5 interesting questions for Khonii Tetiana

5 interesting questions for Khonii Tetiana

  • Could it be that the polyp was not completely removed during the hysteroscopy? A few months have passed, and the doctor is describing it on ultrasound again.

It is quite possible that the polyp has formed again. It is extremely important not only to remove the polyp, this will solve the problem only temporarily, but also to find and correct the reason why it arose. Very often, the reason for the appearance and growth of polyps is hormonal disorders (because the endometrium is a hormone-dependent cell), a interruption of the process of splitting folic acid in the body, chronic endometritis (a long-term inflammatory process of endometrial cells) and the consumption of excessive amounts of carbohydrates, sweets, which leads to an increase in the number of formation insulin and increased stimulation of the endometrium. Only after finding out and eliminating the cause that provoked the appearance of polyps, it is possible to prevent their recurrence.

  • Can endometriosis cause infertility?

Yes, it can. Endometriosis in the ovaries has a very harmful effect on the quality of eggs and sharply reduces their reserve. In the case of uterine endometriosis (adenomyosis), deformation of the uterine cavity is possible, as a result of which there may be difficulties in bearing.

  • At what age is it better to give birth to the first child?

The quality of oocytes sharply decreases in older reproductive age. Reproductive experts recommend giving birth to the first child before the age of 32-35, since later the quality and quantity of germ cells decreases sharply.

  • What tests do you need to undergo when planning a pregnancy?

It is necessary to do an ultrasound of the pelvic organs, mammary glands and thyroid gland, determine the level of hormones and the TORCH Ig M,G panel, pass the necessary gynecological test called scrape off. It is important for a man to do a spermogram at the stage of preparation for conception.

  • Is it possible to cure HPV?

Unfortunately, there is no cure for human papillomavirus, but vaccination against this virus is now available. We recommend vaccinating teenage girls before puberty. It effectively protects against the virus and significantly reduces the risk of developing cervical cancer.

  • What examinations should be included in a woman’s annual check-up?

Ultrasound of the pelvic organs, thyroid gland and mammary glands are mandatory, since endocrinology is closely related to gynecology.

Hormonal examination of the thyroid gland (TSH, free T4) is important;adrenal hormones (DEA-c, serum and saliva cortisol), determining the ratio of insulin consumption to sugar level (HOMA index);female sex hormones on day 18-24 of the cycle: (progesterone, estradiol), macroprolactin;25 (on) vitamin D, ionized calcium, homocysteine, ferritin, general blood test and biochemical analyses.

Also, the annual check-up should include a cytological examination of the cervix, a urogenital flora determination and a colposcopy. This examination and professional support of the doctor ensures the prevention of the development of neoplasms and preserves fertility accordingly high quality of life (it is the hormonal background that affects our level of metabolic processes and even our eating habits, appetite, our appearance and the condition of our skin and hair. Moreover the level of hormones affects memory and the mood).