RU2082380C1 - Method to treat female infertility of endocrine-inflammatory genesis - Google Patents

Abstract

FIELD: medicine, gynecology. SUBSTANCE: treatment course should be started from the fourth day of menstrual cycle by conducting hydrogen sulfide balneotherapy and laserotherapy alternating in a day. Moreover laserotherapy is performed by impulse radiation from "Uzor" device by decreasing impulse frequency for every other procedure. During the first two procedures an impact is directed onto corporal points of acupuncture of total, local and segmental action, beginning from the third day additional intravaginal laserotherapy is carried out to act in series on posterior, right lateral, anterior and left lateral vaginal fortex. Total course includes 6-10 procedures of laserotherapy and balneotherapy. EFFECT: higher efficiency. 1 tbl

Description

 The invention relates to medicine and can be used in the treatment of gynecological patients with infertility of the endocrine-inflammatory genesis in resort and practical health care.

It is known to treat infertility due to inflammatory diseases of the uterus, including the effects of hydrogen sulfide balneotherapy using common hydrogen sulfide baths and vaginal irrigation, as well as exposure to electromagnetic waves [1]
However, the known method does not give the desired result and remission is 6-8 months.

 The proposed method is as follows: treatment begins on the 4th day of the menstrual cycle, alternating every other day with laser therapy with hydrogen sulfide balneotherapy, while laser therapy is carried out by impulsive radiation from the Uzor apparatus with a decreasing pulse frequency in each subsequent procedure, starting from 3000 Hz, and in the first two procedures, laser therapy is carried out by acting on corporal biologically active points of general, local and segmental action for 60 s each, and, starting with the third procedure ry, further comprising intravaginal laser therapy, affecting 90 to sequentially on the rear, right side, front and left side vaginal vault, all carried on a course of laser therapy procedures 6-10 balneotherapy and hydrogen sulfide.

 Total hydrogen sulfide baths are released 20 minutes after the irrigation procedure.

 Example. Patient O. 30 years. I was treated at the Sochi NIIKiF.

 Received with complaints of infertility, irregular menstruation, intermittent pain in the lower abdomen, mood instability, tearfulness.

From the anamnesis: Menstruation from 16 years old, irregular (after 20-40 days), moderately painful, not abundant. With the onset of sexual activity (from 19 years), the rhythm has not changed. In 23, she began to notice pains in the lower abdomen, white. When contacting a gynecologist, chronic inflammation of the appendages and a violation of the menstrual cycle were found. She was treated on an outpatient basis, received anti-inflammatory treatment many times, which did not give a result: the pains decreased, and menstruation did not settle down, on the contrary, menstruation delays increased up to 2 months. From 28 years old she was examined for infertility:
1. According to tests of functional diagnostics of the ovaries, anovulatory cycles with permanent hypoestrogenia.

 2. Hysterosalpingography of the pipe is partially passable, retubar adhesions.

 3. Ultrasound scan of the small pelvis in the 2nd half of the menstrual cycle: uterus 6.0 x 4.0 x 5.8 cm, M-echo-0.6; R. the right ovary is 3.6x2.3x1.4 cm, the left is 3.7x2.2x1.6 cm of a heterogeneous structure due to small echo-negative areas, there are no follicles in the ovaries.

 According to the examination, the patient was diagnosed with primary infertility of endocrine-inflammatory origin.

 With this diagnosis, the patient was sent to the clinic SNIIKiF, where the diagnosis was confirmed.

When examined at the research institute on the 25th day of the menstrual cycle, the symptoms of the “pupil” and arborization are well expressed, i.e. correspond (++), rectal temperature 1-phase, below 37 ^o C, KPI = 38%
Blood test: HB-119.32% leukocytes-9.6x10 ⁹ / l, eosinophils-3% monocytes-10% C / I-60% lymphocytes-25%
The absorption of J _{131 of the} thyroid gland is reduced: b / w 2 hours 4.4% (normal 10%), after 4 hours -10.2% (normal 16-18%), b / w 24 hours 14.0% (normal 24 -30%), which on a scale corresponds to signs of hypothyroidism (70%).

 Disturbances in the blood supply to the brain (the pool of the internal carotid arteries) with a moderate decrease in blood supply during stagnation (VRPV-0.20) and pronounced asymmetry (100%) of hemispheric hemodynamics were noted.

 In the basin of the small pelvis, a significant increase in vascular tone was noted (α / T = 24%).

 Noticeable abnormalities in the LPO system with an increase in MDA to 61.24 and a significant increase in trypsin levels (243.8 units with a norm of 80-100 units) were also noted.

 During the examination, the patient made a final diagnosis: infertility I of endocrine-inflammatory origin.

 The patient was treated with the proposed method: laser therapy from the UZOR apparatus on BAT N10 and vaginally N8 every other day with hydrogen sulfide balneotherapy (irrigation and general baths) N8, according to the following scheme (see the end of the text).

 On the 12th day from the start of treatment, the patient began menstruation. Further treatment was carried out from the 4th day of the cycle and completed on the 10th day of this cycle. In total, the course of treatment was 21 days.

 The patient treatment was well tolerated. An increase in estrogenic activity was noted: KPI was 45% (on the 9th day of the cycle); normalization of the absorption of iodine-131 by the thyroid gland; normalization of cerebral and peripheral geodynamics of restoration of indicators of lipid peroxidation and protein spectrum.

 The patient was discharged with significant improvement. The patient was recommended control of rectal temperature and other tests of ovarian function in the next 3 months after treatment. According to remote reports, the next menstruation was normal on the 32nd day, and in the next cycle the patient became pregnant. Pregnancy was normal, the woman gave birth to a healthy baby weighing 3600 g, height 52 cm.

 The proposed method treated 45 women. To date, long-term results have been obtained from 19 women, of which 12 pregnancies ended in normal childbirth, 3 women underwent pregnancy with signs of threatened abortion, in the 1st pregnancy occurred 1 year after treatment with the proposed method and it is currently progressing (data on October 1995), 3 women are asked to repeat treatment at the institute’s clinic due to infertility.

 Thus, the proposed method of treating women can cure them of infertility of endocrine-inflammatory origin in 84.3% of cases and restore fertility.

Claims (1)

 A method for the treatment of female infertility of endocrine-inflammatory origin, including conducting hydrogen sulfide balneotherapy by vaginal irrigation and general hydrogen sulfide baths and exposure to electromagnetic radiation, characterized in that the treatment is started from the 4th day of the menstrual cycle, alternating laser therapy with hydrogen sulfide balneotherapy every other day, while laser therapy carry out pulsed radiation from the apparatus "Pattern" with a decreasing frequency of pulses in each subsequent procedure, starting from 3000 Hz, and in the first two laser therapy procedures are carried out by acting on corporal biologically active points of general, local and segmental action for 60 s each, and starting from the third procedure, intravaginal laser therapy is additionally performed, acting for 90 s successively on the posterior, right lateral, anterior and left lateral arches vagina, a total of 6 10 procedures of laser therapy and hydrogen sulfide balneotherapy are carried out per course.

Images