| you are: CLINICAL FORMS of BARRENESS At MEN
barreness Difficult to explain is allocated for the first time as the independent form in 1977 by English scientists who conducted the retrospective analysis of "hopeless" patients suffering by barreness (Lenton and soavt., 1977). They have established, that at primary "hopeless" barreness at spouses after the 7-year-old period of a sexual life of conception have made 36,2%, and in group of patients with secondary barreness, i.e. Before having pregnancy, - 78,7%. Proceeding from the received data, authors have proved the scheme of rehabilitation of the first group of patients in the time relation.
McBain, Peppereil (1980) have proved criteria of definition of a considered pathology, the possible reasons and treatment schemes.
The Basic criteria of a substantiation of difficult to explain or doubtful barreness: the presence proof ovuljatsii by means of histologic or biochemical research, passableness acknowledgement matochnyh pipes with the help gisterosalyshngografii and laparoscopies. Indicators spermogrammy at level of the bottom border of norm: concentration spermatozoonov - 40 million/ml, actively mobile - not less than 40%, pathological forms - no more than 40% of total.
The Most real reasons in these cases - anatomic (at women - displacement of a body of a uterus kzadi - a uterus bend kzadi, tortuosity matochnyh pipes, passage infringement jajtsekletki; at men - narrowing of the extreme flesh, some forms epi - and gipospadii) and functional deviations (at women - a pathology of development of a follicle and ovuljatsii, a pathology jajtsekletki, a pathology ljuteinovoj phases, presence siermatoimmobilizirujushchih antibodies in slime of a neck of a uterus, infringement of biochemical properties.sheechnoj slime, the psychogenic reasons; at men - infringement mitoticheskogo divisions spermatogony, tubuljarnyj a sclerosis, infringement mejoticheskih phases spermatogeneza, etc.).
Under our supervision there were 16 men, the suffering doubtful or form of barreness difficult to explain. At their wives full preservation of genital function is established: at 9 from them earlier were pregnancy and childbirth, and at the others 7 - anatomic, gametoobrazovatelnye radiological indicators without deviations from norm. At 10 surveyed men indicators spermatogrammy without norm deviations: concentration spermatozoonov - Â"0-80 million/ml, from them actively mobile-70-80%, pathological forms-20-36%; at 6 patients concentration spermatozoonov-40-60 million/ml and accordingly subnormal indicators of mobility and structure spermatozoonov is revealed pe-oemezhajushajasja oligozoospermija I degrees. The named indicators periodically were replaced normozoospermiej.
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