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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Gynecologist, IVF Specialist
40+ years of experience
Expertise

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
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Consultation at the clinic

Doctor's schedule

Monday 9:30 – 14:00
Tuesday 9:30 – 14:00
Wednesday 9:30 – 14:00
Thursday -
Friday 9:30 – 14:00
Saturday 10:00 – 15:00
Sunday -

Gynecologist, IVF Specialist
10+ years of experience
Expertise

• 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

Consultation at the clinic

Doctor's schedule

Monday 8:30 – 17:00
Tuesday 8:30 – 17:00
Wednesday 8:30 – 17:00
Thursday 8:30 – 17:00
Friday 8:30 – 17:00
Saturday 10:00 – 15:00
Sunday -

Gynecologist, IVF Specialist
10 years of experience
Expertise

• 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.

Consultation at the clinic

Doctor's schedule

Monday 9:00 – 15:00
Tuesday 9:00 – 15:00
Wednesday 9:00 – 15:00
Thursday 9:00 – 15:00
Friday 9:00 – 15:00
Saturday 10:30 – 15:00
Sunday -