RESUMO
The authors describe the international experience in vitro fertilization. The programme, realized in the People's Republic of Bulgaria, is divided into three periods: First period--taking eggs by laparoscopy; Second period--during which eggs have been taken by laparoscopy as well as transvaginally by ultrasound, when two pregnancies have been successfully realized; Third period--again eggs are taken only by laparoscopy as 1.46 eggs are obtained on the average per a patient. The authors describe the difficulties and problems, which stand before them for solving. Taking into consideration their own and foreign experience, the authors think that the age of women, individual stimulation, monitoring and timely performance of the operation for taking eggs are of special significance.
Assuntos
Fertilização in vitro/métodos , Oócitos/citologia , Adulto , Envelhecimento/fisiologia , Bulgária , Feminino , Humanos , Laparoscopia , Manejo de Espécimes/métodos , VaginaAssuntos
Climatério , Osteoporose/epidemiologia , Doenças Uterinas/epidemiologia , Adulto , Bulgária , Feminino , Humanos , Pessoa de Meia-Idade , Osteoporose/diagnóstico por imagem , Osteoporose/prevenção & controle , Radiografia , Doenças Uterinas/diagnóstico por imagem , Doenças Uterinas/prevenção & controleAssuntos
Hiperprolactinemia/complicações , Infertilidade Feminina/etiologia , Amenorreia/diagnóstico , Diagnóstico Diferencial , Feminino , Galactorreia/diagnóstico , Humanos , Hiperprolactinemia/diagnóstico , Infertilidade Feminina/diagnóstico , Lactação , Ciclo Menstrual , Menstruação , Oligomenorreia/diagnóstico , Ovulação , Hipófise/metabolismo , Gravidez , Prolactina/metabolismoAssuntos
Hiperprolactinemia/tratamento farmacológico , Animais , Bromocriptina/metabolismo , Bromocriptina/uso terapêutico , Ensaios Clínicos como Assunto , Alcaloides de Claviceps/uso terapêutico , Feminino , Humanos , Hipotálamo/efeitos dos fármacos , Gravidez , Prolactina/antagonistas & inibidores , Prolactina/metabolismo , Ratos , Fatores de TempoRESUMO
PIP: The authors describe 10 women with postpartum amenorrhea of variable etiology (functional hyperprolactinemia, organic processes of the hypophysis, amenorrhea induced by drugs, uterine trauma, and amenorrhea due to disturbed endometrial receptivity to the action of ovarian hormones). In some patients with amenorrhea, the applied treatment is described along with the recovery of menstrual function and the occurrence of pregnancy. (author's modified)^ieng