hypoplasia of the uterus. - Underdevelopment of the uterus, characterized by a decrease in its size compared to the age and the physiological norm. Clinically uterine hypoplasia manifests late onset of menses (after 16 years), their irregular and increased morbidity; miscarriage, abnormalities of labor, infertility; decreased libido, and anorgasmia. Diagnosed by vaginal examination, ultrasound probing the uterine cavity. Treatment of uterine hypoplasia requires hormone therapy, physical therapy, exercise therapy. Forecast for the possibility of pregnancy and success is determined by the degree of uterine hypoplasia.
hypoplasia of the uterus.
infertility. In the event of conception, often developing an ectopic pregnancy, because the passage of the zygote at the changed fallopian tubes difficult. In hypoplastic uterus and other organs are often underdeveloped reproductive system - labia, vagina, ovaries. Often, hypoplastic uterus accompanies polycystic ovaries.
hypovitaminosis, intoxication (drug, nicotine), nervous disorders, increased educational and sporting loads on the child's body, anorexia, frequent infections (tonsillitis, SARS, influenza), and so on. d. This comes in the development of delay initially correctly formed uterus.
The main characteristic of uterine hypoplasia is to reduce its size. Normally, in mature nulliparous women's uterus cavity has a length of at least 7 cm, giving birth - 8 cm, neck length is 2.5 cm, depending on the time of stopping the development of gynecology distinguishes three degrees of uterine hypoplasia: germ formed in utero;. infantile and juvenile, formed after birth. The embryonic (fetal) the uterus is characterized by a length of 3 cm, a cavity is formed almost the entire size of the falls on the neck. Infantile (child) uterus has a length of 3 cm to 5.5 cm with a ratio of the cervix cavity length to 3: 1. Adolescent uterus with hypoplasia has a length of 5.5 cm to 7 cm, with a less pronounced prevalence of cervical - 1: 3.
algodismenorei), irregular, have short, sparse or abundant in nature. In hypoplastic uterus may lag behind girls in general physical and sexual development: Teen small stature, with a uniformly tapered hips, narrow thorax, hypoplastic breasts, missing or unexpressed secondary sexual characteristics.
Later in adult women with uterine hypoplasia showed a decrease sexual feeling, anorgasmia. Reproductive disorders uterine hypoplasia may include infertility, ectopic pregnancy, spontaneous abortion, expressed toxicosis, weak labor activity, insufficient disclosure of uterine os during labor, atonic postpartum haemorrhage. In women with uterine hypoplasia often develop cervicitis, endometritis in connection with weak resistance to infections of the reproductive system. These symptoms need to make a woman see a gynecologist-endocrinologist.
gynecological examination with uterine hypoplasia patients revealed signs of genital infantilism: lack of body hair, underdeveloped labia, vulva protruding beyond the head of the clitoris. When vaginal study determined a short narrow vagina with mild arches, elongation and the conical shape of the cervix, reducing and flattening of the uterine body, giperantefleksiya. During pelvic ultrasound investigated body size and neck, which gives an indication of the degree of uterine hypoplasia.
X-ray or ultrasound confirms hysterosalpingoscopy reduced size of the uterus, fallopian tubes crimp, hypoplasia of the ovaries. If you suspect a uterine hypoplasia conducted laboratory study the level of sex hormones (FSH, progesterone, prolactin, LH, estradiol, testosterone) and thyroid hormones (TSH, T4). In addition, in cases of suspected uterine hypoplasia resort to probing the uterine cavity, the definition of the patient's bone age, radiography sella MRI brain.
gynecologist manages to achieve an increase in size of the uterus to normal and restore normal menstrual cycle.
The use of physiotherapy techniques for uterine hypoplasia (magnetic therapy, laser therapy, diathermy, inductothermy, UHF-therapy, mud therapy, ozokeritotherapy, paraffin) helps to normalize blood circulation in the body. Good effect can be observed by endonasal galvanizing, under the influence of which is stimulated by the work of the hypothalamic-pituitary region, increases the synthesis of hormones LH and FSH. The patient with uterine hypoplasia is assigned to vitamin therapy, physical therapy, pelvic massage, Balneology (sea bathing and bath).
ART. If unable to advance independent of pregnancy, but the preservation of ovarian function, resorted to the method of in vitro fertilization using the patient's egg. The syndrome of miscarriage in vitro fertilization (IMSI, ICSI, pix) is carried out in the framework of surrogacy. With a small degree of hypoplasia of the uterus and ovaries of normal structure and the chances of pregnancy beneficial functions. The course and management of pregnancy in patients with uterine hypoplasia is associated with the risk of spontaneous abortion, obstructed labor.
For the normal formation and development of the female reproductive system requires the removal of the adverse effects of factors, especially in adolescence. For the prevention of uterine hypoplasia girls need good nutrition, non-exhausting diets, elimination of stress, timely prevention and treatment of infections.