Age - 26 years
Complains
Pain in the region of abdomen, ovaries and the back during the first day of menstrual cycle; the patient has been married
for 4 years, primary infertility, and constipation.
Objective data of the examination
Endo-vaginal examination on 28th day of menstrual cycle – ovaritis; right ovary inflammation, 45х30,5х27,5mm;V-19,7cm3,
with inflammatory type, not uniform follicles 25,5х13 mm, homogeneous content and 13-14 and diffusely located small
cystic formations. Left ovary 59х45, 5х 43,5 mm V-61,5cm3, with hemorrhagic 2-chamber cyst with sizes 52x42 mm.
Cervix - 30,5х5х24 mm. Along the full length of the channel are visualized the hemorrhagic regions, maximal size 1.5x1 mm.
Colpocervicoscopy study – hyperplasia of the channels mucous. Consultation of mammalogist – diffuse -cystic mastopathy.
No viruses. Bacterioscopic smear – leucocytes 26-28, trichomonas, fungus, gram-positive cooci.
Kymopertubation – poorly conducting tubes.
Diagnosis
Primary infertility, has been married for four years; chronic inflammation; follicular-hemorrhagic cyst of the left ovary;
poorly conducting ducts; diffuse-cystic mastopathy.
Duration of the treatment
26 day courses, twice
Combination with other medical methods
Monotherapy
Treatment results
No complains. The ovaritis and cyst are not manifested by vaginal ultrasound. By kymopertubation the tubes are conducting.
Notice
Pregnancy
Age - 22 years
Complains
The patient has been married for one year, infertility, constant constipation.
Objective data of the examination
Ultrasound examination on 12th day of menstrual cycle. In the right ovary is visualized non homogeneous cystic formation
size 13x10 mm and some small cystic formations in both ovaries. ASA-221.4U/ml. Opt < 70 (antispermal antibodies).
Anti-β -CG(Ab-with respect to chorionic gonadotrophin) N ≤1,0 the patient has +2,0. CA -125: patient’s - 44.4;
Norm - Opt-0-20; max-35 U/ml. Computer kymopertubation – the tubes of the uterus are poorly conducting,
the uterine contraction rate and the contraction activity are reduced, the tone of tube-uterine and isthmic-ampullar
sphincter is increased.
Diagnosis
Primary infertility; tube obstruction; anovulatory cycle.
Duration of the treatment
26 day course, twice
Combination with other medical methods
Monotherapy
Treatment results
After 26 days of treatment: ASA-100,9; anti- β - CG +2; after more 26 days of treatment : ASA- 79.7 anti -β CG- ≤1;
after the third 26 course of treatment: СА125-22,9; ASA-65. the uterine tubes are conducting
Notice
Pregnancy
Patient- M.G.
Age - 33 years
Complains
The patient has been married for 10 years, primary infertility; hirsutism, alopecia. Menstruation from 12 years of age,
irregular, only as a result of progesterone administration. Colitis with constipation; fatigue and weakness in
extremities, swelling of legs and hands at the end of day; hemorrhoids with frequent hemorrhages; troubled sleep, irritability.
Objective data of the examination
Computer kymopertubation – the tubes of the uterus are not conducting. The tone of tube-uterine and isthmic-ampullar
sphincter is increased. Endovaginal examination – the last menstruation 2 months ago. The uterine body with the cervix 7.1 cm;
uterus 5,5х4,2х6,0cm; cervix 3,7 cm. Width of the uterus 5 mm. The right ovary - 2,0х1,4х1,8 cm., follicular apparatus is
not manifested. The left ovary – 2.2x1.6x2.8 cm, follicular apparatus is not manifested. Hormonal study – PROLACTIN-195
N=150—506 mU/I LH-14,9 N=2-12,opt 3-5 U/I FSH-8,87 N=2-12,opt 3-5 U/I PROGESTERON-1,06nmol/l N= 1 phase 3,4±2,0 2
phase 34±10 ovul.-3-15 ESTRADIOL -0,106 N=0,2-0,9;opt – 0,4-0,5nmol/l TESTOSTERON -1,75 N=0,5-3,0 opt1,2-1,5nmol/l CORTISOL-108,9
N=200—500 opt-250 nmol/l DHEA-S 0,818 N=0,5-3,1 μmol 17-HO-PROGESTERON- 1,21 N=1,0-3,03 ng/ml FREE TESTOSTERON-1,33 N=1,4±0,9
pg/ml TSH -1,99 N=0,6-3,8 opt-1,5 μU/l ASA- 67,1 opt < 70U/ml. Anti-β-CG-+1,0 N≤1,0 Bacterioscopic smear - large quantity of
leucocytes, trichomonas, fungus, gram-positive. Prothrombin - 105 % N=85-110%
Diagnosis
Oligomenorrhea, anovulation, uterine tubes are not condutcing, hirsutism, colitis – constipation, hemorrhoids, primary infertility.
Duration of the treatment
4 months
Combination with other medical methods
The first month of treatment – 5 injections of progesterone, fertilogen.
Treatment results
The uterine tubes are completely conducting after 3 months of treatment. Restoration of the menstrual cycle with follicle maturation.
Notice
Pregnancy
Patient - P.N.
Age - 37 years
Complains
Headache at the beginning and at the end of the menstruation. Secondary infertility.
Objective data of the examination
Ultrasound study – uterine body has the spherical shape, adenomyosis of mixed echogenicity, nonhomogeneous myometrium.
Inflammatory process in both ovaries with numerous small cystic inclusions. Computer kymopertubation – the uterine tubes
are not conducting, the tone of tube-uterine and isthmic-ampullar sphincter is increased. No viruses. Bacteriscopic smear
- trichomonas, fungus, leucocytes 17-18, gram-positive cocci.
Diagnosis
Secondary infertility, adenomyosis, ovaritis, tube obstruction.
Duration of the treatment
26 day courses three times
Combination with other medical methods
Monotherpy
Treatment results
After 52 days of treatment: Hysterosalpingography – the uterine cavity has the shape of elongated triangle, slightly less
than normal volume; with simple contours, deviated to the right. The right tube is coiled, up and both tubes are conducting.
In the pelvic cavity there is scarring. After more 26 days of treatment: by computer kympertubation the tubes are conducting.
Ultrasound examination – the uterine body is of normal echogenicity with simple contours, deviated to the right, homogeneous
myometrium. Follicle in the right ovary with diameter of 19 mm (12th day of menstruation). Bacteriologic smear – clear.
Notice
Temporarily stopped the treatment and became pregnant next month.
Patient - B.A.
Age - 22 years
Complains
Pains during first day of menstruation. Diarrhea, flatulence, infertility.
Objective data of the examination
Hysterosalpingography – the uterine cavity has the shape of triangle, deviated to the back, with increased volume. The left
tube is not conducting at the beginning of isthmic portion. The right tube is not conducting in the interstitial portion.
Specific analysis of cervicitis smear – gonorrhoea, trichomonas, fungus, mycoplasma, ureaplasma, gardnerella, diplococci,
no leucocytes. Antispermal antibodies: ASA234.1 opt < 70U/ml Anti-β-CG(Ab-in respect with chorionic gonadotropin) +4 N≤1,0
Diagnosis
The tubes are not conducting. Infertility
Duration of the treatment
65 days of treatment
Combination with other medical methods
Monotherapy
Treatment results
After 2 month of treatment: By computer kymopertubation the tubes are conducting. After more one month of treatment:
ASA-80U/ml Anti –β-CG +1,5
Notice
Pregnancy