Health, Women Health
Ovarian Drilling and Pregnancy: Feedback
An actual problem in the whole world is female infertility. Statistics found that one in five young couples can not conceive a child. More than 50 million couples need the use of assisted reproductive technologies. The surgical way is one of the important ways to solve this problem, where medicine has advanced far ahead. With the introduction of nanotechnology, such an event is conducted with the slightest negative outcomes. Very often, women resort to such a lightweight modern technique as laparoscopic ovarian drilling. This will be discussed in this article.
Basic concepts
Let's analyze what is laparoscopy and ovarian drilling. The most important cause of infertility is the development of the so-called polycystic ovary syndrome. The only appropriate way to get rid of this polycystosis and get pregnant is drilling the ovaries. Translated from English, this word means "puncturing". What is this method - ovarian drilling? Under it is meant a surgical operation, during which small punctures (incisions) of 2 mm are made in the ovaries. This leads to stimulation of maturation of the egg and creates the prerequisites for the further conception of the child.
In our time, such surgical interventions are done laparoscopically. What is laparoscopy? The first part of the Greek word laparo means "belly", and skopeo - "look". Laparoscopy is a type of surgical operation and diagnostic examination of internal organs. What is the difference between laparoscopy and other surgical procedures? It is carried out through relatively small holes, and the usual operations require large incisions. Laparoscopy is performed with the help of microprocessor technology. This procedure replaced the more traumatic, which was used in gynecology, - resection.
Signs of the disease that require stimulation of ovulation
What happens with polycystic ovaries and why can not a woman get pregnant? Maturation of the egg in this disease is impossible, and it does not enter the uterine tube, where ovulation usually occurs. Such an exit of the ovum is hampered by the emerging sclerokinous membrane surrounding the ovaries.
Polycystic can be primary and secondary. At primary there is a violation of the menstrual cycle and maturation of the ovum, and in the secondary one - the formation of the sclerostasis. This can be caused by hormonal failure in the body or chronic inflammation of the urogenital system.
What leads to the disease and what are the main manifestations of polycystosis
The causes of the syndrome of polycystic ovaries leading to infertility are as follows:
- Violation of the endocrine system. There is a failure in the ovaries, adrenal glands, pituitary gland, thyroid gland.
- Prolonged stressful situations, constant breakdowns of the nervous system.
- Violation in the formation of female genital organs in adolescence due to frequent infectious diseases.
- Genetic prerequisites for this pathology.
In every ill woman polycystic ovary manifests itself in different ways. Nevertheless, there are a number of signs, most often encountered in affected women:
- There are malfunctions in menstruation, with time it may be completely absent. Sometimes uterine bleeding occurs.
- Ovulation in the fallopian tubes does not occur. The possibility of getting pregnant is missing.
- On different parts of the skin (face, chest, back) there are severe acne eruptions.
- The shell of the ovary thickens, and small cysts appear on it.
- There is a lightning-fast weight gain in women with a normal diet. This can lead to the development of diabetes.
- Hypertension often develops, which is accompanied by a darkening of the face, lower ribs and inguinal area.
- Women experience depressive and stressful conditions, anxiety, chronic fatigue.
Positive aspects of such interference
Similar problems with women's health are first solved by preliminary medical therapy, observance of a special diet. Very often it gives positive results - 60% of women manage to become pregnant. If improvements are not observed, then drill the ovaries. This intervention has the following positive features:
- There is no need to take a long course of taking medications and visits to a gynecologist.
- Reduces the risk of forming several fruits at once, which often occurs after the stimulation of ovulation with medicines.
- The operation is carried out quickly and is safe for the woman.
- Drilling helps to recognize the level of patency of the fallopian tubes, it makes it possible to separate the spikes during the operation.
- After laparoscopic intervention, the scar is completely absorbed, the rehabilitation period passes in a short time.
Preoperative preparation period
Before ovarian drilling, the patient must perform some pre-operative procedures:
- Delivery of blood tests to identify the group and Rh factor;
- Urine study according to the general scheme;
- Studying the patient's cardiogram and a picture of the lungs;
- Ultrasound examination of the genitourinary system;
- General gynecological examination;
- Delivery of tests from the vagina;
- Consultative moments with other specialists.
The operation requires obligatory cleaning of the intestine from gases and feces. Their non-elimination can lead to tissue damage. Before the procedure, the patient should not drink water and eat. Laparoscopic ovarian drilling is performed under general anesthesia.
Drilling technique
Drilling of the ovaries is a gentle method of surgical intervention. The operation is carried out in several stages:
- The patient is given a general anesthetic, after which three punctures are performed in the abdominal cavity, through which the necessary instruments will be inserted.
- With the aid of a special needle, carbon dioxide is introduced into the abdominal cavity, which allows one to see the internal organs.
- The polycystic ovary is examined and its condition is analyzed (as it increased in size, darkened, covered with cysts).
- The organ is 4-6 incisions, other possible pathologies are eliminated.
- Punctures are sutured, and carbon dioxide is eliminated from the abdominal cavity.
Sewing is performed by several cosmetic sutures. Punctures (cuts) on the ovaries are at a certain distance from each other, so as not to cause scarring.
This operation reduces the concentration of androgens circulating in the blood around the ovary. After ovarian drilling, ovulation is restored.
Several methods of laparoscopy
The above-described carrying out of ovarian drilling refers to the laser method. The laser is the most effective method of laparoscopy.
Highly effective technology is the ultrasonic method. Such an operation is performed using an ultrasonic scalpel. This method allows you to perform the operation qualitatively and reliably, preserving all the tissues of the organs.
Sometimes the so-called electric drilling is practiced. In this case, incisions on the ovaries are performed by means of an electric current.
Drilling of both ovaries
Having carefully studied the pathology, doctors decide whether to drill both ovaries. Most often it happens.
After the operation, the patient should take additional hormone therapy. Within 12 weeks, the woman is controlled by the process of ovulation. In case of her absence, the patient should continue taking hormones.
Equally effective are both electric and laser drilling, but more affordable is the electric one. The menstrual cycle is normalized usually after the operation. Sometimes it is possible to delay menstruation for 2-3 months. In this case, the patient is prescribed a drug, often it is "Dufaston".
Consequences of ovarian drilling
Recovery after laparoscopic drilling takes place in a fairly short time. Large vessels during surgery are not affected, so the procedure is absolutely safe for health. Sometimes the resulting effects include the appearance of bleeding and the development of an allergy to anesthesia. Very rarely, the following complications occur:
- The temperature rises;
- There are pains in the lower abdomen in the form of fights;
- Dizzy, weak in the body;
- There are dark discharge.
Most often, recovery is rapid, the patient is already discharged from the hospital on the second day. The doctor recommends that women abstain from sexual activity and physical activity. Additionally, the passage of physiotherapy and the intake of vitamins is prescribed.
The sutures are removed after a week, and after half a month an ultrasound is performed, which will show how much the reproductive function was restored.
Ovarian Drilling and Pregnancy
The work of the ovaries after the incisions is stimulated, and the ovulatory function is restored. But this is not a permanent effect. About a year later the fertility is again reduced. Pregnancy after ovarian drilling does not need to be postponed for a long time. It is best if this happens in the first six postoperative months.
To increase the possibility of becoming pregnant, folic acid is additionally prescribed, an active lifestyle, refusal from alcohol and smoking, and the intake of vitamin products are recommended. The probability of conception after these measures is much higher.
Patients' feedback on the procedure
Many readers are interested in ovarian drilling and pregnancy. Feedback about this surgery suggests that the formation of the follicle after it becomes more intense. Thanks to this there is a great chance to become pregnant.
Reviews on ovarian drilling give the possibility to draw conclusions that polycystosis, which interferes with pregnancy and bearing fruit, is no longer a sentence. Many patients were convinced that this procedure is absolutely safe and brings effect. It also helps to solve the problem in a short time, does not require a long rehabilitation period. For many couples, drilling brought a chance to experience the joy of becoming parents.
Nobody makes decisions about the use of drilling, except for the patient herself. The knowledge of modern doctors allows you to take into account all the psychological and physiological characteristics of women. Preliminary the patient is offered examination and conversation with the psychotherapist. The process of carrying out ovarian drilling has been shot many times in a video, where you can visually see the whole procedure.
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