after intercourse.

Objective examination

During a physical examination, the body type is determined (normosthenic, asthenic or hypersthenic), height and weight are changed, and the body mass index is calculated (weight in kg / height in square meters). Weight gain after marriage, stress, changes in climatic conditions, etc. is also specified. The condition of the skin is assessed (dry or wet, oily, combined, the presence of acne, striae), the nature of hair growth, the presence of hypertrichosis and hirsutism, the time of appearance of excess hair growth.

The mammary glands and their development, the presence of galactorrhea, tumor formations are examined. Bimanual gynecological palpation and examination of the cervix and vaginal walls in the mirrors and colposcopically are performed.

An examination by an ophthalmologist is scheduled to determine the condition of the fundus and. The therapist provides a conclusion allowing / prohibiting pregnancy and childbirth. If necessary, consultations of specialists (psychiatrist, endocrinologist, geneticist and others) are appointed.

Functional diagnostic tests

In order to determine the functional state of the reproductive sphere (hormonal study), functional diagnostic tests are used that help to identify the presence or absence of ovulation and evaluate the female body:

  • calculation of the karyopyknotic index of the vaginal epithelium (KPI, %)
  • detection of the "pupil" phenomenon - gaping of the external pharynx in the ovulatory phase;
  • measuring the length of cervical mucus tension (reaches 8 0 10 cm at the ovulatory stage);
  • measuring basal temperature charting.

Laboratory research

Laboratory tests for infertility include infectious and hormonal screening. In order to detect infections are assigned:

  • smear on the vaginal microflora, urethra and cervical canal,;
  • a smear for cytology from the cervix and from the cervical canal;
  • a swab from the cervical canal and PCR for the diagnosis of chlamydia, cytomegalovirus and herpes simplex virus;
  • sowing on nutrient media of the vaginal contents and cervical canal - identification of microflora, ureaplasma and mycoplasma;
  • blood tests for syphilis, viral hepatitis, HIV infection and rubella.

A hormonal study is performed on an outpatient basis in order to confirm/exclude anovulatory infertility. The function of the adrenal cortex is calculated by the level of excretion of DHEA-C and 17 ketosteroids (in urine). If the cycle is regular, testosterone, cortisol and the content of thyroid hormones in the blood are prescribed in the first phase of the cycle (5-7 days). In the second phase, it is assessed to determine the usefulness of ovulation and the work of the corpus luteum (20-22 days).

To clarify the state of various components of the reproductive system, hormonal and functional tests are carried out:

  • a test with progesterone allows you to identify the level of estrogen saturation in the case of amenorrhea and the adequacy of the reaction of the uterine mucosa to progesterone exposure, as well as the peculiarity of its desquamation with a decrease in the progesterone level;
  • cyclic test with combined oral contraceptives (Marvelon, Silest, Logest);
  • a clomiphene test is performed in women with an irregular cycle or amenorrhea after artificially induced menstruation;
  • a test with metoclopramide (cerucal) allows you to differentiate hyperprolactin states;
  • a test with dexamethasone - is necessary with an increased content of androgens and the determination of the source of their formation (ovaries or adrenal glands).

If the patient has pronounced anatomical changes in the tubes or the presence of intrauterine synechia is suspected, she is necessarily examined for tuberculosis (tuberculin tests, x-rays of the lungs, hysterosalpingography and bacteriological examination of the endometrium obtained by curettage are prescribed).

Instrumental research

All women with suspected infertility are assigned to ultrasound of the pelvic organs. First of all, to clarify malformations, tumors, cervical and uterine polyps and other anatomical pathologies. Secondly, an ultrasound scan performed in the middle of the cycle allows you to identify the presence and size of the dominant follicle (with endocrine infertility) and measure the thickness of the endometrium in the middle of the cycle and a couple of days before menstruation. Ultrasound of the thyroid gland is also shown (if a pathology of the gland and hyperprolactinemia is suspected) and mammary glands to exclude / confirm tumor formations. Ultrasound of the adrenal glands is prescribed for patients with a clinic of hyperandrogenism and a high level of adrenal androgens.

In case of violation of the rhythm of menstruation, in order to diagnose neuroendocrine diseases, x-rays of the skull and sella turcica are taken.

Hysterosalpingography helps to diagnose abnormalities in the development of the uterus, submucosal fibroids and hyperplastic processes of the endometrium, the presence of adhesions in the uterus and obstruction of the tubes, adhesions in the small pelvis and isthmic-cervical insufficiency.

If immunological infertility is suspected, a postcoital test is prescribed (approximate day of ovulation, 12-14 days of the cycle), which detects specific antibodies in the cervical fluid to spermatozoa.

A biopsy of the endometrium, which is obtained during diagnostic curettage, is prescribed in the premenstrual period and is carried out only according to strict indications, especially for those patients who have not given birth. Indications are suspicion of endometrial hyperplasia and infertility of unknown origin.

Endoscopy

One of the methods of endoscopic examination is. Indications for hysteroscopy:

  • violation of the rhythm of menstruation, dysfunctional uterine bleeding;
  • contact blood smearing;
  • suspicion of intrauterine pathology (Asherman's syndrome, internal endometriosis, submucosal myomatous node, chronic inflammation of the uterus, foreign bodies in the uterus, endometrial polyps and hyperplasia, intrauterine septum).

In case of suspected surgical gynecological pathology, women with infertility (after a preliminary outpatient examination) are referred for laparoscopy. Diagnostic laparoscopy in almost 100% allows you to identify the pathology of the pelvic organs (genital endometriosis, volumetric formations of the uterus and ovaries, adhesions of the small pelvis, inflammation of the uterus and appendages). With endocrine infertility, laparoscopy is indicated after 1.5 - 2 years of hormonal treatment and the absence of effect.

Laparoscopic intervention is carried out in the 1st or 2nd phase of the cycle, depending on the suspected disease. During the operation, the volume and quality of the peritoneal fluid, the ovaries, their size and shape, the color and patency of the fallopian tubes, the assessment of the fimbriae and peritoneum of the small pelvis are assessed, endometrioid heterotopias and peritoneal defects are detected.

Treatment of infertility in women depends on the form of the disease and the cause that led to the loss of fertility:

Infertility treatment - tubal-peritoneal infertility

Therapy begins with the appointment of conservative methods, and the treatment should be comprehensive and phased. If there is functional tubal infertility, psychotherapy, sedative and antispasmodic drugs and anti-inflammatory treatment are indicated. In parallel, hormonal changes are being corrected. If STIs are detected, antibiotics are indicated, taking into account the sensitivity of the identified pathogens to them, immunotherapy, as well as absorbable treatment: local in the form of tampons and hydrotubations and the appointment of biostimulants and enzymes (lidase, trypsin, Wobenzym), corticosteroids. Hydrotubation can be done with antibiotics, enzymes and corticosteroids (hydrocortisone).

After a course of anti-inflammatory treatment, physiotherapeutic methods are prescribed:

  • , enzymes and biostimulants;
  • ultraphonophoresis (using lidase, hyaluronidase, vitamin E in an oil solution);
  • electrical stimulation of the uterus, appendages;
  • irrigation of the vagina and cervix with hydrogen sulfide, arsenic waters;
  • massage of the uterus and appendages;
  • mud applications.

3 months after the course of treatment, hysterosalpingography is repeated and the condition of the tubes is assessed. In case of tubal obstruction or adhesions, therapeutic laparoscopy is indicated, which in the postoperative period is supplemented with physiotherapeutic methods and drugs to stimulate ovulation. With the help of laparoscopy, the following microsurgical operations are performed:

  • salpigolysis - eliminate kinks and curvature of the pipes by separating the adhesions around them;
  • fimbriolysis - the fimbria of the tube are freed from adhesions;
  • salpingostomatoplasty - a new hole is created in the tube with a closed ampullar end;
  • salpignosalpingoanastamosis - removal of a part of an impassable tube, followed by end-to-end stitching;
  • transplantation of the tube with its obstruction in the interstitial section into the uterus.

If peritoneal infertility (adhesions) is detected, adhesions are separated and coagulated. In case of detected concomitant pathology (endometrioid foci, subserous and interstitial myomatous nodes, ovarian cysts), it is eliminated. The chances of pregnancy after microsurgical treatment are 30 - 60%.

If fertility has not recovered within two years after conservative and surgical treatment, IVF is recommended.

endocrine infertility

How to treat endocrine infertility depends on the type and location of the pathological process. Women with anovulatory infertility and concomitant obesity normalize their weight by prescribing a low-calorie diet, exercise and taking orlistat for 3-4 months. You can also take sibutramine, and if glucose tolerance is impaired, metmorphine is recommended. If pregnancy has not occurred within the agreed period of time, ovulation stimulants are prescribed.

In the case of diagnosed scleropolycystosis of the ovaries (PCOS), the treatment algorithm includes:

  • drug correction of hormonal disorders (hyperandrogenism and hyperprolactinemia), as well as therapy for overweight and impaired glucose tolerance;
  • if pregnancy did not occur during treatment, ovulation inducers are prescribed;
  • if conservative treatment has not had an effect for 12 months, laparoscopy is indicated (resection or cauterization of the ovaries, exclusion of tubal-peritoneal infertility).

If the patient has regular menstruation, normally developed genital organs, and the content of prolactin and androgens is normal (endometriosis is excluded), the following therapy is performed:

  • single-phase COCs are prescribed according to the contraceptive scheme, a course of 3 months and breaks between courses of 3 months (total number - 3 courses, duration of treatment 15 months) - the method is based on the rebound effect - stimulation of the production of own hormones by the ovaries after the abolition of COCs and the restoration of ovulation ( if there is no effect, ovulation inducers are prescribed);
  • ovulation is stimulated by clostilbegit, human chorionic gonadotropin and progesterone (clostilbegit is taken 50 mg once a day during the first 5 days of the cycle, and to consolidate the effect, chorionic gonadotropin is administered intramuscularly on day 14 of the cycle) - the duration of treatment is 6 cycles in a row;
  • stimulation of ovulation with FSH preparations (metrodin, gonal-F) from the first day of the cycle for 7-12 days until the maturation of the main follicle (ultrasound monitoring is mandatory), the course is 3 months;
  • stimulation of ovulation with FSH and LH preparations (pergonal, humegon) and the appointment of chorionic gonadotropin (pregnil).

At the same time, immunomodulators (levamisole, methyluracil), antioxidants (vitamin E, unithiol) and enzymes (wobenzym, serta) are prescribed.

With regular menstruation and underdevelopment of the genital organs, the following treatment regimen is prescribed:

  • cyclic hormonal therapy with estrogens (microfollin) and gestagens (pregnin, norkolut) for a course of 6-8 months;
  • vitamin therapy for the phases of the menstrual cycle for the same period (in the first phase, vitamins B1 and B6, folic acid, in the second phase, vitamins A and E, and during the entire course of rutin and vitamin C);
  • physiotherapy (electrophoresis with copper in the first phase and with zinc in the second);
  • gynecological massage (up to 40 procedures);
  • stimulation of ovulation with clostilbegit and human chorionic gonadotropin.

Women who cannot become pregnant against the background of hyperprolactinemia are prescribed drugs that suppress prolactin synthesis, restore the cycle (eliminating anovulation and increasing estrogen levels) and fertility, and reduce the symptoms of hypoestrogenism and hyperandrogenism. These drugs include parlodel, abergine, quinagomide, and cabergoline. It is also recommended to take a homeopathic remedy - mastodinone.

Hyperandrogenism of ovarian and adrenal origin is treated for six months with dexamethasone, and if ovulation is not restored, then ovulation is stimulated (clostilbegit, human chorionic gonadotropin, FSH and hCG or FSH, LH and hCG).

The treatment of infertility in patients with hypergonadotropic amenorrhea (resistant ovary syndrome and wasted ovary syndrome) is unpromising. The prognosis for other forms of endocrine infertility is quite favorable, in about half of the cases, patients become pregnant within six months of ovulation-stimulating treatment (in the absence of other infertility factors).

Uterine and cervical infertility

Patients who cannot become pregnant against the background of endometrial hyperplastic processes (hyperplasia and polyps) and who do not have other infertility factors are treated to eliminate the pathologically altered uterine mucosa and normalize hormonal and metabolic processes in the body. In the case of glandular cystic hyperplasia, curettage of the uterine cavity is performed, followed by the appointment of estrogen-progestin drugs (3-4 months), and in case of recurrence of the disease, hormonal treatment continues for 6-8 months. Uterine polyps are removed using hysteroscopy, and then the endometrium is scraped out. Hormone therapy is prescribed for a combination of polyps with endometrial hyperplasia.

The choice of method of treatment in patients with uterine fibroids depends on the location and size of the node. The submucosal myomatous node is removed hysteroscopically (hysteroresectoscopy), interstitial and subserous nodes no more than 10 cm are removed laparoscopically. Laparotomy is indicated for large uterus (12 or more weeks) and atypical arrangement of nodes (cervical, isthmus). After conservative myomectomy, gonadotropin-releasing hormone agonists (zoladex) are prescribed for 3 cycles. If a woman does not become pregnant within 2 years after myomectomy, she is referred for IVF. During the waiting period, ovulation is stimulated.

Treatment of patients with intrauterine synechia consists in their hysteroscopic dissection and appointment after the intervention of cyclic hormone therapy for a period of 3 to 6 months. To reduce the chances of re-formation of adhesions in the uterine cavity, an IUD is inserted for a period of at least a month. The prognosis for this disease is quite complex and is directly proportional to the degree and depth of damage to the basal layer of the endometrium.

In case of malformations of the uterus, plastic surgery is performed (dissection of the intrauterine septum or metroplasty of the bicornuate uterus or the existing two uteruses).

Treatment of cervical infertility depends on the cause that caused it. In the case of anatomical defects, reconstructive plastic surgery is performed on the neck, if polyps of the cervical canal are detected, they are removed, followed by curettage of the canal mucosa. When background diseases and endometrioid heterotopias are detected, anti-inflammatory therapy is prescribed, and then laser or cryodestruction. At the same time, ovarian function is normalized with the help of hormonal drugs.

Immunological infertility

Therapy of immunological infertility is a complex task. Treatment is aimed at normalizing the immune status and suppressing the production of antisperm antibodies (ASAT). To overcome this form of infertility, methods are used:

Condom therapy

This method of treatment requires the complete exclusion of unprotected intercourse (condoms are used) between partners. The effectiveness depends on the duration of compliance with the condition, the longer there is no contact, the higher the likelihood of desensitization (sensitivity) of the woman's body to the components of her husband's sperm. Condom therapy is prescribed for a period of at least six months, after which they try to conceive a child naturally. The effectiveness of treatment reaches 60%.

Hyposensitizing therapy

Antihistamines are used (tavegil, suprastin), which reduce the body's response to histamine: relax smooth muscles, reduce capillary permeability and prevent the development of tissue edema. Also in small doses, glucocorticoids are prescribed, which inhibit the formation of antibodies. The course of treatment is designed for 2 - 3 months, drugs are taken by a woman 7 days before ovulation.

In addition to taking antihistamines and glucocorticoids, it is recommended to prescribe antibiotics (the presence of a latent infection increases the secretion of antisperm antibodies). The effectiveness of this method of therapy is 20%.

Intrauterine insemination

Sufficiently effective method of treatment (40%). The essence of the method lies in the collection of seminal fluid, its special purification from surface antigens, after which the sperm is injected into the uterine cavity (spermatozoa bypass the cervical canal).

ECO

If all of these methods of treatment of immunological infertility were ineffective, it is recommended to perform in vitro fertilization.

Folk methods of treatment

The effectiveness of alternative treatment for infertility has not been proven, but doctors allow the use of herbal medicine as an addition to the main method of treatment. With tubal-peritoneal infertility, the following fees are recommended:

  • Gathering #1

Mix and grind 100 gr. dill seeds, 50 gr. anise seeds, 50 gr. celery and the same amount of stinging nettle. Add half a liter of honey, stir and take three times a day for 3 tbsp. spoons.

  • Gathering #2

Boil 10 tablespoons of plantain leaves in a liter of water for 20 minutes, then add a glass of honey and boil for another 10 minutes, cool the broth and then strain, drink 1 tablespoon three times a day.

  • Gathering #3

Three times a day, drink a tablespoon of plantain syrup (collection No. 2), and after 10 minutes, drink 75 ml of herbal decoction: geranium leaves, prickly omentum root, hair-like ossicle, shepherd's purse, hop cones, flowers and leaves of the common cuff . To prepare a decoction 2 tbsp. Spoons pour half a liter of water, boil for 15 minutes over low heat and strain.

It is also allowed to take herbs for infertility in the form of decoctions and teas that are rich in phytohormones, but under the supervision of a doctor: sage leaves and plantain seeds, knotweed and St. John's wort, marin root, ramshii grass. A large number of phytohormones are found in black cumin oil and ginger, in herbs and.

Question answer

What is needed for pregnancy?

In order for pregnancy to occur, several conditions are necessary. First, the dominant follicle must mature in the ovary, after the rupture of which the egg is released and enters the abdominal cavity, and then penetrates the fallopian tube. Secondly, nothing should interfere with the advancement of the egg in the abdominal cavity and tube (adhesions, torsion of the tube). Thirdly, spermatozoa must freely enter the uterine cavity, and then into the tubes, where the fertilization of the egg will occur. Finally, the endometrium must be prepared (secretory and proliferative transformation) for the implantation of a fertilized egg.

How to start a fertility test?

Of course, it is necessary to start the examination with the delivery of the husband’s sperm and the analysis of the spermogram, since often the husband or both spouses are “guilty” in a fruitless marriage.

Is the cause of infertility always determined?

It is not sad, but not always, even despite the use of new methods of examination. With an unexplained factor of infertility, it is possible to prescribe a trial course of treatment, and depending on its results, the diagnosis is clarified, and the treatment itself may change.

What are the symptoms of infertility in women?

In addition to the absence of pregnancy during the year, a woman may be disturbed by irregular menstruation, intermenstrual bleeding or spotting, pain in the lower abdomen during menstruation or the day before, dry skin, excessive hair growth and acne.

If menstruation is painful, does it lead to infertility?

Painful menstruation in no way indicates a woman's fertility, but rather indicates that ovulation has occurred. But if the pain is disturbing during and after sexual contact, does not decrease by the end of menstruation, then endometriosis, uterine fibroids, chronic endometritis and other gynecological pathologies should be excluded.

Will a woman get pregnant with twins or triplets after hormonal infertility treatment?

It is not necessary at all, although the intake of hormones stimulates ovulation and the simultaneous maturation and fertilization of several eggs at once is possible.

Is it always possible to get pregnant after fertility treatment?

Unfortunately, no method of infertility treatment has a 100% guarantee of pregnancy. The restoration of fertility depends on many factors: the age of the spouses, the presence of somatic diseases and bad habits, forms of infertility, and others. And even assisted reproductive technologies cannot guarantee 100% pregnancy.

Pathologies of the reproductive organs in women and men make it impossible to enjoy parental happiness. Deviations that negatively affect reproductive functions are diagnosed in many couples. A properly selected therapeutic regimen helps to cope with the problems of conception. If the exact causes of infertility are determined, the treatment is effective and certainly helps to restore reproductive functions. This article will talk about the features of infertility treatment for men and women, folk methods for the treatment of childlessness and preventive measures. Useful tips will tell couples how to overcome difficulties in the fight against infertility, what kind of test for infertility in women should be taken and become happy parents. Since the planning of infertility treatment is already half the way to success in the form of conception.

Treatment of female infertility

Each hospital treats infertility in women according to a standard scheme. Is infertility treated? Undoubtedly. Depending on the complexity of the situation, the patient is offered conservative therapy with the use of effective medications, surgery, hormone therapy, treatment of inflammation and chronic infections in the female genital organs. When addressing you with such complaints, the infertility treatment clinic will provide a full range of examinations aimed at establishing the true causes of the condition, and then draw up a scheme for such an event as an infertility treatment program.

Treatment of female infertility with medication

Treatment of female infertility with drugs is used if the pathology is endocrine (hormonal) in nature. Infertility treatment with hormones is suitable for women who do not have adhesions in the fallopian tubes and scars on the uterus itself. The main goal of treatment for endocrine infertility is to remove hormonal disorders, to normalize the level of hormones.

Treatment of hormonal infertility: drugs

The therapeutic course for infertile patients includes preparations based on the following active ingredients.

  1. Treatment of endocrine infertility: urinary gonadotropins. A complex of hormones of the anterior pituitary region (including luteinizing and FSH) obtained from purified female urine (it is collected during the postmenopausal period). Medicines are used to stimulate the ovaries (including during the IVF procedure), as well as to increase the quality and number of eggs. Urinary gonadotropins act directly on the ovaries. With insufficiency of the luteal phase, infertility treatment with duphaston is used.
  2. Clomid (clomiphene citrate). Indirectly affects the production of special hormones by the pituitary gland that stimulate follicles. The drug is prescribed to women with ovarian pathologies (for example, polycystic). Clomid increases the number of simultaneously developing eggs and follicles, the phenomenon of superovulation is a condition after infertility treatment.
  3. Recombinant gonadotropins. This type of infertility medication is a product of genetic engineering. The pharmacological properties of the drug are similar to urinary gonadotropins. The difference between them is that luteinizing hormones and FSH are used in their pure form, and do not contain any impurities. The advantage of recombinant gonadotropins is their high efficiency and biological activity. They have a direct effect on the ovaries, stimulate the growth of eggs and follicles and give a better effect than urinary gonadotropins.

Treatment of immunological infertility

If a woman is diagnosed with immunological infertility, it is treated for 2-3 months using:

  • antihistamines;
  • treatment of infertility with corticosteroid tablets. This therapy can also be attributed to cases where hormones are used for infertility.

Treatment of immunological infertility in men

Treatment of female infertility with antibiotic therapy.

The cause of female infertility may be an inflammatory process in the reproductive organs. Pathology is treated with antibiotics:

  • cefamandol;
  • metronidazole;
  • metrogil;
  • ofloxacin;
  • ciprofloxacin;
  • pefloxacin.

It is also important to treat psychological infertility in the presence of such a factor in the occurrence of pathology.

Surgical intervention in the treatment of infertility in women

Surgical treatment of infertility is carried out by a minimally invasive (minimal incision and low level of trauma) method. Doctors use modern technologies that provide access to the organs of the small pelvis and abdominal cavity, carry out the necessary diagnostics with medical manipulations.

Diagnosis and treatment of infertility surgically.

In surgery, the following methods of treating female infertility are used.

  1. 1. Treatment of uterine infertility: hysteroscopy. A special device, a hysteroscope, helps to examine the inner walls of the uterus, and perform an operation (if necessary). The introduction of a hysteroscope into the uterine cavity occurs through the vagina and cervical canal. The hysteroscopy procedure reveals pathological endometrial tissues, which are then taken for histological analysis. With the help of a hysteroscope, surgeons remove pathological formations inside the uterus (endometrioid polyps, adhesions (synechia)). Hysteroscopy is performed in a hospital. Patients quickly recover after it, and the next day they return to their usual lives.
  2. Laparoscopy for infertility. The operation of minor traumatism reveals and removes pathologies that provoke infertility. With the help of laparoscopy, adhesions in the ovaries and fallopian tubes are eliminated, fluid is removed from the sealed tubes, ovarian cysts and uterine fibroids are removed, endometriosis in the pelvic peritoneum and ovaries is treated. The laparoscopy procedure involves the creation by the surgeon of microscopic incisions in the abdominal wall in the navel. The work uses a laparoscope and other surgical instruments. Rehabilitation after surgery takes 3-5 days, and the achieved aesthetic effect is many times better than with abdominal operations. It is used as a treatment for secondary and primary infertility. Often used as a treatment for tubal infertility.

Treatment of female infertility: auxiliary methods

Infertility in women is not always amenable to traditional, surgical and conservative methods of exposure. Often, the reproductive functions of the patient are violated under the influence of psychological factors. Severe depression, constant conflicts in the family and at work, disappointments in life - all this leads to chronic stress and psychological infertility. Psychotherapy sessions help to cure the pathology. In medical practice, there are many examples of successful conception of a child after an infertile woman underwent a corrective course with a psychologist or psychotherapist.

Reproductologists also offer to cure childlessness with the help of additional technologies. Doctors recommend the following assisted reproductive technologies, which are characterized by a powerful positive effect in the fight against female infertility.

  1. IVF infertility treatment. The most effective way to treat infertility, the essence of which is the fusion of the sperm with the egg outside the uterine cavity (in a specialized laboratory). The fertilized egg is implanted in the woman's uterus, and thus pregnancy occurs. The process of in vitro fertilization is time-consuming and complex, so only experienced fertility doctors can carry it out.
  2. Egg donation. If numerous attempts of a married couple to conceive a baby artificially are unsuccessful, oocyte (egg) donors come to their aid. Egg donation is recommended for those patients who do not have their own ovaries or the production of full-fledged germ cells is impaired.
  3. Intrauterine insemination. In case of infertility of unknown etiology or immune incompatibility of spouses, doctors recommend using the method of intrauterine insemination. The procedure involves the introduction of the ejaculate fluid of the husband into the uterus of the wife with a special catheter. Further, the process of conception occurs according to the classical scheme. The sperm travel through the fallopian tubes to the egg and fertilize it. If a woman has pathologies of the fallopian tubes, their patency is impaired - intrauterine insemination will not give the desired effect.
  4. Surrogacy. The bearing of the fetus is undertaken by a woman who has nothing to do with the married couple. A prepared embryo, formed as a result of the fusion of sperm with an egg, is planted in her uterine cavity. In fact, in vitro fertilization is carried out, but the development of the child takes place inside the womb of another woman. The method is often used by gay couples or single fathers.

How much does female infertility treatment cost?

The cost of treating childlessness in women depends on the drugs prescribed and the number of visits to the gynecologist (if a private clinic is chosen). The cost of a single consultation in gynecology varies from 1.5 to 5 thousand rubles. The total amount, of course, will be more, because the woman will have to go to the doctor more than once.

The cost of surgical procedures associated with the treatment of childlessness in women is relatively low. For example, laparoscopy will cost 19-55 thousand rubles, and for hysteroscopy you will have to pay from 7 to 13 thousand rubles. The final amount is calculated taking into account the type of operation and its volume.

The IVF procedure today has become much more affordable, and is 69-149 thousand rubles. Some private clinics have great deals and good discounts for this service, and the first consultation with a reproductive specialist is free of charge.

Consultations of a psychotherapist in cases where infertility is of a psychological nature will cost 1.5-4.5 thousand rubles. The cost of a psychotherapeutic session reaches 3.5 thousand rubles, and for couples - about 5.7 thousand rubles.

The calculation of the price for oocyte donation is carried out individually in each case. The average cost in Moscow for such a service varies between 60-100 thousand rubles.

Intrauterine insemination costs about 30 thousand rubles. The low price of the procedure is due to the fact that expensive medicines are not used during its implementation.

Surrogacy is the most expensive option for solving the problem of infertility. Its price reaches 1.5-2 million rubles. This amount includes medical services provided to a surrogate mother, legal support for a surrogate pregnancy, organizational issues of pregnancy and childbirth.

Male infertility: causes and treatment of pathology

To eliminate male infertility, doctors find out its causes and prescribe adequate treatment for the pathology. The selected complex of therapeutic methods depends on the diagnosis.

Treatment methods for male infertility

  1. If an inflammatory process has developed in the patient's genitourinary system, a complex of drugs is selected for therapeutic purposes. Perhaps the male body suffers from hormonal disorders, the quality of sperm has deteriorated, there are sexually transmitted diseases. In these cases, drug therapy is also recommended.
  2. Methods of treatment of infertility in men in the form of antibiotic therapy. On an individual basis, men suffering from sexually transmitted diseases are prescribed a course of antibiotics.
  3. Hormonal drugs for the treatment of male infertility. If the cause of male infertility is hidden in hormonal disruptions, hormone replacement therapy helps to cope with the problem.
  4. Treatment of infertility with vitamins. Restorative treatment is recommended for males whose sperm is of poor quality. Doctors advise patients with such a problem to include multivitamin supplements in the diet, enrich the menu with products with vitamin D3, and take immunostimulants. Fish oil and sea fish help improve sperm quality.
  5. Sometimes the problem of male childlessness cannot be corrected. Then reproductive specialists use assistive technologies (for example, they carry out conception artificially in a laboratory, extracting sperm from the testicles with a special device, and then combining them with a female egg).
  6. If there is an obstructive nature, the treatment of infertility in men with drugs is ineffective. Obstructive childlessness in men is treated only by surgery. Blockage of the vas deferens occurs due to cysts, hernias, tumors, scars, varicose veins on the spermatic cord (varicocele). It is impossible to cope with the problem with conservative methods, so medical specialists prefer surgical intervention. True, this method does not give the desired effect to people of advanced age. Surgical manipulations give the best results in the treatment of pathologies of the reproductive system in childhood and adolescence (for example, after infectious diseases).

Male infertility often develops against the background of testosterone deficiency (the main hormone in men). A routine blood test helps determine the level of this hormone. If the results of the study show that the level of testosterone is low, it is possible to increase its amount at home, without drugs and herbal formulations. Below are 10 tips to help men stabilize their hormones. Using them, a patient with infertility will quickly and easily get rid of the problem.

  1. Include zinc-fortified foods in your daily diet. Give preference to poultry meat, seafood, nuts, liver, eggs, milk, sunflower seeds. Zinc is the main component of the testosterone hormone. Under his control is the transformation of female sex hormones into male ones. The process of reverse transformation is excluded.
  2. The production of testosterone is not complete without vitamins A, B and E. If they are not enough in the male body, the amount of testosterone is significantly reduced. Vitamin C plays an equally important role. It reduces the amount of the hormone cortisol in the blood, which suppresses the production of testosterone, and also does not allow the latter to be converted into the female hormone estrogen.
  3. Eat exclusively healthy fats that will ensure the full production of sex hormones. "Good" fats are found in large quantities in fatty fish, nuts, seeds, avocados, olive and peanut oils.
  4. Give your body moderate exercise. If sports are too intense, testosterone levels will drop sharply, and cortisol, on the contrary, will increase.
  5. Lead an active fight against excess weight. Overgrown adipose tissue contains aromatase, endowed with the function of converting testosterone into estrogen. If you decide to lose weight, do not starve yourself. Often this leads to a slowdown in the production of testosterone.
  6. Get good sleep. Give your body a chance to recover. The production of sex hormones will be normal if a man allocates 6-8 hours a day for sleep.
  7. Try to be less nervous, do not expose yourself to stress. If the nervous system is in an unstable state, the body produces a large amount of the hormone cortisol. It, in turn, provokes the accumulation of excess fat in the abdomen and the appearance of female sex hormones in the blood.
  8. Avoid overheating the testicles. In order for them to function better, remove tight trousers and tight underwear from your wardrobe, refuse to take too hot baths, visit the bath less often.
  9. Nicotine greatly reduces the amount of testosterone. Therefore, smoking men who want to restore their reproductive functions, it is better to give up the bad habit, saying goodbye to cigarettes for good.
  10. Eliminate alcohol from your menu. Under the influence of alcoholic beverages, the production of sex hormones slows down or stops altogether. Alcohol leads to the destruction of the main component of testosterone - zinc. In addition, its regular use has a bad effect on the functioning of the endocrine system.

Prevention of male infertility

To prevent the development of male infertility, follow these recommendations.

  1. Eliminate or minimize the impact of harmful physical and chemical substances on the body. Avoid frequent contact with paints, petroleum products and poisons. Do not expose your body to prolonged exposure to vibrations, noise, microwave radiation, high-frequency currents, ionizing radiation, high and low temperatures.
  2. Eat in a balanced way. The daily menu should contain fresh vegetables and fruits, celery, animal meat, unrefined vegetable oils, bee products (honey, royal jelly, flower pollen). Give up vegetarianism, smoked and spicy foods.
  3. Timely engage in surgical treatment of serious pathologies of the reproductive organs (inguinal hernia, testicular dropsy, varicocele, phimosis).
  4. Treat inflammatory pathologies of the reproductive organs (epididymitis, prostatitis) in time.
  5. Treat diseases associated with infertility (pathologies of the gastrointestinal tract, diseases of the endocrine system).
  6. Do not forget about the need for regular sexual activity (at least once every 3-5 days) with a regular partner.
  7. Take preventive measures and perform a therapeutic complex against sexually transmitted diseases.
  8. Completely give up bad habits (alcoholism, drug use, smoking).

Alternative methods of infertility treatment

Alternative methods of treatment give a good effect if (infertility in women) the causes are identified. Before starting alternative treatment for infertility, a man should be examined in a hospital, take blood and sperm for analysis. Based on the results of 2 procedures, the doctor finds out the true causes of the patient's childlessness, determines the volume of seminal fluid, the number and mobility of sperm, the features of their movement, the shape of the tail and head, the degree of viscosity of the ejaculant.

Treatment of male infertility with folk remedies

When the causes of violations in the reproductive system are identified, infertility treatment with folk remedies begins. The choice of drugs is made taking into account all aspects of the problem. For example, if a man has low testosterone levels, he needs drugs that increase this hormone. To increase the activity of male germ cells, separate groups of drugs are used. In general, traditional medicine recipes involve the use of properly selected medicinal herbal preparations.

Treatment of male infertility with herbs

Alternative treatment of male infertility is carried out using drugs of natural origin from the following list.

  1. Folk methods of infertility treatment: colza. A medicine prepared from colza will help with infertility of unknown etiology, stabilize spermatogenesis, and contribute to the rapid cure of prostatitis. A good effect in the fight against infertility is given by a powder prepared from colza seeds. It is poured with boiling water (500 ml) and left in a thermos for 2 hours. The finished product is drunk 20 minutes before meals, four times a day. An infusion from the plant activates the production of sperm, increases sexual desire, and accelerates the movement of spermatozoa. Also, colza seeds are mixed with seeds of carrots, coriander, onions, plantain, parsley. All ingredients are taken in the same amount, ground in a mortar, and then brewed with boiling water and infused in a thermos according to the above scheme.
  2. Treatment of infertility with a upland uterus. If male infertility has developed against the background of inflammatory processes, a decoction of the boron uterus will help eliminate the problem. To prepare it, take 10 g of dried plant and a glass of boiling water. The ingredients are mixed in a deep container, the composition is closed with a lid and infused in a dark and dry place for 20 minutes. The prepared liquid is filtered before use. A decoction of the upland uterus is taken 3 times a day, 1 tbsp. one hour before meals. The course of treatment is 1 month. You can also prepare an effective tincture from a boron uterus. Vodka (0.5 l) must be mixed with dried grass (50 g), then the remedy should be infused for 2 weeks in a bottle. It is better to store the tincture in a cool, dark place. It is recommended to shake the container with the mixture daily. The finished infusion is filtered before use, stored away from sunlight. The course of treatment with alcohol tincture from the hog uterus reaches 3 weeks. The agent must be diluted with water (30 drops of the composition per 100 ml of liquid). The infusion is drunk 3 times a day 1 hour before the meal.
  3. Treatment of infertility in men with folk remedies: persimmon. Infertility in some men is due to a lack of the sex hormone testosterone. Persimmon will help increase its amount. It is crushed in a blender before use, then mixed with cream (200 ml), cinnamon (1/3 tsp) and dried, finely chopped Icelandic moss (1 tbsp). The finished composition is left in the refrigerator overnight, and eat it every morning for breakfast.
  4. Treatment of infertility with herbs: cloves. Alternative treatment of infertility in men with the help of cloves gives a powerful beneficial effect. Tincture from it increases the activity of germ cells. To prepare the product, you need 500 ml of vodka and 30 g of whole field cloves. The ingredients are mixed, and then the composition is infused for 14 days in a dark place. Ready tincture is consumed three times a day, 15 minutes before meals.
  5. Recipes for infertility treatment based on black cumin oil. The tool has a positive effect on the immune system and, in particular, on the thymus gland (it regulates immunity). Black cumin oil contains phytosterols - special substances responsible for the production of hormones. The tool restores the full functioning of the reproductive system in both men and women. Oriental healers have long used black cumin oil to restore erections and maintain male libido. Its regular use increases the activity of spermatozoa, increases their number and improves the body's ability to conceive. Women can also use the oil. The remedy normalizes the cycle of menstruation, stabilizes the hormonal background, cures inflammation in the reproductive organs, and is suitable for preventing the appearance of oncological neoplasms. Daily dosage of oil: 2 times 1 tsp. mixed with honey. The course of treatment is 3-4 months, then a 2-month break and repeated treatment of a similar duration.

Alternative treatment of infertility in women

The following traditional medicines help to cope with infertility in women.

  1. Herbs for the treatment of infertility in women: geranium oil. Essential oils of geranium have a beneficial effect on the female nervous system. With the help of this remedy, the fair sex will successfully cure inflammation, cope with painful menstruation, sexual disorders and inflammation in the organs of the reproductive system. Geranium oil (3-4 drops) mixed with a glass of warm water and baking soda (1 tsp) is used for douching in the treatment of bacterial vaginitis. Infertile women dilute geranium oil in warm water (100 ml), add honey (1 tsp) and drink three times a day before meals. Essential oils from geraniums are a wonderful fragrance for the living room and bedroom. In combination with olive or avocado oil, it becomes an excellent massage tool. Geranium oil has a relaxing effect on the body, increases libido, and increases overall tone.
  2. Folk methods for the treatment of infertility in women: Wintergreen. Chronic inflammation in the female genital organs is treated by the wintergreen plant. Alcohol tinctures and decoctions of wintergreen are taken for colpitis, andexitis, obstruction of the fallopian tubes, uterine atony. Men suffering from inflammation of the prostate or urethritis can also take folk medicines based on wintergreen. To prepare the infusion, take 2 tbsp. dried plant, and pour boiling water over the product (300-400 ml). Let the composition brew, and then drink 100 ml 3 times a day, adding a little honey to the liquid. The full course of treatment is 6 months, you need to drink the infusion 60 minutes before eating. To prepare wintergreen tincture for alcohol, mix vodka and herb in a 5:1 ratio. Infuse the composition for 20 days in a dark place, well protected from direct sunlight. You need to take before meals, 3 times a day, 40 drops. Instead of a dried plant, you can take fresh grass (0.5 cups), grind it and mix with vodka (200 ml). Take daily, after 20 days of infusion, 35 drops.
  3. Treatment of infertility in women with folk remedies: soda. Douching with a solution of soda changes the pH of the vagina towards alkalization. Optimal conditions are created for the life and movement of sperm (ejaculate fluid particles), so the problem of female infertility is quickly eliminated. Prepare a soda solution for douching by mixing half a teaspoon of bicarbonate with water (0.5 l). If you want to get pregnant, douche 30 minutes before having sex with your partner. Remember that frequent douching with soda violates the microbiological environment of the vagina. Do the procedure no more than 2-3 times in 30 days.
  4. Treatment of secondary infertility in women: Mary's root. You can cope with female infertility and pathologies of the genital organs (uterine erosions, cysts) with the help of remedies based on the marina root. It is harvested in May, washed well, dried and lightly scraped off the upper part. Maryin root is taken in an amount of 50 g, crushed and poured with vodka (0.5 l). The remedy is insisted in the cold for 2 weeks, then consumed 3 times a day, 1 tbsp. The therapeutic course is 30 days, then you need to take a 10-day break. Then the treatment is resumed. The scheme is applied until complete cure of infertility.

The following folk remedies will help cure infertility for both sexes.

  1. Woolly armor (Ismagen). The plant has an anti-inflammatory, antitoxic, tonic, soothing, tonic effect. The phytopreparation contains an extract of panaceria woolly, which gives it sedative properties. Infusions and decoctions based on izmagen normalize the menstrual cycle, remove cysts in the ovaries and uterine fibroids, and prevent bleeding from the uterus. Ismagen is included in the herbal infusion on alcohol, used to prepare decoctions. For example, 1 tsp. chopped herbs are poured with a glass of boiling water, kept in a water bath for 5 minutes, cooled, filtered and taken three times a day, 2 tablespoons, before a meal. To prepare the tincture, the dried herb is mixed with vodka in proportions of 1:10. You need to insist on the composition for 10 days, and take it daily, 3 times in half a teaspoon. The duration of therapy is 1 month.
  2. Plantain seeds. From the 1st st.l. plantain seeds, you can prepare a decoction by pouring them with 1 cup of boiling water and boiling for 2-5 minutes. The broth should brew a little, then it is filtered and consumed warm, in a dosage of 2 tbsp. four times a day. The duration of the course of treatment is 3 months. Plantain decoction baths have a beneficial effect on reproductive health. The leaves and roots of the plant are poured with boiling water (1 l), infused for 45 minutes and filtered. A liter of ready-made broth is enough for one bath. The duration of the treatment course is 15 days, the frequency is 1 time in 3 months. Herbal medicines based on plantain are recommended for men with sedentary spermatozoa. They can also be used by women who have heavy and painful menstruation, depression and bad mood often occur.
  3. Mumiyo. To cure infertility, mumijo should be taken twice a day at a dosage of 0.2 g, on an empty stomach in the morning and before a night's rest - in the evening. You can drink the product with juice from blueberries, carrots or sea buckthorn. Duration of therapy - 28 days. To achieve a more powerful effect, mumiyo is mixed with egg yolks, quince or sage juice. Sexual desire increases already a week after the start of taking mumiyo.
  4. Hirudotherapy (treatment with leeches). Treatment of infertility with leeches in the clinic in most cases gives a positive therapeutic effect. Hirudotherapy is more often used as an auxiliary method. Leeches provoke irritation of biologically active points at the reflex level, activate the processes of blood supply to the pelvic organs and thereby improve their work. After sessions in such a direction as hirudotherapy in the treatment of infertility, blood circulation normalizes, the thickness of the walls of the uterus returns to normal, which eliminates the problem of childlessness. Medical leeches secrete hirudin into the blood - a special substance with a diluting effect that improves blood circulation, prevents the formation of blood clots, and reduces the number of adhesions in the uterine cavity.
  5. Roses are white and pink. Rose petals contain a lot of vitamin E in their composition. It prolongs youth, increases libido, stimulates spermatogenesis in men and ovarian function in women. Healing water, oil or syrup is prepared from rose petals. This tool helps to overcome infertility in women. If the problem of childlessness lies in the shaky health of a man, he needs to prepare an oil or a decoction of bright red rose petals.

The folk piggy bank of recipes offers many other effective remedies for infertility. The use of herbs and medicinal preparations from the following list gives an excellent effect:

  • adam root;
  • Adonis;
  • knotweed;
  • honey and bee products;
  • sage infertility treatment. Currently, recipes based on herbs such as sage and boron uterus for conception are widely used. In medicine, among the recipes there is a large selection of how to take sage for ovulation and conception.
  • a collection of coltsfoot, sweet clover, calendula, centaury and pharmacy chamomile;
  • bird mountaineer;
  • hemlock;
  • angelica;
  • Maryin root;
  • nettle seeds;
  • calamus tincture;
  • Golden mustache;
  • calamus oil tincture.

If infertility treatment is prescribed correctly, a married couple, after completing the full course, significantly increases their chances of conceiving, enduring and giving birth to a healthy baby.

Acupuncture is widely used for infertility treatment.

Which clinic should I contact to cure infertility?

There are many good clinics in Russia that treat infertility and restore the reproductive functions of the body in men and women. They offer quality service and services of highly qualified specialists. It is quite difficult to make a worthy choice in a wide variety of medical institutions. We suggest paying attention to the following clinics.

  1. Private IVF Center "Embryon" (Moscow).
  2. Scientific Center of Obstetrics and Gynecology Academician V.I. Kulakova (Moscow).
  3. Private center "Mother and Child" (Moscow).
  4. City Center for the Treatment of Infertility, Mariinsky Hospital (St. Petersburg).
  5. Center for Reproductive Health "SM-Clinic" (Moscow).
  6. IVF Center (Volgograd).
  7. IVF Center (Smolensk).

These institutions have been successfully operating for many years, and were able to prove themselves from the best side. The specialists of the clinics use effective methods of treating female infertility (IVF, insemination of sperm into the uterus, ICSI) in their work, they offer a good diagnostic complex (including ultrasound examination of the pelvic organs).

Motherhood is, of course, the most important component of female happiness. If you have been diagnosed with infertility, the first thing that will come to your mind is the treatment of infertility with folk remedies. What herbs are used in the treatment of infertility with folk remedies? There are many methods of getting rid of infertility, but the treatment of infertility with folk remedies is available to everyone and is not at all expensive, like others.

Treatment infertility folk means. Infertility in women is the inability of a woman during the period when she is of childbearing age to conceive a child. Female infertility has become quite common in recent decades. As a rule, women, having learned the diagnosis, immediately go to the doctor for medical help. However, there is a treatment and folk remedies, which is quite effective.

From the most ancient treatises of the famous doctors of the West and East, it is known that many women's ailments were treated with the help of herbs: uterine bleeding, various inflammatory diseases of the reproductive organs; medicinal herbs facilitated pregnancy and childbirth, herbs were used both for the purpose of contraception and to increase fertility.

Mid 20th century was marked by revolutionary progress in the field of pharmacochemistry, which led to an increase in the consumption of chemical drugs and a decrease in the use of herbal preparations.

However, further experience has shown that the use of chemical drugs causes a number of negative side effects. They are well known: this is dysbacteriosis when using antibiotics, complications from the kidneys, hepatobiliary system, cardiovascular, auditory nerve. In this regard, in recent years, the interest of researchers and doctors in herbal medicines has increased again. So, at the beginning of the 20th century, 80% of drugs were of plant origin, in the middle of the century their consumption decreased to 40%, and there has been a clear increase in the share of herbal medicines since the 90s of the 20th century.

Unlike chemical preparations, natural factors have the following advantages: multifunctionality, mild action, aftereffect, drug disease does not develop, there is no drug withdrawal effect. Medicinal plants can be used as part of background, basic, restorative and preventive therapy.

Traditional medicine offers many ways to treat infertility - these are decoctions, infusions, conspiracies and prayers. Regardless of the reasons that caused infertility, women are advised to apply a compress on the lower abdomen every night at night.

In one recipe for folk treatment of infertility in women (quite effective), 10 medicinal plants are used: chamomile flowers, calendula, buckthorn bark, St. John's wort, horsetail, immortelle, motherwort, yarrow, bearberry and plantain. All raw materials are in dry crushed form. All take 1 tsp, pour 500-550 ml of boiling water, leave for two hours. Strain the infusion for folk treatment of infertility in women, you can add 2 tsp if desired. honey. Take 100 ml three times a day. The course of such alternative treatment of infertility in women is a month, after a break, repeat the course.

A good effect in the treatment of infertility is provided by such a remedy as mummy. It will help in the treatment of infertility in both women and men.

For treatment infertility in women phytotherapists use these two collections at the same time.

  • The main collection includes 2 parts of herb cuff, ramishia (upland uterus), plantain and nettle leaves, 1 part of sage leaves, elecampane rhizomes, chamomile and yarrow inflorescences. 1 tbsp collection pour 1.5 tbsp. (300-350 ml) water, bring to a boil and keep on low heat for 5 minutes. Then insist an hour under the lid and strain. Squeeze out the herbal mass. The resulting infusion, for the treatment of infertility in women, drink in three doses during the day for 15-20 minutes before meals. The course of infertility treatment given by this folk remedy is long, until a positive result is obtained, while taking 8-10-day breaks (stop taking the folk remedy for infertility treatment 2-3 days before menstruation and start again 2-3 days after it) .
  • Additional collection contains 3 parts of motherwort herb, 2 parts of valerian root, 1 part of yellow sweet clover and lavender inflorescences. Infusion for the treatment of infertility is prepared as described above. Take 100 ml before bed for 1-2 hours.

Recipes that have great power in the treatment of infertility in women:

  • Take 1 tablespoon of psyllium seeds and pour it with a glass of water. First, let it brew for 15-20 minutes in a warm place, and then bring to a boil and cook for 5 minutes. Cool and strain. Take for 1-2 months three times a day, 1 tablespoon.
  • Take 3 teaspoons of chopped fresh herbs - knotweed or knotweed, pour them with two cups of boiling water and leave to infuse for 4 hours, then cool, strain. Drink ½ cup of this infusion 4 times a day before meals.
  • From wheat grains that have reached milky-wax ripeness, make fresh juice and drink it ½ cup 20 minutes before meals 2-3 times a day.
  • Pour 2 tablespoons of creeping wheatgrass with 2 cups of boiling water. Drink this decoction 4 times a day before meals at a dosage of ½ cup.
  • Pour 2 cups of boiling water over 2 tablespoons of hawthorn flowers or fruits, leave to brew. Drink ½ cup three times a day.
  • Pour 2 tablespoons of cuckoo adonis with 1 cup boiling water, let it brew and drink 1 tablespoon three times a day.
  • To prevent premature birth, prepare such a decoction. Pour 1 cup of boiling water over 1 teaspoon of elecampane root, after crushing it, boil for 15 minutes over low heat. Then the broth must be insisted for 4 hours. Drink 1 tablespoon of decoction 3-4 times a day. Course - 1 week.
  • In the old days they said that if there is a leek, then a woman's fertility increases.
  • A pregnant woman should inhale the smell of a flower close to withering to avoid miscarriage. The same effect can be achieved if a pounded root of the foot is applied to the uterus.

Folk remedies that increase sexual activity

Medicinal sage is used in the treatment of infertility in women, with menopause and as a rejuvenating agent, since its healing properties have long been known, which normalize the activity of the gonads. It also helps to reduce sweating, strengthens the central nervous system and reduces lactation. To prepare the infusion, you need to take 2 tablespoons of sage and pour them with 2 cups of boiling water. This dose is the daily norm. It is important not to exceed it and not take sage for more than 3 months, as this herb provokes irritation of the mucous membrane. Among the contraindications are also: acute nephritis, pregnancy.

  • Vitamin E, necessary for pregnancy, is found in large doses in fresh and canned juice from sea buckthorn fruits, as well as in sea buckthorn oil.
  • Take 1 tablespoon of Schisandra chinensis fruits and pour 1 cup of boiling water over it. As a tonic, as well as a tonic, take 1 tablespoon of this infusion twice a day.
  • Pour ½ cup of water 10 gr. calamus roots, let it brew. Take 10 gr. tubers Lyubka bifolia, previously crushed, and fill them with prepared infusion of calamus roots. Drink 1 tablespoon 4 times a day.
  • Pour 2 teaspoons of motherwort (herb) with 2 cups of cold boiling water. Leave to infuse for 8 hours. Drink ½ cup three times a day before meals.
  • Eleutherococcus roots dry and grind. Take 200 gr. and pour 1 liter of vodka. Close the jar tightly, put in a dark place and infuse at room temperature for two weeks, shaking occasionally. 2-3 times a day, take half a teaspoon.
  • You can eat hemp seeds slightly roasted with salt.
  • Pour 1 liter of cold water 30 gr. rhizomes of medicinal valerian, previously crushed. 1 hour insist. Then boil for 20 minutes and again let it brew for 5 minutes, strain. Add the broth to a bath with a water temperature of 36 ° C. Take a bath before bed. It has a beneficial effect on patients with sciatica, neuroses, insomnia, rheumatism, obesity, as well as sexual impotence. The course consists of 12-14 baths.

Folk beliefs, in order for a woman to become pregnant

  • Let the woman grow a ficus, and also hang or put a willow in the water.
  • It is good to eat various parts of the body of those animals and birds that are very prolific.
  • Drink 1 cup of koumiss every day.
  • If a woman wants to get pregnant, she should wear around her neck a ball made of deer antler, powdered and mixed with cow dung.

Modern phytotherapeutic preparations for the treatment of infertility and menstrual disorders

To date, the effectiveness of the drug Mastodinon in the treatment of benign diseases of the mammary glands, the drug Klimadinon in the correction of menopausal disorders is undeniable. However, the role of herbal preparations in the treatment of menstrual disorders and some forms of infertility has not yet been determined.

There is no doubt that the treatment of infertility was, remains and will remain the prerogative of high reproductive technologies, involving the use of ovulation inducers, endoscopic surgery, and in vitro fertilization. But are these mutually exclusive methods - high technology and herbal preparations? Most likely they can be allies in the treatment of some forms of infertility. Herbal preparations are able to neutralize the side effects of ovulation inducers, in particular in relation to the mammary glands. Herbal preparations are able to provide a long-term correlating and substitution effect for menstrual irregularities in women who are not interested in pregnancy.

Research in these areas is being carried out in the world and in our country, they have not been finally completed, and we will allow ourselves to dwell on the preliminary results of these studies. Bionorica's preparations Mastodinon, Klimadinon and Agnukaston are undoubted leaders among herbal remedies.

The composition of the drug Mastodinon includes prutnyak, cornflower-shaped cobalt, alpine violet, bitter breast, multi-colored iris and tiger lily.

The mechanism of action of Mastodinone is as follows: the drug reduces elevated levels of prolactin due to dopaminergic action, eliminates the existing imbalance between estrogen and progesterone by normalizing the insufficiency of the corpus luteum, positively affects the mental symptoms of premenstrual syndrome (excitement, irritability, migraine).

Especially significant is the effect of Mastodinon on prolactin secretion: the drug reduces spontaneous and induced secretion of prolactin by pituitary cells, acts through dopamine D 2 receptors located on the membranes of pituitary cells, and reduces elevated levels of prolactin in patients.

Based on the mechanisms of therapeutic action, it is advisable to use Mastodinon in women with corpus luteum insufficiency, oligoovulation, mild hyperprolactinemia.

The use of Mastodinon proved to be effective in most patients with menstrual irregularities. At the same time, with oligomenorrhea, the restoration of regular menstruation was registered in 65.2%, with secondary amenorrhea - in 62% of patients after a three-month course of treatment.

In 15-25% of patients (amenorrhea, idiopathic infertility, corpus luteum insufficiency) within 3 months. therapy, pregnancy occurred.

However, it should be remembered that if the drug does not have a therapeutic effect within 3-4 months. reception, then its further use should be abandoned.

In the context of regulating the menstrual cycle and restoring fertility in these conditions, it may be more promising to use Agnukason, which has the following advantages:

It is a phytopreparation of the highest quality;

The dopaminergic effect of the drug normalizes elevated prolactin levels;

Eliminates estrogen-progesterone imbalance by influencing the hypothalamic-pituitary regulation;

Easy to use - a single dose in the morning in the form of tablets or drops;

Well tolerated and therefore suitable for long-term therapy;

Accepted regardless of the menstrual cycle;

The treatment is effective with minimal side effects.

Indications for the use of this drug are: menstrual dysfunction associated with insufficiency of the corpus luteum, premenstrual syndrome, mastodynia, often in combination with pain (mastalgia).

It is well known that the treatment of infertility practically cannot do without the use of hormonal drugs - ovulation and superovulation inducers in the IVF program. It is also known that the hormonal parameters of the induced cycle, namely the concentration of sex steroids, primarily estradiol, are dozens of times higher than those in the norm. Is it indifferent for the woman's body and, above all, for the state of the mammary glands? So far no one has been able to answer this question. At the same time, a negative effect - stimulation of the development of hyperplastic processes in the mammary gland - cannot be ruled out. Moreover, clinical experience demonstrates this negative effect in the form of mastodynia, fibrocystic mastopathy. In this regard, we proposed, and these are our priority studies, to use Mastodinone as a drug for “protecting” the mammary glands during ovulation induction and superovulation cycles.

We focused on double-blind studies (Wuttke, 1997; Beles, 1998), demonstrating the effectiveness of this drug in mastodynia. Preliminary clinical data confirmed the above assumption: 68% of women showed a clear positive dynamics in the state of the mammary glands.

The possibility of using the estrogen-like action of herbal preparations has been studied in sufficient detail in menopausal disorders in women of the older age group. But there is another category of patients - these are patients with hypo- and hypergonadotropic hypogonadism.

Hypogonadotropic hypogonadism is caused by hypothalamic-pituitary insufficiency. These are women with primary amenorrhea or having several independent menses. In patients, low concentrations of gonadotropic hormones and estradiol are recorded, and as a result, secondary sexual characteristics are not expressed in them, the uterus and ovaries are very small. As a result of severe hypoestrogenism, osteoporosis is formed and vegetative disorders occur. In this situation, pregnancy is possible when using ovulation inducers, but independent menstruation is not restored. The problem is that such patients need replacement therapy for life, from the age of menarche, and the management of such patients was extremely difficult until Klimadinon appeared, which includes cimicifuga rhizome extract.

Klimadinon has the following pharmacological effects: estrogen-like action due to binding to estrogen receptors in the central nervous system, ovaries, aorta, liver and bone tissue (phytoSERM); the drug stimulates the expression of estrogen receptors in the central nervous system, has a dopaminergic effect, suppresses excessive release of LH by the pituitary gland.

The advantages of Klimadinon are high efficiency, a justified choice for a woman who has contraindications or does not want to take hormone replacement therapy; the drug can be taken regardless of the still intact menstrual cycle, while taking it, endometrial proliferation and withdrawal bleeding do not develop, the drug is well tolerated. In addition, the use of HRT in this group of patients, in our experience, is often accompanied by mastodynia, which is not observed when prescribing Klimadinon.

We have sufficient positive experience in the use of Klimadinon in women of reproductive age with hypo- and hypergonadotropic hypogonadism, characterized by severe hypoestrogenism. There was a decrease in vegetative-vascular and mental disorders (hot flashes, sweating, sleep disturbances, increased nervous excitability, depressive emotional state). Side effects when using the drug are not registered.

Thus, herbal medicines can be effectively used for menstrual disorders and infertility. The potential of this direction has not yet been sufficiently studied, but its positive future is undeniable.

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Infertility- this is a disease in which a woman does not have the ability to become pregnant for two years with regular sexual activity without the use of contraceptives. Also, this diagnosis is made in cases where all pregnancies end in miscarriages. According to statistical studies, today every 15 families experience difficulties in conceiving and bearing a child.

The problem of infertility

The problem of infertility for modern medicine is considered one of the main ones at the present time. This issue is more serious than it might seem at first glance. Scientists associate it with the so-called sexual revolution and the undermining of family foundations. In these cases, there is a wide spread of infectious diseases, in which both partners are not capable of conceiving full-fledged offspring. In addition, more and more healthy young people (both boys and girls) are postponing the issue of having children to a secondary place after a career and the desire to “live for yourself”.

Main causes of infertility doctors call malformations in the development of the sexual sphere, disruption of the organs of the reproductive system, severe intoxication and general ailments of the body, mental and neurological abnormalities. Infertility itself is not an independent disease: in all cases, it is provoked by other ailments. Most often, it manifests itself against the background of various inflammatory diseases.

If the marriage is fruitless, then both partners need to follow some recommendations for organizing their sexual relations. According to experts in the field of gynecology and obstetrics, the maximum chance for conception occurs on the 11-18th day of the menstrual cycle. Due to the fact that every two days the male sperm is maximally concentrated by the most active spermatozoa, attempts to fertilize the egg are likely to achieve their goal during this period. At this time, spouses are not recommended to use intimate lubricant gels, and a woman is not recommended to carry out the necessary hygiene procedures following the evacuation of her partner. In addition, after intercourse, which experts advise to engage in the "missionary" position, she should lie on her back for several minutes with knees bent and legs raised.

Causes of infertility

Causes of female infertility doctors call three problems: a problem with ovulation, blockage of the fallopian tubes and endometriosis, in which endometrial cells grow outside the inner layer of the walls of the uterus.

Main causes of male infertility there may be modifications in the structure of sperm and its insufficient quantity, as well as low activity of spermatozoa.

In addition to the above, for both partners, the grounds for childlessness can be hereditary and congenital factors. Unfortunately, in 20% of cases it is not possible to diagnose the nature of this disease. It happens that after passing all the examinations and passing a lot of tests, the spouses are informed that they are absolutely healthy. But the long-awaited pregnancy never comes, despite the advice of numerous doctors and charlatans. The latter promise the speedy birth of a child for a solid reward and offer dubious medicines and treatments. Efforts spent on such methods do not bring the desired result and, in the end, deprive partners of their last hope and financial savings. Folk remedies for the treatment of infertility for such spouses are a saving straw in the swamp of this problem.

Infertility, expert opinion

As you know, reproductive function is the most important function of the entire human body. . To date, almost 90% of those who have consulted a doctor with the inability to give birth to a child have chronic diseases of the organs responsible for childbearing. The female half, in most cases, has problems with the appendages, and the male half has problems with the prostate gland.

Treatment of the inability to reproduce offspring begins with the identification and elimination of the disease that provoked it. In such cases, the drug method and surgical intervention are usually used, as well as the use of traditional medicine. In addition, gynecologists advise compliance with biological rhythms.

Another way to give birth to a long-awaited child is the IVF method, which some couples consider the last chance. At first glance, it may seem that artificial insemination is a simple and short way to a long-awaited goal. In fact, this is a long and rather complicated procedure, before which both spouses will have to pass a lot of tests and undergo hormone therapy. And even this does not guarantee a positive result. In many cases, rejection of a fertilized egg occurs in the early stages of pregnancy.

After such ordeals, many partners turn to folk methods of healing childlessness.

VIDEO

Video about female infertility

Video about infertility in men

Folk remedies for infertility treatment at home

In ancient times, sage was revered as a sacred herb. It is believed that it has healing properties and relieves numerous ailments. Besides the fact that sage perfectly improves memory and helps cleanse the circulatory system, it is used in the treatment of infertility in women.

In general, tincture of sage and linden seeds helps both partners. But in the beautiful half of humanity, with its help, the “suction” reflex of the cervix increases, and frigidity decreases or completely disappears. For this reason, grass is considered the most effective alternative treatment for infertility.

Sage contains many hormones similar to female sex hormones. It is recommended to use one glass on an empty stomach in the morning for ladies from 35 years old.

To prepare the infusion, you need to pour boiling water over a tablespoon of the plant. The resulting broth should stand for about half an hour. It is recommended to take it half an hour before meals. It is allowed to add honey or lemon for taste. To achieve a rejuvenating effect, it is necessary to take a monthly course. Then you need to pause for three months.

In the treatment of infertility, the above decoction is drunk after the end of menstruation for at least ten days in the mornings and evenings. This course lasts three months. In the event that pregnancy does not occur, then take a break for a couple of months, and then repeat the treatment.

When using sage, there are some restrictions. Its overdose causes allergies or poisoning.

Effective infertility treatment

Traditional healers also recommend the use of marin root in the treatment of childlessness, as well as uterine erosion and cysts in women. It should be noted that our great-grandmothers believed that this effective infertility treatment only used them.

There is one recipe that is advised to all childless couples by a mother of 6 babies. She often receives letters from happy women who have been helped by this advice to have a baby. So, it is recommended to dig up a marin root in May. It must be washed, dried and scraped a little, but not cleaned. Next, you need to grind 50 g of the root and pour it with 1/2 liter of vodka and insist in a cold place for about 14 days. The infusion is taken 3 times a day for a tablespoon for 28 days. Then they take a break of 10 days and repeat the course again.

herbal infertility treatment

The drug from the hog uterus has the ability to restore the disturbed menstrual cycle, helps in the treatment of fibroids, uterine fibroids, and infertility.

To prepare the tincture, you need to finely chop the grass (50 g), pour it with 0.5 liters of vodka and let it brew for 14 days. After that, it is recommended to dilute 35-40 drops with warm water and use this composition three times a day before meals for a month.

It should be noted that the one-sided ortilia (as this plant is also called) is often confused with wintergreen, which is used in the treatment of inflammation of the prostate.

Treatment of infertility with a decoction of psyllium seeds

Women this infusion will be the best helper for heavy periods. In addition, during menstruation, it helps with pain in the lower abdomen, and is also an antidepressant for bad mood and blues.

If we talk about the treatment of infertility, then the infusion comes to the aid of a partner in the event that her illness is caused by inflammatory processes in the pipes. men the drug is recommended for use in the treatment of low sperm activity.

A decoction is recommended to be prepared from one tablespoon of plantain seed, pouring it with a glass of liquid and putting it on fire. This composition should boil for up to five minutes. After that, it is advised to insist and strain. It is necessary to use the decoction in a warm form, two tablespoons four times a day. Do not store the composition in the refrigerator for more than 3 days. Treatment should take three months. In addition, plantain baths are considered medicinal.

Good mummy infertility treatment

Well folk treatment for infertility last a month. To increase the effect, it is recommended to mix the mummy with egg yolk and the juice of some medicinal plants - sage or quince, for example. The result in the form of increased sexual function can be felt after 7 days.

Medicine for the treatment of the inability to conceive and bear a child, methods of ozokerite treatment and paraffin treatment are also used.

Knotweed infertility treatment

This herb is also useful in the treatment of infertility. It helps with conception and has a healing effect that affects the work of the ovaries and uterus. An interesting fact is that when using knotweed, the likelihood of having a boy increases.

To prepare the infusion, you need to take 3 tablespoons of herbs and pour it into a thermal dish, pour boiling water and leave to infuse for about 4 hours. An infusion of half a glass is taken at least four times a day for half an hour before meals.

Herbal infertility treatment

This collection of various herbs helps in the treatment of childlessness and inflammation of the ovaries in the wife. Treatment takes place with absolute sexual abstinence of partners.

Preparation: it is necessary to mix 50 grams of herbs such as coltsfoot, sweet clover, chamomile flowers, calendula and centaury. Two tablespoons of the mixture is poured with half a liter of boiling water and infused for a while. It is recommended to drink 1/3 cup 6 times a day half an hour before meals. The course of treatment is 1-2 months.

Plantain bath infertility treatment

To prepare such a bath, you need to take 50 grams of plantain roots and leaves and pour boiling water over them (1l). Let it brew for about an hour and strain. A liter of this infusion is equal to one bath. The course of treatment is two weeks every three months.

In conclusion, it is worth noting that the methods of traditional medicine for infertility are a necessary addition to the official recommendations and prescriptions of the attending reproductive and family planning specialist.

Female infertility is a pathological condition accompanied by a violation of the reproductive system of the female body and the inability to become pregnant due to this violation. Treatment of female infertility is aimed at eliminating the cause that caused the disease. If the cause of infertility cannot be eliminated, assisted reproductive technologies are prescribed.

Treatment for infertility in women begins after the diagnosis is made. There are various ways to treat reproductive problems in women. The choice of method depends on the type of infertility. Among these varieties are the following.

  • tubal infertility
    One of the most common types of infertility. Tubal infertility is caused by adhesive and inflammatory processes in the pelvis, endometriosis. The same diagnosis will be made in the absence of fallopian tubes due to ectopic pregnancy. Tubal infertility is treated with salpingoplasty - surgical dissection of adhesions and salpingostomy - creating a hole in the pipes. If the restoration of the anatomy and performance of the fallopian tubes is not possible surgically, IVF is used. In the absence of tubes, artificial insemination is the only way to overcome infertility.
  • endocrine infertility
    Infertility associated with hormonal abnormalities always causes irregular ovulation or no ovulation. This entails problems in the development of eggs and their release from the ovaries. Similar pathologies appear due to diseases of the endocrine system, polycystic ovary syndrome and depletion of the ovarian reserve. Treatment of endocrine infertility refers to the normalization of the menstrual cycle and stimulation of ovulation, for which hormonal preparations are used. With endocrine diseases, drug therapy of the organs of the endocrine system is carried out. Polycystic ovary syndrome may also require surgical treatment.
  • Immunological infertility
    If antibodies are present in the cervical mucus or blood of a woman that negatively affect spermatozoa or the embryo, we can talk about immunological infertility. In some cases, autoimmune problems are treated with drug therapy and plasmapheresis. If this type of treatment is ineffective, artificial insemination or IVF is prescribed.
  • Psychological infertility
    Chronic stress and an unfavorable psychological environment can cause changes in a woman's reproductive system. Depression, anxiety, and depression can reduce your chances of conception and affect the regularity of your menstrual cycle. In the presence of psychological problems, a woman is recommended to contact a psychologist; many reproductive centers have this specialist on staff. Also, with psychological infertility, relaxation methods and lifestyle adjustments are effective.
  • Infertility of unknown etiology
    If it is impossible to get pregnant in the absence of severe reproductive health problems, the diagnosis of unexplained infertility is made. This type of infertility is treated through artificial insemination and IVF.

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