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10 reasons to see a reproductologist

When planning a pregnancy, every woman wants her to come as soon as possible and proceed without complications. But sometimes pregnancy, for some reason, does not occur for a long time. Then it makes sense to go to a doctor who deals with the problem of infertility, to a specialist in matters of conception and bearing a child – a reproductologist. When is the consultation of a reproductologist really necessary? Vera Bulgakova, reproductologist with more than 10 years of experience, answers.

When should I contact a reproductologist?
Who is a reproductologist?
A doctor in this area must have a higher medical education in a general medical profile. Then he needs to receive specialization in obstetrics and gynecology (residency or internship). Only after this, the doctor will accept the right to receive additional specialization in the field of reproduction and treatment of infertility.
The myth of reproduction
According to Vera Bulgakova, many people mistakenly think that reproductologists specialize only in in vitro fertilization. And, with a diagnosis of infertility, only it is prescribed as a treatment. But this is completely wrong. The doctor studies the ovarian function of a woman, makes an assessment of her ovarian resources. He also assesses the patency of the fallopian tubes, the condition of the endometrium, and checks the general health of both spouses. Only on the basis of these and many other data obtained during the additional examination, he can choose the appropriate method of treatment. This can be a medication, surgery, stimulation of ovulation in the natural cycle, intrauterine insemination and other methods.

10 reasons to go to a reproductologist
1. Infertility has already been diagnosed.
Vera Bulgakova said that couples with infertility often turn to her. Such a diagnosis is made by gynecologists of antenatal clinics, hospitals, private centers. Only after a diagnosis is made, women decide to contact a reproductologist for a further prognosis and plan of action. For many women, “infertility” is a terrible sentence that cannot be treated. But this is not at all true. This and other reproductive issues are often successfully handled by a reproductologist.

If during regular sexual life without contraception, pregnancy in women under 35 does not occur within 12 months, then this is a good reason to visit a reproductologist and assess your chances of conception. And women over 35 years old can be recommended to see a doctor after 6 months of sexual activity without protection.

VERA BULGAKOVA
reproductologist

3. Miscarriage.
If a girl has experienced a miscarriage, a missed pregnancy (two or more episodes) – this is an occasion to get advice from a specialist and figure out what is the reason for the loss.

4. Ovarian surgery.
Women who underwent ovarian surgery: resection, removal of cysts (especially endometrioid), suturing after ruptured cysts (ovarian apoplexy) and other types of interventions on the pelvic organs. This group of patients needs consultation and assessment of ovarian reserves.

5. Delayed motherhood.
In modern realities, many women put forward in the first place not motherhood, but self-development, education and career growth. That is why childbirth is postponed to a later date. At the age of 30-35 years and older, it is worth taking care of the future and making an assessment of your ovarian reserve – the stock of eggs. For many women who are not planning a pregnancy, egg cryopreservation is an excellent solution.

Delayed motherhood is an introduction to the IVF program, stimulation of superovulation, obtaining eggs and subsequent cryopreservation of genetic material for future pregnancy. This will make it possible in the future to obtain an embryo from “younger”, better cells with which the probability of pregnancy will be much higher.

VERA BULGAKOVA
reproductologist

6. Forced infertility.
In the reproduction there is such a term as “forced infertility”. This means that physically a woman can have children, but she does not have a partner in order to conceive a child. In such a situation, she can consult with a reproductologist and use ART using donor material to get pregnant.

7. Oncopathology. The plans of chemotherapy, radiation therapy.
If one of the spouses has an oncological disease, then it is worth thinking about the cryopreservation of his biomaterial (sperm or eggs). Irradiation inflicts a severe blow to the body, from which the chances of conceiving and bearing a healthy child are significantly reduced. In the most developed countries, such as Israel, there has long been a practice of freezing biomaterial before chemotherapy. In Russia, not many people know and go to this procedure in similar cases. However, if in the future partners want to have children, it is worth visiting a consultation of a reproductologist and getting acquainted with possible options for preserving genetic material.
8. Violation of the menstrual cycle, the presence of polycystic.
If there are ovarian dysfunctions, violations of the ovarian-menstrual cycle.

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