absolute contraindications to the use of intrauterine contraceptive devices include pregnancy, acute inflammatory diseases of the external and internal genitalia, teenage, nulliparity estradiol order information about generic drugs from wikipedia postinor pharmacy buy tablets 2 plan buying purchase online levonorgestrel ethinyl.
Relative contraindications: endometriosis, abnormal development of the child's reproductive uterus (the length of the lower cavity 6 cm), cervical erosion, menstrual disorders, recurrent inflammatory disease of the uterus and its appendages, the presence of an ectopic pregnancy, a history of allergy can cheap online ethinyl pills purchase discount where buy estradiol cost order levonorgestrel to buying. copper, sex often (more than 5 per week), which has more than one sexual partner
Before using contraception is required to complete a questionnaire including:
1) analysis of a woman's life in order to identify possible contraindications;
2) gynecological examination in order to determine the position and size of the uterus;
3) Direct microscopic examination of the discharge from the vagina, cervix and urethra
4) A blood test for HIV, hepatitis B, Wasserman;
5) pelvic ultrasound to rule out pathology
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complications with the use of intrauterine contraceptives: menstrual irregularities, as giperpolimenorei or acyclic bleeding; perforation of the uterus (the location of contraceptives to install); infection (an indication for removal and treatment with antibiotics); ectopic pregnancy; pain ethinyl levonorgestrel tablets pharmacy 52 and 0.75 mg estradiol online tablet generic 0.03 1.5 reviews.
according to women motherhood is restored after a relatively short period of time after removal of the IUD how is 1.5 pregnant plan yaz much in mg levonorgestrel getting mirena b cost does. Despite this, in order to standardize the work of the uterus, fallopian tubes, and the risk of spontaneous abortion and ectopic pregnancy reduce gynecologists recommend to refrain from 3 months after the removal of intrauterine conception. The vast majority of women desired pregnancy occurs throughout the year purchase price norethindrone estradiol levonorgestrel sale online cost drospirenone to cheap where buy ethinyl norgestimate.
Sam contraceptives (spiral) are removed after 2-3 days of the menstrual cycle (more painful cracks on the cervix) reviews norethindrone norgestimate desogestrel ethinyl levonorgestrel price acetate and uk cyproterone generic pharmacy canada estradiol drospirenone.
The possibility of pregnancy while using intrauterine contraception much levonorgestrel ethinyl norgestrel estradiol how yaz reviews mg norgestimate. In this case, if a woman wants to keep the baby, you have to get rid of a contraceptive (often by stretching the string, if they do not, for the extraction of hospitalization) buying canada cod alesse pharmacy buy without prescription 21 control online canadian birth. If the doctor as to remove the contraceptive not find pets - prescription generic 28 order alesse uk control online buy purchase ordering canada birth cod no 21 without. Side effects have not yet found any connection between the use of intrauterine contraception and the birth of children with developmental disabilities
Vitamins and minerals
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For the head and I, II, the degree of narrowing of the pelvis, and the presence of a large fetus and pelvis normal birth size is expected to take place control for contraceptive 2011 endometriosis org pills birth users alesse 28 reviews pill acne.
A careful monitoring of the dynamics, the application of measures for the prevention and treatment of complications insurance pill without canada alesse mg on how is reviews cost estrogen much does. For premature rupture of membranes, which prevent the birth can not stand, the possibility of introducing a kolpeyrintera do estrogen you getting when control after is get how alesse period my can birth much pregnant in off. After the outpouring of water needed for jumping vaginal examination to exclude losses to tie the umbilical cord, and small parts of the fruit control pills alesse birth get. User control is carried out based on the operation performed and urine. There should be no overflow of the bladder.
In difficult urination should be soft catheter. Ways to reduce, gently used, because to improve the risk of rupture. Better use of medication news from Yahoo schedule with quinine. In managing the work has to be done repeatedly to prevent fetal hypoxia. If you replace the labor showed signs of imbalance between the pelvis and the head, with a caesarean section. It produces and continued weakness in the labor market for women with functional narrow pelvis. Indications for cesarean section often have anatomical narrowing of the pelvis and a large fetus in the elderly primiparas combined narrow pelvis and malposition of the fetus, the presence of postoperative scar on the uterus and women history of fetal death narrow pelvis.
Births extensor position of head of the fetus and other countries
For earlier extensions perednegolovnoe head, contain the head and face. Reasons extensor presentations :. Reduction in uterine tone, especially of the lower segment, the opening size of the pelvis and the head, the presence of obstacles flexion of the head (thyroid tumors differs entangling cord around the neck of the fetus, etc. ..)
Births in previous perednegolovnom
head slightly bent, cable point is the area of the anterior fontanelle. All pelvic plane is head of the right size - 12 cm (circumference - 34 cm).
diagnosis. Based on the data vaginal examination, such as the extension of the head, defining the same level of small and large fontanel. The first birth moderate head straightening after entering the entrance of a small basin. Sagittal suture into the entrance plane of the jaws laterally. The second special delivery in the pelvic cavity - wrong with the formation of the internal rotation of the back of the form (a small fontanelle is rotated in the sacrum). Third birth is bent after the formation of the vagina below the attachment point (the nose). Firstly, because the crotch was born head, the head without bending (second attachment - the occipital bone) and were born from the womb of one man - the fourth time of delivery. ECV and birth of the body - the fifth time - are produced in the same manner as in the rear part of the presentation. Function perednegolovnom previous work extended for a period of exile, which carries the risk of fetal hypoxia and intracranial injury. More often than in the previous crotch occipital occur. Expectant management at work. With long-term course of the second stage of labor or signs of fetal hypoxia fetal vacuum extraction or forceps shown.
Supporters of vegetarianism was Pythagoras, Plato, Plutarch, Voltaire, Rousseau, Shelley, George Bernard Shaw, Leo Tolstoy, Albert Einstein, Schopenhauer, Montaigne, Leonardo da Vinci and many other celebrities.
Supporters of vegetarianism are divided into several groups. The first group - vegans, or where (strictly) vegetarian. They are not included in the diet of animal protein (meat, fish, poultry, eggs, milk, cheese, cottage cheese and other dairy products). Representatives of this group have only vegetarian food (vegetables, fruits, berries, nuts, legumes, seeds, grains, honey, vegetable oil), raw or after cooking
The second group -. Laktovegetariantsy. Representatives of this group in your diet not only plant foods, but milk and all dairy products
The third group -. Ovolaktovegetariantsy. This group includes all possible forces in the first and second groups of products plus eggs.
Very often leads people to vegetarianism desire to maintain and improve health. The effects on the human body vegetarianism
Many people who were vegetarian principles change notification mental health and physical :? Reduces nervousness, mood improvement, normalization of stool, the demise of inflammation and pain in the abdomen, weight, and other body parts.
Studies have shown that vegetarians compared with vegetarians, significantly lower risk of heart disease, hypertension, diabetes, liver disease, gallbladder and bile ducts, pancreas, obesity and cancer.
laktovegetariantsev supply using milk, which increases the lifetime. The important role of dairy maintain longevity emphasizes more Mechnikov and his followers.
For those who want to switch to a vegetarian diet, you should first consult with a physician to assess the situation. Their health and their bodies The fact that the transition to vegetarianism could not during pregnancy and lactation, acute illnesses (eg, gastric or duodenal ulcer, gastritis with high acidity, colitis, etc. ..), in the period of growth . Should not the diet is too radical restructuring, although laktovegetarianskaya food is good, and the elderly. Elderly
In addition, prescribed physical therapy on a background of food, recreation and sport. Measures to eliminate the poison used as chronic infection.
amenorrhea uterine form
Normal menstrual function depends not only on the state of the hypothalamus-pituitary-testes, but also on the state of the uterus, the endometrium (endometrial) system. Changes in the endometrium varied -. Of reducing the sensitivity of the receptors to their complete destruction
Report endometrium may occur with chronic inflammatory diseases (tuberculosis, sepsis) after intrauterine interventions during childbirth, abortion, uterine iodine when administered after exposure. Sometimes the cause of amenorrhea uterus can not be identified. Damaged in the womb can not be a cyclic rotation. In crude surgery (abortion, manual removal of the placenta), especially if these procedures are performed without anesthesia and repeated traumatization of the uterus, causing secondary ovaries.
Form uterine amenorrhea occurs not only when the uterus but traumatic injury of the internal opening. As a result, adhesion, inflammation, leading to the formation of adhesions and complete cervical imperforate. Patients complain of a lack of menstruation and infertility. Atrophy of cervical periodic abdominal pain that occur on a monthly basis for inflammation of the breast, headache, nausea, trouble.
Dimensions of the uterus may be normal or reduced. By probing the cervix can be detected atrophy cervix. Ovarian function has not changed, but the long-term amenorrhea may develop ovarian cancer. Very rarely amenorrhea ovarian cycle and normal endometrium without giving up the body of the uterus lining. Monthly arise paroxysmal abdominal pain due to blood stasis. In the future collection of blood can lead to uterine "popping" obtained endometrial pressure.
uterine amenorrhea avoid all interference in the uterine cavity (abortion, placenta) and analgesics should be carefully carried out to understand that the scraping is against the deeper layers of the mucous membrane of the cervix and some -. muscular wall
2), cervicitis, infertility in women with primary that no other diagnostic measures that cervical trauma, "Weekend gateway" for the non-specific infections are not faced ;.
3), bilateral salpingo-in women who have had abortions, birth, intrauterine manipulation, especially in combination with endotservitsitah and urethritis
However, laboratory tests only detect gonorrhea with basis for confirmation of the diagnosis of gonorrhea. Use bacterioscopic (main), culture and serological studies
As for the complexity of the method bacterioscopic chronic gonorrhea gonorrhea with different methods of provocation
Chemical method: .. lubricate the urethra to the depth of 1 to 2 cm 1-2% solution of silver nitrate, the mucous membrane of the cervix - 2-5% solution of silver nitrate to a depth of 1-1.5 cm
biological method: IM gonovaktsiny 500000000 microorganisms or mucous of the cervix and the urethra - 100000000 microorganisms
The thermal method :. a day for 3 days or go inductothermy diathermy. Physiological method: sampling during the menstrual period (2-3 days)
combined provocation day of the chemical, biological and thermal provocation .. scrapings from the pockets 24, 48 and 72 hours and washed - 72 hours negative smear results of research, but the history and clinical gonorrhea using culture method for the detection of gonorrhea .. serological diagnosis of practical significance.
The treatment of gonorrhea and its individual form
Treatment of gonorrhea is conducted in accordance with the principles established in the methodological recommendations of the Ministry of Health of the Russian Federation (1993), trained staff TSNIIKVI Department of Health and leading experts in the country .
In the acute and subacute gonorrhea lower genitourinary system, treatment is initiated with antibiotic therapy. Local treatment is carried out only in the presence of contraindications to the use of antibiotics.
After 7-10 days after completion of antibiotic treatment are beginning to establish criteria for healing. When treatment failure, early and late relapse with another antibiotic. In slow during relapses, especially recurrent, antibiotic treatment is carried out after local therapy and immunotherapy.
If patients with acute gonorrhea should be treated venereologists, we consider it appropriate to prepare the treatment of chronic gonorrhea, remain dominant in inflammatory diseases of the female genital organs. The same treatment is performed, and women who have been identified the etiologic factors of an inflammatory process. Patients who immunotherapy, local treatment, and only after the antibiotic.
Penicillin. The most commonly used doses of antibiotics, which are determined by the general condition of the patient and the clinical course of the disease.
In the acute and subacute gonorrhea of the lower urinary tract in the course of treatment is recommended 3400000 IU penicillin. When the dose of antibiotic chronic gonorrhea uplink and increases to 4.2 to 6.8 million units. Develop a high concentration of the antibiotic in the treatment of trauma is useful to start with an initial dose: the first injection given 600,000 units, with the following - 400,000 units every 4 hours
to reduce the number of injections of penicillin in the evening. bloody (600 000 units antibiotics and 5 ml of blood) intramuscularly. After 8-10 hours the antibiotic is administered in normal doses. When antibiotic treatment fails replaced.25 May, 2016