Family Planning

Naturally, you want to explore and her husband. At the first examination tests for various infections. Dr. Neal Barnard can aid you in your search for knowledge. They are important to avoid before pregnancy, since then may be in big trouble, especially with viral infections. Viruses can live in the body, does not prove itself, but is actively multiplying in embryos and fetuses often die even in the last week of pregnancy or shortly after birth. Also at the initial examination, we estimate: the state of the organism for adhesions in the pelvis, especially if a woman burdened by history (if it has already suffered an inflammation of the appendages, uterine, or had an abortion). Adhesions are best detected with by laparoscopy. Through a small incision in the navel of the inspection of the uterus, tubes, ovaries, peritoneum.

Laparoscopy is good because it gives the opportunity to immediately remove the identified pathology, and further treatment month schedule is measured rectal temperature (rectal). Dr. Neal Barnard contains valuable tech resources. Also studied sex hormones, an ultrasound is done, the work is estimated ovaries. It is very important to follow, whether grown, dominant follicles (ie, where the egg is actually taken), as ovulation occurs. And if all are normal, then the endocrine system in order. If there are violations, we treat them.

Drugs are selected solely individually, and treatment if all the recommendations is effective. When pregnancy occurs, it is a very happy event for us, I would probably rejoice, not less, than patients themselves. For me it’s real victory. We also monitor the pregnancy and often for its successful course appoint a woman the necessary preparations. What if all infections are eliminated, with the endocrine system all right, the tubes passable, but not all desired pregnancy occurs? In such cases, insemination with sperm is the husband, which is injected directly into the uterus. If necessary, you can repeat the insemination. But if it fails befall this time? There are other options, from stimulation of sperm from the husband to ekstrakorporapnogo fertilization. There are two major groups: primary and secondary infertility. Primary – if a woman has never pregnant, secondary – if the pregnancy was, but more to come. The reasons may be even the same, but for secondary infertility, the most dangerous thing – abortion. When a healthy organism has to adjust to pregnancy and preparing for the birth of a baby, abruptly and violently reshaping, he experiences a shock. So that the pregnancy should be taken as a gift, but if you it is not willing to consult with an expert on how to avoid conception. Now there are dozens of effective drugs and methods to prevent unintended pregnancies, perfectly harmless to the body.

Flat Feet

Focus on two periods in a person's life that may arise in the formation of starting torque of static flatfoot in varying degrees. Pregnancy is a period of full flowering of the female body. At the However, this period can become an agent provocateur number of undesirable consequences. Since we are talking about feet, it should be noted that during pregnancy, especially in recent months may be "settling" of the foot as longitudinal and transverse. Why is that? Weight gain of pregnant women, decreased physical, muscular activity during this period are natural to the whole organism, but for the lower neblagopryatnymi extremities. How does this affect the feet? Muscles, ligaments, support the arches of the foot, can not cope with the increased demands of the above reasons.

This leads to the initial development and clinical the appearance of flat feet – foot flattens out, there are pains. Already in this period may be necessary to use larger size shoes. By the way, pregnancy can often cause initial venous disorders of lower limbs and, as a result – the development of varicose veins "venous mesh" so-called "stars" on the skin surface of the small veins. Anticipating such additional burden on the body of a pregnant woman should carry out preventive measures, which we'll talk further. Another, fairly common cause of the initial manifestations of flat feet, are injuries of the lower limbs, forcing to walk with crutches, as well as injuries and illnesses with prolonged exposure to the need bedrest. The reason is the same – reduced overall activity, but consequently, the load on the muscles, which become unable to perform fully its function in starting the load on feet, resulting in the arch "settle." In cases where the victim is forced to go on crutches, body weight falls on one leg. The foot is loaded, is spread. At the same time broken leg does not participate in the walk, not loaded, and atrophy of muscles.

Start the load on the injured limb without preliminary training of the muscles often provokes the beginning of the flat foot. During pregnancy, injuries, illnesses, with a decrease or complete cessation of the load of the lower limbs for a long time be taken into account and control two things: 1. Maintain tone and strength of muscle systems 2. Tselenopravlenno maintain the correct anatomical position of the stop under load until it is restored muscle activity and force . How to prevent the development of staticheskogoo flat under the above conditions of the human body will be discussed in one of the following discussions on the prevention of flatfoot. Please be aware that prevention flat – is prevention and follow-up of possible foot deformities and toes. Source:

Chronic Venous Disorders

Risk factor for chronic venous disorders and serves obesity, so it is very important in body weight control. Daily diet of patients with chronic venous insufficiency should include a lot of fresh fruits and vegetables, foods rich in fiber. Necessary limit the use of sharp, fatty and salty foods, since they may exacerbate the edematous syndrome. Predisposition to the appearance of varicose veins, working conditions, contributing to this, as well as the emergence of symptoms are sufficient for compression therapy, it is the most reliable and affordable way of correction of the venous outflow and of the pump leg. You can use bandages or medical hosiery (stockings or tights golfy.). A well-designed elastic bandage and appropriately chosen compression stockings prevent the extension of superficial veins and accelerate the blood circulation of the deep venous system. The easiest way to elastic compression bandaging a leg.

At the same time use the bandages and the average short stretch. The imposition of a compression bandage to spend the morning before the patient got out of bed. The physician should educate the patient technical features of the procedure. Bint begin with the cast of the foot, right at the base of the fingers, then wound in a spiral so it that each subsequent round of closed prior to 2 / 3 the width of the bandage. Particularly important that was tightly bandaged heel – this is done using a specific technique. Should inform the patient that the maximum tension and therefore pressure bandage to provide in the foot and ankle in, they should gradually diminish toward the hip. Convenient for the patient and the most appropriate in terms of normalization of venous outflow from the lower extremities, of course, is to use a special compression hosiery. With it creates a fixed, graded, progressively decreasing from the periphery to the center of pressure.

The problem lies in the doctor’s recommendation required type products (socks, stockings or tights) and a class of compression. The patient must choose a product strictly on size and use it regularly. At present, Russian market there is a sufficient choice of medical hosiery High quality in a wide price range. For the prevention of progression of chronic venous insufficiency and the appropriate use of pharmacotherapy. The patient should be aware that medication solves several problems: increased tone of venous walls, improvement of microcirculation and lymph flow, relief of inflammation, correction of fluid properties of blood. C. For this purpose it is now widely used drugs for systemic effects, etc. And, finally, in cases of valvular lack of subcutaneous venous trunks and perforating veins should be to convince patients of the need for timely surgical intervention. They need to understand that properly executed operation protects them from the emergence and related hazards. Only joint efforts of the doctor and patient can lead to prevention of its recurrence, cupping events

Uterine Fibroids

Myoma (fibroid) – a benign tumor of the muscle layer of the uterus. Can reach a large size, dense, rounded form. Fibroids may develop in the body of the uterus (95%) or in the cervix (5%). Most often fibroids multiple different sizes. Develop fibroids mainly in women 35-40 years old, young, very rare.

Before puberty, fibroids do not occur. When menopause tumor growth stops, and it may gradually disappear. Depending on the location of the fibroids are three forms: submucous tumor growth, under the mucous membrane in the direction of the uterus. interstitial-intra-musculature fibroids, in a small package asymptomatic, with an increase may diformirovat uterine cavity, causing pain. subserous-growing on the surface of the uterus in the abdomen. Symptoms of uterine fibroids. In the early development of the tumor itself does not manifest, detected at this stage in the routine inspection gynecologist.

It is therefore important to regularly visit a gynecologist (2 times a year). With the growth of fibroids there are various symptoms: menorrhagia, an increasing number of days of menstruation and krovotechnie becomes more abundant anemia is a consequence of menorrhagia metrorrgii-acyclic uterine bleeding, pain-in the lower abdomen and lower back. The nature of pain is different. In case of violation krovoobascheniya in uterine pain may be sudden and sharp. With slow growth of the tumor large-aching pain throughout the entire cycle menstrutsialnogo. If the tumor grows in the uterus cramping pain impaired function of adjacent organs is primarily the bladder and rectum. Tumor growth in the direction of these bodies is sdavlevanie. Because of this, it becomes difficult urination and more frequent. There are chronic constipation. May be a violation of the cardiovascular system: heart pains, decreased tone of the heart muscle treatment in Israel. Treatment of fibroids take place in Israel of Physicians and Surgeons methods. Therapeutic treatments are drugs that inhibit the development and growth of the tumor. For this purpose gormonicheskie drugs (eg, derivatives of progesterone). Other medicines- GnRH agonists inhibit the secretion and cause gonodotropinov psevdomenapauzu. Their use can reduce tumor size by 55%. Therapeutic treatment helps to keep the tumor without any consequences until menopause, when swelling goes away. This treatment is suitable for older women of reproductive age and after menopause. For younger people this treatment is used less frequently.