Laparoscopy ovarian the polycystic and pregnancy
Polycystic ovary syndrome remains one of the urgent problems in gynecology and endocrinology. The exact causes and mechanisms of its occurrence are still not installed. Important role in the diagnosis and treatment plays a laparoscopy in the day due to this kind of interventions, many women are resistant to conservative treatment, had the happy opportunity to become mothers.
For women suffering from polycystic ovarian syndrome is characterized by:
Why should definitely address the problem of polycystic ovarian syndrome?
To treat polycystic need necessarily complex, because it:
- Causes infertility.
- Increases the risk of endometrial cancer.
- Is the cause of many metabolic disorders, including insulin resistance with the development of diabetes type II diabetes, and dyslipidemia, increase the risk of developing diseases of the heart and blood vessels.
The basis of treatment in patients with polycystic ovary syndrome lies with conservative therapy. You must strive to achieve a normal body weight (if overweight), normalization of metabolic processes, normal ovulation and menstrual cycle.
To achieve ovulation, you can use antiestrogen drugs, which binds with the receptors of the ovaries and pituitary, causing an increase in the allocation of gonadotropic hormones, thus stimulating ovulation.
Laparoscopy in polycystic ovarian syndrome is used in patients, are insensitive to conservative therapy. Whether to do a laparoscopy, or you can do the drug therapy, the doctor will decide.
Laparoscopic study for many years been considered the standard diagnosis of polycystic. But, with the development and improvement of instruments and methods ultrasound, laparoscopy has also become one of the main types of surgical treatment of polycystic ovary syndrome and other causes of infertility.
The most common type of operation in this case is wedge resection. In addition to resection, there are other more modern methods of laparoscopic impact on polycystic ovaries when (removal of the upper cortical layer to impact on the fabric of the body of different physical factors).
The choice of surgery depends on the duration of the disease, character and peculiarities of the patient, determined by the treating doctor.
The advantages of laparoscopy the ovaries used in the polycystic include:
- The inability of ovarian hyperstimulation and, consequently, pregnancy several fruits.
- The ability to eliminate other factors of infertility, perhaps not even detected earlier. For example, liquidate of adhesions in the pelvis.
- Low-trauma, quick recovery and return to normal life.
- High chances of recovery ovulatory menstrual cycle, which will allow you to have a baby.
Laparoscopy in the syndrome of polycystic ovaries is not carried out:
- During menstrual bleeding.
- During the period of active inflammatory processes.
- When violations of blood clotting.
- In severe General condition of the patient.
Preparation and procedure
Before the procedure, the woman undergoes all the necessary tests that she prescribed by your doctor.
The last meal on the eve of the day of surgery should be no later than 6 PM. Bedtime ─ enema.
Is laparoscopic intervention under General anesthesia. In pelvic cavity through small incisions to introduce special instruments, and performs all the necessary manipulations with the ovaries.
Wedge resection of the ovaries is one of the main ways to stimulate ovulation in the polycystic. For this you need to do in ovarian tissue cuts wedge-shaped. The notches on the ovaries, performed by laparoscopy, with high probability, will help to stimulate the ovulatory cycle of the woman.
A few days after the intervention there is a reaction that is similar to menstruation, and in a few weeks, ovulation occurs (you can determine the basal temperature or using special tests).
If ovulation is absent for a few cycles, then additional support is necessary drug therapy. The correction of the General condition.
Pregnancy after laparoscopy ovarian the polycystic are usually within the first year, if laparoscopy helped. Further, over time, its probability is gradually reduced.
Thus, if in the process of treatment successfully manages to restore ovulatory menstrual cycle, a woman successfully gets the child.
If pregnancy during the first year after surgery did not occur ─ is an occasion to think about in vitro fertilization.
Importantly, the treatment of women with polycystic ovary syndrome was comprehensive and combined different approaches ─ conservative and operative. Then, with proper combinations, women are more likely to recover and to become pregnant.