Assessment of Tubo-Peritoneal Factors
Infertility caused by tubal factors is among the most common causes of infertility, representing 30% of female infertility. Tubo-peritoneal infertility occurs when the uterine tubes are blocked due to diseases, injuries, scars, or obstructions that prevent the passage of sperm for fertilization or hinder the embryo from reaching the uterus for implantation and the establishment of pregnancy.
The main causes:
• Gynecological infections (especially with chlamydia, mycoplasma, ureaplasma) and pelvic organ inflammations;
• Intrauterine procedures and operations: abortion, intrauterine contraceptive device, curettage
• Surgical operations on pelvic organs: ovaries, fallopian tubes, uterus
• Endometriosis
How do we diagnose?
1. Tests for causative infections of pelvic inflammatory disease.
The most common cause of inflammation of the uterine tubes is Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, and Trichomonas vaginalis. In the case of detecting Chlamydia trachomatis infection, we recommend an additional test, Anti-cHSP60-IgG, which is a marker of untreated chronic chlamydial infection. Patients with a positive result for this factor are at risk for infertility, ectopic pregnancy, repeated IVF failures, miscarriage, and missed abortion.
2. Tubal permeability tests.
The determination of uterine tube permeability can be done through ultrasound (sonohysterography), radiographic methods (hysterosalpingography), and endoscopic procedures (laparoscopy).
Sonohysterography is an ultrasound procedure used for the evaluation of intrauterine pathology and uterine tube permeability.
At Alternativa Clinic, the most informative diagnostic method for intrauterine pathology and uterine tube permeability is implemented - Hysterosalpingo-foam sonography (HyFoSy), which ensures excellent visualization of the structures of the uterine cavity and uterine tubes.
Additionally, our clinic specialists will assist you in choosing the specialist and/or clinic where you can undergo laparoscopy if necessary.
Hysterosalpingo-foam sonography (HyFoSy) price – 3,000 MDL
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Infertility
• Infertility in couples
• Recurrent miscarriages and halted pregnancies
• Uterine factor: thin endometrium, endometritis, adhesions, polyps, uterine fibroids, etc.
• Ovarian factor: low ovarian reserve, polycystic ovary syndrome, ovarian cysts
• Hereditary and acquired thrombophilia
• Gynecological infections: chlamydia, mycoplasma, ureaplasma
• Menstrual disorders: painful, heavy, irregular, amenorrhea
• Specialization in endocrinology
Fertilizare In Vitro
• Pregătirea cuplului către fertilizarea in vitro
• Folosirea adjuvantelor pentru sporirea succesului FIV: anticoagulante, imunoterapie, terapie hormonală pre-FIV, ”scratching” endometrial, PRP (Platelet-Rich Plasma), irigații intrauterine, vitamine, suplimente nutritive
• Alegerea protocolului de stimulare ovariană, Mini-FIV, FIV în ciclul natural
• Monitorizare ecografică și hormonală a stimulării ovariene
• Eșecuri repetate ale procedurii FIV
• FIV la femeile după 40 ani
• Referire pentru procedura FIV către clinicile partenere din RM, Ucraina, România, Europa
• Conduita sarcinii după FIV
• Treatment of genital tract infections (Chlamydia, Mycoplasma, Ureaplasma, Trichomonas, Candida, Gardnerella, etc.). This includes performing treatment procedures: uterine instillations, Vaginal PRP
• Couple's infertility: folliculometry, ovarian stimulation, intrauterine insemination, foam sonohysterography, hysteroscopy
• Reproductive rejuvenation: Vaginal PRP, Endometrial PRP
• Specialization in endocrinology
• Diagnosis and treatment of female infertility
• Treatment of endocrine-dependent menstrual cycle disorders (endometriosis, polycystic ovary syndrome, uterine fibroids)
• Pregnancy planning
• Hormone replacement therapy in menopause and post-menopause.