you are: DIAGNOSTICS

the Anamnesis . From the patient with complaints to barreness first of all find out duration, intensity, a rhythm of an intimate life in marriage, protection from pregnancy and an applied method of contraception. Establish, whether were in the past of pregnancy at the spouse or other partner, when and as have ended.

Finding-out of the named moments allows to establish, whether there is a primary barreness, on what specifies absence of pregnancy throughout two-year-old regular °olovoj to a life without excesses, dizritmy and contraceptions, or secondary which is ascertained in the event that earlier "were pregnancy, and throughout last 1 5 years __ 2 years of a rhythmical sexual life without protection from pregnancy conception does not come at full gynecologic well-being of the spouse.

At primary barreness find out, how the period of sexual development and maturing proceeded. The delay of puberty shown (overdue ovolosenie, lomka voices, occurrence polljutsy, display of a sexual inclination) testifies about sekretorno-endokrinnoj insufficiency which is characteristic for congenital or got in the early childhood gipogonadnyh conditions. Normal development and maturing can specify in presence ekzogennoj or endogennoj intoxications of the congenital or got obstructive changes in semjavyiosjashchih ways.

Besides told above, it is necessary to find out a condition kopuljativioj functions, a rhythm of a sexual life. It is known, that excessively frequent the same as also too rare, sexual dialogue at a normal condition spermatogeneza sharply reduce probability of conception.

Pay attention to working conditions and a life, contributing to physical overfatigue and a psychoemotional overstrain, presence of contact to harmful factors (physical, chemical), that can essentially reduce or completely switch off reproductive function. Finding-out and elimination of the named influences is obligatory for achievement of positive medical effect.

Establish also features of a food of the patient. Absence in a diet containing vitamins (And, E, V products, and also physiological norm high-grade belkrv, fats and carbohydrates it is adversely reflected on spermatogeneze. Abusing alcohol and a tobacco smoking can be the independent causal factor of blocking spermatogeneza - its finding-out and elimination should be provided in respect of treatment.

Presence of barreness at men on a parent and fatherly line can testify to predisposition to the chromosomal diseases sharply reducing fruitfulness.