The procedure consists in performing several small notes on the mucous membrane of the uterus. This damage launches biological processes to highlight hormones, under the action of which the inner surface of the uterus becomes more sticky. Due to this, the chances of a beneficial implantation of the embryo increase and the occurrence of pregnancy.
Endometral Screaching is carried out, as a rule, 1-2 weeks before Eco. The day of the cycle for manipulation chooses a doctor. Special preparation of the patient is not required, but a prerequisite for conducting the procedure is the lack of inflammation in the cervical canal.
Skratching is carried out outpatient and is a painless procedure that does not require anesthesia. A catheter with a piston is introduced into the patient's uterus cavity (so. The diameter of the catheter is not more than 3 mm, then there is no need to expand the cervical channel). After administration, the piston is pulled out, due to the pressure being created at the same time, the particles of the endometrial are drawn into the catheter, at this time the patient may feel small discomfort, which, as a rule, quickly passes.
The whole procedure takes about 5 minutes, after conducting scratching and receiving assignments from a doctor, a patient can immediately leave the clinic. After manipulation, a woman may have little bleeding and spasms that pass on their own.
Regular surveys for women are a necessity, especially if she plans pregnancy. At the same time, it is important to estimate the state of the endometrium of the uterus to eliminate the likelihood of pathologies.
Endometrium plays a direct role in the correct attachment of the fetal egg, and if the cells of the inner layer of the uterus have any defects, the offensive and the development of pregnancy becomes almost impossible.
Among the pathological states of the endometrium is distinguished by endometrite and. Often, these concepts are confused, but these two diseases have a completely different character and the treatment approach is also significantly different.
In the endometritis, the mucous membrane of the uterus is inflamed, and most often the fungal, bacterial and viral infections contribute to this, which fell into the fabric of the organs of the sexual system. Among the causes of the endometritis are the most common infectious diseases transmitted by sexually transmitted, abortion, including spontaneous, purging pipes, childbirth, the use of intrauterine spirals.
The composition of the endometrium is distinguished by basal and functional layers. In the process of the ovarian cycle, the endometrium thickness changes due to the functional layer, which is first thickened, getting ready to take a fetal egg, and then rejects during menstruation, if the pregnancy has not come.
Eco success by 90% depends on. The highest percentage of pregnancy occurs when transferring the embryos of the 5th day of development -. The embryo is also taken on or does not come true after transferring it to the uterus depends on many factors, the main of which is the correspondence of the stages of the development of the embryo and endometrial. The embryo should get into the uterus in a strictly defined point when the implantation window is open. If this did not happen, it will not come.
The implantation window exists a few days in the luteane phase of the menstrual cycle and is the result of the impact on the endometrium of a plurality of factors that provide conditions for the implantation of the embryo.
Every month there is a complete update of the endometrium - it is rejected into menstruation of its cells and in their place under influence - estrogen - new ones begin to grow. The maximum thickness of the endometrium reaches after ovulation. On the surface of the cells, the effect of progesterone is formed by pin items, which perform the role of a link between the embryo and the wall of the uterine cavity (photo of the pins). If this process is broken, pregnancy will not come.
The endometrium state of the doctor assesses the thickness of the endometrium and its structure during the ultrasound process. Insufficient or excess endometrium thickness (thin or too lush endometrium) can disrupt the implantation process. The optimal thickness of the endometrium on the day of the embryo transfer is 8-12 mm. This does not mean that the occurrence of pregnancy is impossible with a smaller or greater thickness of the endometrium, however, the probability is much lower.
no less value than the thickness of the endometrium, it has its structure. The presence in the uterus of polyps, hyperplasia, synech (adhesions) after inflammation or surgical interventions (abortions, scraping), chronic inflammatory process - all this reduces the likelihood of pregnancy and requires active treatment before attempting.
In some centers, mandatory hysteroscopy requires a mandatory hysteroscopy in order to evaluate its "eye" and the removal of pathological finds (polyps, synechs, etc.). In our center it is not a requirement, but a recommendation if such a suspicion occurs during the ultrasound. We prefer that this procedure is performed against the background of anti-inflammatory treatment and as close as possible by the time of Eco.
In cases where, according to an ultrasound and histological examination of the material obtained during scraping, pathology is not detected, but the endometrium remains thin and does not respond to hormonal therapy, some clinics offer the study of the uterine blood flow using ultrasound and immunohistochemical Determination of receptors to estrogen and progesterone. Convincing data for the usefulness of such studies has not yet been received.
The purpose of some drugs allows you to achieve a higher frequency. As a rule, it is progesterone or its analogues (uremines, edge and others). They are prescribed most often the next day after the afterwards continue to 8-12 weeks. In the event of an insufficient endometrium thickness (less than 9 mm to the day of the introduction of XG), it is recommended even before puncture add estrogen preparations and continue their reception after. It is very important before the test of pregnancy, and in the case of a positive result and after it, do not stop the reception of drugs aimed at maintaining it. The eznaya cancellation of drugs can lead to a pregnancy interrupt. Pregnancy test should be performed on 12-14 days after the transfer of embryos.
The first trimester is considered fragile and dangerous time for a woman and fetus. There is a possibility of interrupting pregnancy in the first 12 weeks. Many women intentionally keep their "interesting position" secret, creating favorable conditions for the development of the baby.
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