Gynecology. About fertility treatment, artificial insemination and sterilization, and problems with the abdomen

Many women experience at some point in life reduced quality of life due to problems in the abdomen. It may be in the form of pain, bleeding disorders, involuntary urination, heaviness or discomfort in the abdomen. Today it is possible to effectively treat many of these symptoms. Investigation and treatment can be done outpatient and will typically consist of both a gynecological examination by ultrasound examination. At the same time, many operations are performed with telescopic method.

Gynecological examination

The study conducted in a so-called gynecological rent. An examination couch fitted with braces for knees or feet, where the woman sits up on the couch with the end at the edge. Leans back and lifts her legs up in stirrups. Physicians now have free access to label and look for in a manner that is most convenient for both parties. The general pelvic examination consists of two parts. The doctor looks up into the vagina using a so-called spekel and physician feel two fingers into the vagina. First, the physician looks and feels the outside in order to observe whether there are changes around the labia and the three openings, the urethral meatus, vagina and rectum. It lasts a short time. The reason to undergo a gynecological examination can be many. Perhaps young women may experience their first pelvic examination in connection with advice on contraception. Or if the woman has a bleeding disorder, stinging, itching or other problems. Or by pain or suspected tumor. Or, at the cell sample. Or if there is to be made inoculations of bacteria in the cervical (chlamydia). Or investigation is a routine check to see if everything is in order. - Click to read more in FAQs >>

Curettage

With a gynecological curettage examines whether there are lesions in the uterine cavity mucosa. A curettage is usually done under local anesthetic during the gynecological examination. However, it may occasionally be appropriate to perform curettage in general anesthesia, for example if you have a very narrow cervix or if there must also remove a polyp. If your bleeding pattern is changing, it may be due either to hormonal disorders or a benign or malignant disease of the cervix, or inside the uterine cavity. To make a correct diagnosis becomes gynecologist had to make a curettage to examine the mucosa closer to a microscopic examination. Therefore, it happens frequently that women with bleeding disorders undergoing a curettage. Especially older women, who begins to bleed again after menopause, also called the post-menopausal bleeding.   - Click and read more in FAQs >>

Fertility treatment, IVF

When speaking about artificial insemination, the majority vitro fertilization (IVF) treatment. This method is used if a woman can not become pregnant by natural means. This may be because the woman's ovulation is not regular, or because the quality of the man's sperm is not good enough. It may also be that the sperm and egg can not cooperate on fertilization, does not come close to each other or to the developing fetus in the uterus stops. Many believe that it is easy to become pregnant. Therefore, it may come as a surprise when pregnancy is delayed after you have stopped to protect themselves. The truth is that it usually takes a long time before the test is positive. For 80 percent. succeed within a year. - Click to read more in FAQs >>

STERILIZATION

Any woman who is aged 25 years, can ask to undergo sterilization. Thousands of women avail themselves of this opportunity as contraception, but you should nonetheless make clear to you that if you later in life regret, there are no guarantees that the passage through the fallopian tubes can be recreated, so it is possible to become pregnant again . Only one other of these operations (Refertilisation) succeeds so well that pregnancy can be achieved. The risk of ectopic pregnancy will also be increased because of scar tissue in the fallopian tubes after the interventions. Therefore, you should think carefully about. It is also important to remember that sterilization does not protect against sexually transmitted diseases.

Considerations before sterilization

Sterilization is in contrast to other contraceptive methods to be regarded as a definitive decision not later in life to have children. In a fixed relationship to sterilization of either the man or woman come to light, once the family feels it has reached its final size - especially if there are still long back of a woman's reproductive period. Although sterilization is a personal choice, it is the physician who is involved in the request for sterilization, a key advisory role so that the final decision will only be taken once all aspects have been thoroughly elucidated. But neither the woman or man has sterilization effect on hormones. Production of estrogen and progesterone continue unchanged. That is, the menstrual cycle thus should continue unaffected. - Click to read more in FAQs >>

The procedure itself

The surgery is usually done under general anesthesia by a keyhole operation. A laparoscope which is inserted through a small opening in the navel. Through this is done over the burning of the fallopian tubes. You meet fasting on the day of surgery for general examination and then surgery. You can go home later the same day with escorts. After surgery, there may be pressure in the diaphragm and in the shoulder, especially the right. There may also be easy pelvic pain the first few days, which can be treated with ordinary painkillers. Security against pregnancy is over 99%. A couple of days of sickness absence from work will generally be enough.

Refertilisation if you regret

Can I undo? Yes - and it's actually quite a few that do. Changes in one's life situation may mean that you regret that at one time it was sterilized. It is possible through a keyhole surgery to restore passage through the fallopian tubes, but there are no guarantees that the woman can become pregnant again, with only each other of these operations succeed so well that pregnancy can be achieved. The chances of pregnancy depends on the woman's age and partly by the circumstances of the fallopian tubes. Instead refertilisation where the passage through the fallopian tubes attempted restored by surgery, pregnancy achieved by IVF (In Vitro Fertilisation). IVF is also a possibility of failed refertilisation. - Click here to read more in FAQs >>

Prolapse of the uterus

By subsidence of the abdomen bulges intestine or bladder into the vagina because of weakness in the vaginal wall. The uterus can also be submerged. The operation is performed under general anesthesia or in the "spinal" and lasts ½ -2 hours, depending on the type of operation. The operation is "bottom" through the vagina. The physician removes some of the vaginal mucosa, and the vaginal wall is reinforced with wire, which dissolves by itself. This keeps the intestinal and bladder in place. Finally, the doctor puts a strip of gauze in the vagina and a catheter in the bladder. Gaze Strip, catheter and drainage can usually be removed the day after surgery. To avoid subsidence occurs again, it is important to perform pelvic floor exercises daily, to avoid heavy lifting and keep the stool in order. You will receive instruction in Kegel exercises and exercises that strengthen the pelvic floor. Exercises, however, may only start after 6 weeks. Oestrogen treatment, where appropriate as a suppository or cream may also be beneficial.

Removal of the Uterine

When the uterus is immersed, it may be advantageous to remove some of the cervix uterus or all at the same time. Sometimes it can first be determined during the operation, whether to remove some of the uterus. You can expect to be discharged after 2-3 days. Sick is usually 4-8 weeks depending on the mode of operation, the age and labor. During the first 6 weeks you can gradually resume their domestic activities and live as usual, including the initiation of sexual relationships, which may hurt a little the first couple of times. However, it is important not to delay the resumption of cohabitation for long, as the vagina thereby may eventually become blocked due to scarring. Is vagina sore and dry, can be used peanut oil exploration or cream (available over the counter at pharmacies). Avoid tub and swimming pool for the first 6 weeks for the wound in the vagina has healed. It is normal vaginal discharge or slight bleeding for a few weeks after surgery. The threads that sew with, disappears by itself within a few weeks. Avoid heavy lifting and vigorous movements (sports) and cycling the first 6 weeks.

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