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Besides the listed clinical and laboratory methods of diagnostics of barreness men quite often have a necessity to establish or exclude presence of pathological changes in other bodies - a liver, kidneys, a stomach, an intestines, lungs. Necessary laboratory researches are with that end in view made: analyses of urine, blood, a secret predstatelnoj glands, contents of seed vials, duodenalnoe sounding, definition of functional tests of a liver, and also corresponding radiological and endoskopicheskie researches.
The Estimation of fruitfulness and differential diagnostics of its infringements. Along with the forms of barreness described above men have a set intermediate and fruitfulness infringements. In other words, degree and character of infringement of fruitfulness at the same form of barreness can be various. In one cases conception is absolutely impossible, in others - there is the defective conception which is coming to an end with spontaneous interruption of pregnancy, in the third - there comes the pathological conception which is coming to an end with spontaneous interruption of pregnancy, in the fourth - there comes pathological conception, i.e. Pregnancy remains, but the dead fruit or viable, but with congenital defects is born.
Clinical variants of infringement of fruitfulness of the man oouslovleny various kinds patospermii Indicators spermogrammy about which it was in detail spoken above, have many gradation. There are ten basic indicators spermogrammy, each of which can have essential influence on fruitfulness: kolinost spermatozoonov, pathological forms, cages spermiogeneza, spermatoaggljutinatsija, the kislotno-core a condition, time razzhizhenija ejakuljata, quantity of fructose, microflora.
Difficulties in an estimation spermogrammy consist that the most correct conclusion about fruitfulness ejakuljata can be given at integrativnom the approach. In this direction there is variety of offers. Among them it is possible to name an indicator of fruitfulness Farris (1847).
There are also other ways of an estimation of fruitfulness of sperm.
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