Парамонов в Ганновере Клиника доктора Парамонова

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Question

Good afternoon. Daughter of 19 years, having started to live sex with a young man, it was revealed erosion of the cervix. Treated, was tested, the result of HPV types 16 and 18. Appointed Allokin-alpha. The daughter treated, but to convince the young man was unable to pierce the injections. Tell me, is there a risk of re-infection? May want to chop Allokin-alpha for prophylaxis with what frequency it is necessary, or in any case, treat your partner? Catherine

Responsible
obstetrician gynecologist in the highest category of Marina Fadeeva

 

dear Catherine, most papilloma virus is sexually transmitted - and in any type of contact: genital, anal or oral. If one sexual partner in the pair is constant papillomavirus, the infection is almost guaranteed second, because the virus is transmitted very easily. In order to avoid possible reinfection (in the absence of treatment with one of sexual partners) should be taken prevention: condom use (even if the warts have been removed, the virus can continue to live in human blood).
Currently there are no clear patterns of treatment of human papillomavirus infection, and the choice of treatment depends on the type of disease caused by human papilloma virus (HPV), the stage of its development, and other factors. Almost all known to date methods of treatment are aimed only at eliminating the manifestations of human papillomavirus infection, and not to remove the virus from the body. Tertiary prevention is aimed at reducing HPV frequency of possible recurrence of already infected patients. Number of medications are used immunomodulators, the regimen prescribed by your doctor for full-time inspection.

Question

In 2006, sterilization was performed. Can I do the inverse operation?

Responsible
obstetrician-gynecologist at the highest category, honored doctor of Russia Nina Baranova Kiramovna

In some cases you can achieve reversibility of sterilization operations. However, such "kontroperatsii" difficult and often ineffective. Women who become pregnant after surgery restore the integrity of the fallopian tubes, increasing the risk of ectopic pregnancy. Both male and female sterilization operations should be taken as final. They are recommended only mature couples having at least two children.

Question

Can you in your clinic have a medical abortion? Ina.

Responsible
Head of the Department of Obstetrics and Gynecology, doctor of higher category Serdyukov Nikolai

dear Ina, for religious reasons, specialists of JSC "The clinic doctor Paramonov" do not make abortion any method of removal of the ovum.

Question

Hello! Please tell me that blood tests show a karyotype? Thanks in advance, Dean.

Responsible
Head of the Center for Human Reproduction Clinic Paramonov, doctor of higher category reproductologist Kurskova Olga

dear Dean, karyotype - a set of features a full set of chromosomes of somatic cells at metaphase (III phase of cell division) - the number, size, shape, structural features. Karyotype study conducted by light microscopy to identify the disease chromosomes. Most often, this study conducted in children to identify diseases caused by disturbances in the chromosomes and the couple with infertility or habitual miscarriage. Detection of chromosomal rearrangements in this case allows us to establish the cause of infertility and to predict the risk of giving birth in the family, children with chromosomal disorders.

Question

Hello! Can you please tell me what tests you must pass, if I have a suspicion of bacterial vaginosis (typical symptoms), and to find out whether there is adverse changes in the cervix (erosion or other negative deviations, which can reveal the analyzes). PCR diagnosis I have passed. Also gardnerella nothing was found. I have treated, but then the problem appeared again, the same symptoms (no partner, could not catch). Sincerely, Catherine.

Responsible
obstetrician-gynecologist in the highest category of Valery A. Glebov

Dear Catherine, gardnerellez (bacterial vaginosis) - a vaginal dysbiosis, ie condition in which the broken relationship of microorganisms that normally live in the vagina. The composition of normal microflora of the vagina in small numbers may include Gardnerella vaginalis, Mycoplasma hominis, and anaerobic bacteria (the genus Mobiluncus, and others). Diagnosis based on clinical presentation and outcome of total stroke. Detection of pathogens Gardnerella (Gardnerella vaginalis, Mycoplasma hominis, Mobiluncus spp.) At sowing, a method of direct immunofluorescence (DFA) and DNA diagnostic methods (PCR) is irrelevant, since Gardnerella important not just to the presence and quantity of these bacteria. The main methods of diagnosis of cervical pathology are: colposcopy and a smear on the cancer cells (onkotsitologiyu). Colposcopy - a method of study of vaginal mucous membrane of the cervix with an optical device - a colposcope. Colposcopy carried out to clarify the nature of pathological changes of the cervix, detected during the inspection with the help of her vaginal mirrors. Colposcopy allows you to select a place for targeted biopsy, is an objective test of the effectiveness of the therapy. We recommend that you apply on internal to the doctor gynecologist. After the inspection and required further examination the doctor will determine the individual treatment plan. You can contact specialists of our clinic. We are always ready and happy to help you. Make an appointment by phone. 8-8452-66-03-03.

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