Ovarian dysfunction: the reproductive period, menopause, how to treat and how to become pregnant, alternative means

Dysfunction of the ovaries is not a disease, but a syndrome accompanied by a complex of abnormalities from the female reproductive system. Ovaries are an organ that relates both to the endocrine and to the reproductive system responsible for the conception and birth of a child. That is, we can say that dysfunction implies incorrect operation of the ovaries, their incorrect performance of their natural function.

The main sign that allows you to suspect a woman's dysfunction is a violation of menstrual function. This is reflected in the cycle. In some women, it can be much longer than normal, others - shorter. Most often, the long menstrual period is 31 days, shortened - about 21 days. Normally menstruation occurs on day 28 of the cycle.

The cycle time can also vary. Normally menstruation lasts from 3 to 7 days. Thus blood allocation should be moderate. Normally, approximately 100-150 ml is released. If menstruation lasts more than 7 days - this can be a sign of dysfunction. It is also abnormal if menstruation lasts less than 3 days - this is also abnormal.

Dysfunction can change the amount of blood lost. In some cases, menstruation can be profuse, when more than 150 ml of blood is released. Or they may be meager. With scarce menstruation, less than 100 ml is released.

With a more advanced form, uterine bleeding can occur. They are unnatural, dysfunctional. Also, a pronounced premenstrual syndrome may indicate a disorder.

If not treated, it can end with endometriosis, various breast tumors, uterus. Cancers can also develop. The end result is infertility.

Ovarian Dysfunction Syndrome

The syndrome can manifest itself in different ways: from minor pains and irregularities of the menstrual cycle to severe bleeding, full amenorrhea.

The consequences can also be different. The main consequence is infertility, in which a woman is not able to become pregnant. And this is not surprising, because in the process of disturbing the function of the ovaries, the entire hormonal background of the woman is completely changed. The menstrual cycle breaks down, hormones that provide full maturation of the egg and its output cease to be produced. Ovulation does not occur, the ovum can not be fertilized.

All this can be accompanied by inflammatory processes, the spread of infection not only through the sexual organs, but also further throughout the body, undermining its protective properties.

Epidemiology

About the syndrome of dysfunction of the ovaries can be said in the event that a woman, at least once manifested, at least one of the symptoms that could indicate a dysfunction.

The syndrome of ovarian dysfunction can be diagnosed in every second woman of the reproductive period, and in every third woman of the climacteric period.

In adolescent girls, uterine bleeding is observed in 5-10% of cases.

In most patients, dysfunction is a consequence of hormonal disorders, inflammatory or infectious processes (59%). In 25% of women, dysfunction is a consequence of abortion, medical abortion.

Without treatment, in 56% of cases, results in infertility, in 21% - malignant and benign tumors.

After completing the full course of treatment, stimulating ovulation, 48% of women can become pregnant and take out a healthy child on their own. In 31% of cases, women can become pregnant, but bearing is associated with numerous difficulties.

[1], [2], [3], [4], [5], [6], [7]

Causes of the dysfunction of the ovaries

The most important cause of dysfunction is a hormonal disorder, in which the normal ratio of hormones is disrupted. Some of them can be produced in excessive quantities, others - in insufficient quantities. In addition, the causes of dysfunction may be such violations:

• development of the inflammatory process in the sexual organs of a woman: in the uterus, ovaries, appendages. Inflammation can develop for many reasons. Most often the cause is an infection that can penetrate in two ways: external or internal. The infection enters the reproductive organs through unprotected sexual intercourse, when the rules of personal hygiene are not observed. When an infection penetrates the internal pathway, the infection can penetrate through the lymph and blood from another source. For example, if a person is ill with colds, inflammatory diseases;
• inflammatory process can develop when the normal microflora of the genital organs is disturbed. Usually, the microflora is disturbed by a weakened organism, after having had colds, under hypothermia. Often this is observed after a course of antibiotic therapy;
• presence of various benign and malignant tumors, traumas of ovaries, uterus, severe diseases;
• accompanying pathologies, violations of the function of other glands of external and internal secretion, various congenital and acquired diseases, metabolic disorders, including: obesity, atherosclerosis, diabetes mellitus;
• nervous overstrain, numerous stresses, mental traumas, persistent physical and mental stress, overwork, non-observance of the working and rest regime, malnutrition;
• spontaneous or artificial termination of pregnancy. Artificial interruption is particularly dangerous in any form, as in the conduct of medical abortion, and with drug interruption. Miscarriages in the early and late periods can also have negative consequences for the hormonal background. All this usually results in prolonged dysfunction, which develops into a chronic dysfunction of the ovaries. The result is usually infertility;
• incorrect placement of the intrauterine device. It should be placed only under the supervision of a doctor;
• a significant influence can be exerted by various external factors, such as a drastic change of climate, moving, changing the way of life;
• action of drugs, chemicals, toxins, radioactive substances.

In most cases, even if a woman's ovarian function has been disturbed at least once, we can state the presence of dysfunction. Subsequently, this may become a prerequisite for the development of sustainable violations.

Stress and dysfunction of the ovaries

Constant stress, fatigue, nervous and mental overexertion, lack of sleep can cause hormonal disorders, abnormalities of the ovaries.

Often, dysfunction is associated with stress during crossings, with a sharp change in habitat conditions, climate change. Sometimes dysfunction can also be observed as a result of stressful action: for example, after experiencing nervous shock, death of a loved one, divorce, accident.

[8], [9], [10], [11], [12], [13]

Ovarian dysfunction after abortion

Abortion is the cause of the most serious violations of the reproductive system. Especially if the abortion is made during the first pregnancy. During the first pregnancy, all changes that occur in the body of a woman are aimed at ensuring the bearing of the child. This process is produced by intensive synthesis of hormonal substances.

With abortion, this process abruptly stops. Synthesis sharply goes in the opposite direction. There is an intensive increase in the level of adrenaline, norepinephrine. After this, an intensive synthesis of glucocorticoid hormones of the adrenal glands occurs. This causes severe hormonal stress, a violation of the normal operation of the ovaries. In the work of the adrenal glands, the pituitary gland, the ovaries there is a sharp malfunction, which sometimes can not be restored.

After abortion, dysfunction of the ovaries usually develops, which is primarily manifested by amenorrhoea. Usually, the menstrual function is not restored for a fairly long period, approximately 1 to 3 menstrual cycles. Often, amenorrhea is accompanied by inflammatory and infectious processes, which significantly complicates the further recovery of the body. During inflammation cells die, tissues are reborn.

The main danger is that cells responsible for the synthesis of estrogens undergo degeneration and death. Accordingly, their secretory activity decreases, they produce less and less sex hormones. The result can be the development of a stable estrogen deficiency, which can lead to a dystrophic process in the mucous membrane of the uterus. The level of proliferative processes is sharply reduced, a pathological process is observed in the endometrium, the cycle becomes irregular. As a result, the probability of further pregnancy is reduced to a minimum.

Ovarian dysfunction after medical abortion

Medication abortion is considered a safer type of abortion. With this method, a woman is prescribed special pills. This leads to the fact that a woman has a miscarriage, like a natural miscarriage. In this case, the embryo detaches from the walls of the uterus, and through the genitals is out.

This type of abortion is no less dangerous, it can have many complications and negative consequences. In order to minimize the risk of the procedure to a minimum, it is necessary to perform it exclusively under the supervision of doctors. Such an abortion can be done only up to 49 days of pregnancy, inclusive.

The consequences can be quite serious. The drugs themselves represent a certain risk. The drugs include synthetic steroid hormones that block the production of progesterone. Progesterone is responsible for pregnancy, fetal development. Thus, pregnancy becomes impossible, the uterus rejects the fetus.

In addition, hormones disrupt the hormonal background, disrupt metabolic processes, microflora. All this can be accompanied by inflammatory and infectious processes. As a result, the total metabolism is disrupted. This leads to dysfunction of the ovaries, other disorders in the reproductive system. The most dangerous complication is infertility.

Risk factors

As the main risk factors consider various diseases of inflammatory nature, as well as infectious processes. In the first place, such pathological processes occur in the reproductive system. People who are addicted to obesity, people with excessive body weight, or with dystrophy are more at risk of developing dystrophic processes. Patients with reduced immunity, with impaired metabolic processes, are more at risk of developing ovarian dysfunction.

An important risk factor is abortion at any time, medical abortion. People who have been exposed to stress, physical and mental stress, are more predisposed to dysfunction.

A special group consists of those patients who have an endocrine disruption. Especially it concerns the adrenal glands, the thyroid gland and any other glands of internal and external secretion. If the activity of at least one gland is disrupted, the risk of developing ovarian dysfunction significantly increases, because it is closely related to all other glands.

[14], [15], [16], [17], [18], [19], [20]

Pathogenesis

Normally, the activity of the ovaries is regulated by the hormones of the anterior lobe of the pituitary gland. If their ratio is violated, then the normal ovarian cycle is broken, during which ovulation occurs.

Dysfunction is a consequence of a violation of the ratio of these hormones. First of all, this is a consequence of abnormal regulatory processes on the part of the hypothalamus and the pituitary gland. Also significantly increases the number of estrogens, the amount of progesterone decreases. Ends this is often anovulation, when ovulation does not occur. Accordingly, there are menstrual irregularities.

Pregnancy does not occur, as the amount of estrogen decreases sharply, and the level of progesterone at all is reduced to a minimum.

[21], [22], [23], [24], [25], [26]

Symptoms of the dysfunction of the ovaries

The main symptom that indicates the dysfunction of the ovaries, is a violation of menstrual function. These disorders are based on a high level of estrogen and a low level of progesterone. Also on the dysfunction may indicate the following symptoms:

• irregular menstruation, which occur with indefinite periods of time. They can significantly linger, or advance much later than the deadline. Also, the intensity of secretions, the duration of menstruation, changes significantly. If menstruation has become very scarce, or vice versa, excessively intense, this is a serious cause for concern. Menstruation can last from 1 day, which is abnormal or can be delayed up to 7 days, or more, which also can not be called the norm;
• in the period between menstruation, bleeding may occur, or discharge of a different nature;
• undeniable cause for concern is the inability to conceive, various infertility options, miscarriages, miscarriage, premature birth. The reason is, first of all, a violation of the processes of maturation of the ovum and ovulation;
• pain in the uterus, ovaries, fallopian tubes, other organs related to the reproductive system. Pain pulling, aching, blunt any localization. Pain in chest, abdomen. Poor health, apathy, weakness;
• severe, painful premenstrual syndrome, which manifests itself in the form of lethargy, pain, heaviness in the abdomen, swelling, and chest pain. Can hurt and pull the lower back. There is also increased irritability, excitability, tearfulness, sharp mood swings;
• in the due time, menstruation may not occur, but pain, discharge in the form of blood, clots, or mucus will be observed at this time;
• Menstruation may be completely absent for a fairly long period, even up to six months.

The first warning sign that you need to pay attention to is a menstrual cycle. Even the most innocuous lengthening or shortening of the duration of menstruation can lead to such serious consequences as infertility, tumors. Anxiety should cause even abundant discharge, or vice versa, too small.

If the premenstrual period is pronounced, mental, nervous disorders occur, painful sensations are observed. The most disturbing early sign is the development of bleeding in the period between menstruation. If there are early signs of dysfunction, you should immediately consult a doctor.

Pain

Dysfunction can be accompanied by pain. They can have a different character. It can be blunt, sharp pain. Observed, as a rule, in the premenstrual period. Most often, the pain manifests 2-3 days before the start of menstruation.

Sometimes there may be pains in the lower abdomen that appear at any time, without binding to menstruation. All this can be accompanied by pain in the chest, headaches.

[27], [28], [29], [30], [31]

Allocations for ovarian dysfunction

Allocations can accompany dysfunction at different periods. They can be both during menstruation, and in the intermenstrual period. Most often discharge a bloody consistency, they can also contain clots. There are mucous, white discharge. They can be delayed. Particularly intensive secretions make themselves felt at the time when the onset or ovulation is supposed to occur.

[32], [33], [34], [35], [36], [37]

Dysfunction of ovaries in adolescents

When there are dysfunctions in adolescence, there are changes in the mucous membrane, the uterus. The main cause of the pathology is a disruption of communication between the ovaries and brain regions that regulate the function of the ovaries. Such a violation is due to the unformed and immaturity of the connection between the ovaries and the brain.

The main manifestation is uterine bleeding. If the teen does not receive the proper treatment, stable pathological changes in the endometrium can occur. Dysfunction can be triggered by inflammatory and infectious diseases, hypothermia, acute respiratory infections.

[38], [39], [40], [41], [42]

Psychosomatics for ovarian dysfunction

Ovary are paired female organs, which manifest their activity in two spheres at once. They function as part of the reproductive system, and as one of the endocrine glands that synthesizes and secretes hormones into the blood. Dysfunction of the ovaries can be the cause of many psychosomatic diseases, and is a consequence of various mental conditions.

First of all, the ovaries are related to femininity, therefore, it is them that primarily reflect all the problems associated with the manifestation of femininity, the ability to have children. All thoughts and mental states of women through vibration are closely related to the ovaries. Most often, a woman is worried about insecurity, underestimation of her own strengths and skills. These emotions often oppress a woman, suppress her mental state. Strong stress, nervous shock also lead to impaired ovarian function.

Can I get pregnant with ovarian dysfunction?

If a woman does not have ovulation, then there is no way to get pregnant. If it does not occur regularly, the probability of pregnancy remains. Usually in such cases, it comes immediately after the restoration of the normal menstrual cycle.

But now the possibilities of medicine have expanded significantly. Now a woman with dysfunction may well become pregnant, endure and give birth to a healthy child. Only pregnancy needs to be planned. It will be necessary to conduct a course of treatment, and an additional stimulation of ovulation. The procedure is long, so you need to be patient. It must also be taken into account that there is a possibility that during pregnancy and childbirth, problems may arise. Therefore, you should always consult your doctor.

[43], [44], [45], [46]

Ovarian dysfunction after childbirth

After birth for a while, there may be a natural dysfunction of the ovaries. This is due to a change in the hormonal background, the adaptation of the mother's body to lactation, a hormonal surge during childbirth.

Ovarian dysfunction in lactation

Normally, the menstrual function should be restored within a few months after childbirth. But it can not be restored if the mother is breastfeeding. Whether this is the norm or treatment is necessary, only the doctor can say, since the conclusion can only be made on the basis of the examination and the results of hormone analyzes.

Dysfunction can also indicate too intense menstruation. Normally, the amount of blood produced should not exceed 100-150 ml.

Bleeding

Ovarian dysfunction is often accompanied by bleeding. They can occur both in the premenstrual period and during menstruation. Usually bleeding can be recognized by the allocation of scarlet blood, a more liquid consistency than with normal menstruation. Basically, there are uterine bleeding. About uterine bleeding can be said in the case when bleeding occurs from the uterus, outside menstruation. It lasts usually more than 7 days. This process has nothing to do with tumors and inflammations. Usually it is caused by hormonal disorders, as a result of which the relationship between the cerebral cortex, ovaries, uterus is broken. This bleeding is often observed during puberty. This is explained by the fact that the links between these structures are not sufficiently formed.

Much less often bleeding occurs in the reproductive period, even less frequently in the menopausal period. In most cases, the picture is as follows: there is a delay in menstruation for a sufficiently long period. Then comes abundant menstruation, which gradually turns into a bleeding.

Psychologists have noticed an interesting fact: uterine bleeding is usually observed in girls and women who have strictly defined traits. So, if a woman constantly worries, experiences, exposes herself to excessive self-examination and self-criticism, she develops a tendency to bleeding. At the physiological level, it is quite simple to explain this: these character traits cause a woman to be constantly nervous, to be tense. They are stressors that disrupt the immune and endocrine systems.

[47], [48], [49], [50], [51], [52], [53]

Forms

Hormonal dysfunction of the ovaries

By hormonal dysfunction means a violation of the cycle of menstruation. As can be seen from the name, the cause is the violation of the hormonal system. The problem can be a separate symptom in the composition of a syndrome, a disease, or it can act as an independent pathology. It can also be a concomitant pathology in other diseases.

Also a sign that indicates that dysfunction is of a hormonal nature is the presence of pain, and their manifestation at least 1 week before the onset of menstruation. Also a distinctive feature is that the period of menstruation significantly increases, and in the interval there are spotting.

[54], [55], [56], [57], [58]

Dysfunction of the ovaries of the reproductive period

In reproductive age, dysfunction is the most dangerous, because it leads to the inability to become pregnant, to bear the child. The reproductive period, as is known, is the main period when a woman's genital function should be realized. Dysfunction can arise for various reasons.

At the heart of pathogenesis is a violation of the normal ratio of hormones. This entails a violation of the menstrual cycle, the absence of ovulation. Consequently, the inability of the ovum to fertilize develops. When planning pregnancy, treatment and additional stimulation of ovulation are carried out.

In addition to irregularities in menstruation, intermittent bleeding, abdominal pain, excessive hair growth or hair loss can also occur. Hair can grow in a place where hair growth is not characteristic of women. For example, a beard or mustache may appear. All this can be accompanied by a rash on the face, body.

[59], [60], [61], [62], [63], [64], [65]

Menopause dysfunction

This is a dysfunction that occurs during the menopause. It is accompanied by intense pains, fast fatigue. The mood is changeable, there is apathy. If ovulation is not available, it can promote accelerated aging, the development of inflammatory, infectious diseases, tumors.

Anovular dysfunction of the ovaries

Anovular dysfunction implies female infertility associated with the lack of ovulation.

Dysfunction is accompanied by irregular ovulation. Sometimes ovulation may not occur at all. If there is no ovulation, you can talk about female infertility. However, this pathology can be treated quite effectively. Treatment is long enough. Strict adherence to all the doctor's recommendations is required. You also need to be patient, because the treatment goes on a lot, strict control is needed.

If the menstruation is irregular, first of all, it is necessary to stabilize it, to bring it back to normal. In order to get pregnant, you need to stimulate ovulation.

[66], [67], [68], [69], [70], [71]

Unspecified ovarian dysfunction

Implies abnormal ovarian function, etiology (cause) remains unclear.

Dysfunction of the right, left ovary

It is a violation of the function of one of the ovaries. The left ovary is most often affected.

[72], [73], [74]

Hyperandrogenism and dysfunction of the ovaries

If the hormonal system is broken in the body, you can expect various failures, pathologies, development of diseases. When ovarian failure, the most common development of gynecological diseases. A disease known as hyperandrogenism is known in which the activity of endocrine glands is severely disrupted. There is the development of male hormones (androgens), while minimizing the synthesis of female hormones (estrogens). As a result, it is the masculine features that dominate. Appearance of the hair of the face, body. The voice acquires more coarse, masculine features. The figure changes: the hips decrease significantly, the shoulders widen.

The changes concern not only the organism, but also the reproductive system. The connection between the hypothalamus, pituitary gland, and ovaries is broken. Often the function of the adrenal glands changes.

The danger of the disease is that there is a complete blockage of the production of female hormones - estrogens. As a result, the maturation of the follicles is also impaired. Ovulation is reduced to a minimum, it can gradually disappear altogether.

Ovarian dysfunction as follicles

Means dysfunction of the ovaries, in which the maturation of follicles is impaired. Ovulation is absent. The main cause of this pathology is a violation of the endometrial function, a violation of the relationships in the hypothalamic-pituitary-gonadal system.

Complications and consequences

The most dangerous complication of dysfunction is infertility. Also, if dysfunction is not treated, the risk of developing tumors, including malignant, hormonal failures, increases. This leads to various diseases, biochemical disorders, obesity, or vice versa, dystrophy. Neuropsychiatric pathologies can develop.

[75], [76], [77], [78], [79], [80], [81], [82]

Diagnostics of the dysfunction of the ovaries

Diagnosis of dysfunction is carried out by a gynecologist-endocrinologist. There can be many causes of dysfunction, so there are many diagnostic methods. The gynecologist interrogates, examines the patient, prescribes tests. Diagnostics is based on laboratory and instrumental studies, which are carried out according to an individual scheme.

Test for dysfunction of the ovaries

A normal pregnancy test for ovarian dysfunction can show a positive result, despite the absence of pregnancy. This is a false positive result.

But in some cases, a pregnancy test may show a negative result. Therefore, this method can not be considered a reliable method of diagnosis, but should immediately consult a doctor.

[83], [84], [85], [86], [87], [88]

Analyzes

The traditional analysis is the microscopic examination of vaginal discharge. This analysis is always taken when performing a gynecological examination. It makes it possible to identify infections, determine the prevailing microflora, detect tumor cells, if any. Also a smear makes it possible to determine the presence of inflammatory reactions.

If there is a suspicion of swelling, additional tests are performed: hysteroscopy, biopsy. In this study, the uterine cavity is scraped, a piece of the endometrium is taken for further histological examination. A biopsy makes it possible to take a miniature piece of a tumor. Then it is sown on special nutrient media. Within a few days the nature and growth rate can determine the type of tumor: malignant it, or benign. In the direction of growth, it is possible to determine the probable directions of its growth in the body, the probability of occurrence and the direction of metastases. This gives accurate results, on the basis of which it is possible to select treatment.

If there is a suspicion of hormonal disorders, the blood test for hormones is taken. Blood, urine, feces, bacteriological cultures, a test for dysbiosis, an expanded immunogram may also be required. It all depends on the symptoms of the disease.

[89], [90], [91], [92], [93]

Instrumental diagnostics

The diagnosis can be made with ultrasound (ultrasound), X-ray. Most often do x-ray of the skull. You may need a magnetic resonance or computer tomography, an electroencephalogram of the brain, and other studies.

Ultrasound with ovarian dysfunction

With ovarian dysfunction, ultrasound is one of the most informative methods of research. The ovaries, uterus, abdominal cavity, liver are exposed. This method is one of the first. Often it is with his help that you can determine the appropriate treatment.

Differential diagnosis

Dysfunction should be differentiated from a number of diseases: from infectious and inflammatory diseases of the ovaries and other genital organs. This can be done with the help of a gynecological examination and a vaginal smear. Next, you need to exclude tumors, oncology. For this, a cytological examination of the smear is necessary. For greater accuracy, a biopsy is used.

Further with the help of ultrasound, analyzes exclude ectopic pregnancy, various diseases.

Treatment of the dysfunction of the ovaries

To treat dysfunction of the ovaries always use a complex treatment. It goes through the protocol, approximately in the same algorithm. First they work with emergency conditions. If there is bleeding, first stop it. Then find and eliminate the cause that caused this state. And finally, after that go to the restoration of the hormonal background, the normalization of the menstrual cycle.

Treatment is usually done on an outpatient basis, but sometimes hospitalization may be required.

Etiologic therapy aimed at eliminating the cause of the disease is considered more effective.

Medications

With dysfunction take various medications. In most cases, they are of hormonal nature, so they need to be applied strictly under the supervision of a doctor. To receive some funds, you may need constant monitoring with the help of ultrasound.

It is dangerous to take hormone-free medications uncontrolled, because ovarian hyperstimulation, further disruption of the hormonal background can manifest itself. Tumors can develop.

Estrogen-containing drugs are estrone. Intramuscularly 1 ml of 0.1% solution for 15 days. Hexestrol - 1 ml (2 mg) daily two weeks from the first week after the onset of menstruation. Antiestrogenic complexes: clomiphene - 50 mg per day, 5 days. Progesterone preparations are progesterone, oxyprogesterone 125-250 mg once after the course of estrogen preparations.

Dyufaston

With dysfunction of the ovaries, it is recommended to take 20 mg per day. Take twice a day.

[94], [95], [96], [97], [98]

HCG

HCG - human chorionic gonadotropin. In natural conditions, it provides stimulation of the transition of the menstrual cycle to the luteal phase. If there is dysfunction, this hormone is not produced enough. For this reason, the follicles do not ripen.

If a woman is planning a pregnancy, it is necessary to stimulate the maturation of the follicles. This is done by introducing hCG. The period of application of this remedy is approximately 3 menstrual cycles.

Utrozhestan

Refers to preparations of progesterone. The course dose for one menstrual cycle is 200-300 mg. It is taken in one or two doses during the day.

Dimia 

Refers to oral contraceptives. Tablets are taken continuously for 28 days to 1 tablet / day. Contribute to the normalization of the menstrual cycle. Take under the supervision of a doctor.

[99], [100]

Admission postinor for dysfunction of the ovary

Admission of this drug for ovarian dysfunction is not recommended. It contains an increased dosage of hormones and can cause inflammation, increase dysfunction.

[101], [102], [103], [104], [105], [106], [107]

Metformin 

The drug was widely used in the United States. It works well for dysfunctions, polycystosis. In Russia it is rarely used. This is an oral hypoglycemic agent. Dosage can vary widely, and is tied to the level of glucose in the blood.

The dose of the drug is set by the doctor individually depending on the level of glucose in the blood. The initial dose is 500-1000 mg / day (1-2 tablets). After 10-15 days, a further gradual increase in the dose, depending on the level of blood glucose, is possible. The maintenance dose of the drug is usually 1500-2000 mg / day. (3-4 tab.). The maximum dose is 3000 mg / day (6 tablets).

Vitamins

When dysfunction is recommended to use vitamins.

• Vitamin C - 500-100 mg
• Vitamin D - 35045 mg
• Vitamin B - 3-4 mcg.

Physiotherapeutic treatment

Any physiotherapeutic effect has a positive effect on dysfunction. Ovaries are treated with ultrasound, electrophoresis, electromagnetic therapy. Electrophoresis provides better assimilation of medicines. Procedures provide an opportunity to improve blood circulation in the ovary, normalize the functional state of the body.

Alternative treatment

To treat dysfunction has long been used decoction of roasting odorous. To do this, make a decoction about a glass, which is then drunk during the day. This amount will require an average of 15 grams of grass.

If during the menstruation, or for some time before its onset, there is irritability, nervousness, sudden changes in mood, depression, then the decoction of peppermint helps well. Peppermint is well suited to women, because it contains female hormones. Mint is used as a decoction. It is recommended to brew in the morning about 500 ml of grass, and drink all this volume during the day. It is also possible to use as an additive in tea. Add to taste.

When painful menstruation, inflammatory processes in the genitals is recommended to use a decoction of chamomile. The method of application is the same as described above. You can drink as a decoction, or use as an additive to tea.

Positive on the female reproductive system affects the juice from the berries of gooseberry. Enough 30 grams per day to maintain the normal condition of the ovaries. You can also eat gooseberries in pure form. Well helps with various bleeding.

[108], [109], [110], [111], [112], [113]

Honey treatment

Honey has a positive effect on the woman's body. It contains antioxidants that relieve the inflammatory process, prevent the spread of infection, normalize the hormonal background. Honey can be used in its pure form, added to herbal decoctions and infusions.

Leeches in the treatment of ovarian dysfunction

Treatment with piracis is one of the oldest methods of healing and healing the body. When leeches are used, there is a high therapeutic activity against the ovaries, uterine myomas, cysts.

The mechanism of action of leeches is as follows: they stick to the surface of the skin, bite it, inject anesthesia. Along with anesthesia, anticoagulants come into the blood - substances that reduce blood coagulability. They also improve blood circulation, promote resorption of tumors, stop inflammation. Leeches can eliminate the effects of abortion, eliminate spikes on the organs.

This type of therapy has practically no contraindications, except for cases when a person has hemophilia, reduced coagulability. Also, the procedure is contraindicated for suspected malignant tumors.

Herbal Treatment

To treat herbs used milk of cannabis seed. It is effective in fighting uterine bleeding, pain. For consumption, take no more than 5 g of seeds and dilute in a glass of water. Drink a glass twice a day.

Fruit of walnut or cedar forest is also effective. Usually used in the form of infusion. Fruit pour vodka, or alcohol. Insist for a month, apply about a shot every day.

Well-proven pumpkin, which is used in various forms: fried in the composition of porridges, baked. Sometimes you can eat even fresh.

Borovaja uterus at a dysfunction of ovaries

The hog queen is a plant that has been used for a long time in alternative medicine. Approximately in 2003, it was officially recognized as a medicament for the treatment of female infertility and diseases in the field of gynecology. Application found the ground part of the plant: leaves, stems, flowers. Applied in various forms, but more often in the form of broths or infusions.

[114], [115]

Homeopathy

Homeopathic preparations have well proven themselves as a means of treating various gynecological diseases, disorders, including the treatment of dysfunction. There are practically no side effects. However, precautions still need to be followed. Firstly, these funds must be used only after a preliminary consultation with a doctor, and secondly, at a strictly fixed time, which is determined by the phase of the menstrual cycle. Always need to monitor the level of hormones.

• Collection number 1. In painful menstruation

If menstruation is painful, or before it occurs, pain, it is better to take homeopathic fees. Well, the pain dissolves the decoction of leaves of linden, mint and lemon balm. This collection can be brewed in arbitrary quantities, and drunk during the day. If the pain is minor, the collection can be consumed as an additive to tea.

• Collection number 2. With irregular menstruation

If menstruation is irregular, it is recommended to take chamomile flowers and pepper water grass approximately in equal parts. The broth should be designed for a glass. During the day you need to drink the whole glass. Use in a warm form.

• Collection number 3. With poor menstruation (hypomenorrhea)

Prepare a decoction of 15 g of collection consisting of leaves of nettle, stevia leaves. The resulting broth is filtered, drink about 1.5 - 2 liters. Per day, instead of water and any other liquid.

• Collection number 4. With hyperminorrhea (abundant uterine bleeding)

A decoction from a mixture of shepherd's bag and white mistletoe can be used. Eat no more than 1 glass a day. Better in the evening. 15 g of the mixture is enough for the glass.

Surgery

In addition to medical, alternative methods, there is also a surgical method. This is an extreme method, which is used only if other methods do not work. The type of intervention required is determined by the type of pathology and the characteristics of the neuroendocrinal disorder.

In many cases, there is no need for an open cavity operation. Enough laparoscopic method. A unique method in gynecology is cauterization. During this operation on the ovary, dotted holes are made, this ensures the release of the ovum during the ovulation period. In the near future after the operation, pregnancy is desirable.

Prevention

The main measures of prevention consist in the necessity of observing the working and rest regime. It is also necessary to eat properly and fully. You need to protect yourself from stress, overwork. It is important to treat opportunistic diseases in a timely manner, to protect yourself from hypothermia.

If there is a tendency to bleeding, additional progesterone therapy is required. It should be borne in mind that such therapy is carried out only under the supervision of a doctor and with a preliminary study of the level of hormones. Additional hormonal contraception may be required. Intrauterine spiral in any dysfunction is contraindicated.

[116], [117], [118], [119], [120], [121], [122]

Forecast

If you start a timely decision, the forecast can be quite favorable. After the menstrual cycle is restored, a woman can become pregnant and endure a child.

In the absence of necessary treatment, the situation only worsens. With the most unfavorable prognosis, infertility develops, as well as various tumors, severe diseases.

[123], [124], [125], [126], [127]