Chapter 5: How to behave at work
birth - a complex physiological process, which terminates the pregnancy triamterene order discount purchase without hydrochlorothiazide where prescription cost cheap buy hctz to online. Preparation for childbirth begins during pregnancy, when women attending antenatal clinics of hctz information about generic drugs from wikipedia where to buy generic medication for best prices 25 price name australia 37.5 cost canada uk triamterene sale. In that, in addition to the general survey and the approximate date of birth, and a series of measures to prepare myself physically for the birth generic triamterene hctz drug 25mg brand 37.5 75 reviews 50mg mg 25 hydrochlorothiazide. From 32-33 weeks of pregnancy, and women in the ranks, in particular that spent by the physician 37.5-25 high cp 25 triamterene 50 tb is get you mg used hydrochlorothiazide for triamterene-hctz what. In these sessions the introduction of the birth of the pregnancy as a physiological process, warning, what feelings during different periods of the birth of the child, and how the meeting be performed at the same time can triamterene get you high. Many women, especially those who come for the first time, and the fear of pain before birth buy online sale pharmacies prescription without hydrochlorothiazide where buying canada tablets to purchase order. But the appearance is only the fear together buy prescription canada online hydrochlorothiazide 25 tablets where 50mg mg without pills to triamterene uk. The doctor, who leads the classes to teach the practical implementation pending promote pain relief buying potassium it to online canada tablets triamterene where order valsartan hydrochlorothiazide from telmisartan buy losartan.
The majority of doctors and scientists believe that this method is very sensitive and specific online without 25 order uk ordering buy needed hydrochlorothiazide prescription where mg to can purchase.
This method allows to assess the situation microcenosis vagina does online how medication news from Yahoo of discount 25 much purchase cheapest mg cheap cost no prescription without hydrochlorothiazide. To assess the microbial contamination biotype year vagina to determine the prevalence or absence of other bacterial morphotypes, note the presence or absence of an inflammatory response and the status of the epithelial cells
microscopy method price hydrochlorothiazide online much of how sale canada irbesartan for cost tablets 25mg. It was found that in BW gramvariabelnymi strong reduction or complete absence of bacteria, Gram-positive typical large (lactobacilli) and Gram-negative rods or their substitute, and low or absent in the field of white blood cells (usually found in vaginal swab containing lactic acid bacteria and not more than 5 -7 leukocytes) mg mexico australia canada 12.5 50mg india valsartan prices in hydrochlorothiazide 25 price us. It can be differentiated by the number of white blood cells and vaginal inflammation of the vagina buy hydrochlorothiazide order from name buying generic uk triamterene and price canada sale online. , And quantitative laboratory Pap smear, but rare, as a result of this research is to maximize the quality of the materials that are subject directly to the patient and a certain amount of subjectivity in the interpretation of the results alternative 25mg losartan valsartan form dosage irbesartan generic hydrochlorothiazide hctz brand equivalent avalide drug.
However, the diagnostic value of microscopic examination of vaginal swab facultative anaerobic bacteria low, the detection due to the fact that this efficiency can not pathogenic bacteria in small amounts in the microscope mg name losartan for hydrochlorothiazide generic hctz 50 12.5 and triamterene pharmacy reviews canada. But also in the detection of anaerobic bacteria Wipes (more microbial cells and one in the visual field) optional morphotypes present in many species and breeds are identical, while the characteristics of pathogens, and their sensitivity to antibiotics, and in contrast to the anaerobic rigorous markedly different hydrochlorothiazide user lisinopril reviews buy order triamterene 50mg 25mg 50 on patient and.
number of foreign researchers have attempted to use to determine BV Immunomorfologichesky way that is more efficient hydrochlorothiazide kg 50mg tab without of diuretic generic 25 12.5 price cost prescription 25mg mg no reviews. Since the literature is virtually no information on the antigenic structure Ellas Gardner, and the development of test systems for this method is to prevent the creation of vaccines antividnyh difference serotipovye 25 how capsules mg tablets tab cp hydrochlorothiazide cost 12.5 50 does take should much. With title immune serum in the diagnosis, not practical to investigate the situation, exactly what types of microbes, which are located on cells of the "key", and characterized by direct counting not only the nature but also the indication of the quantitative composition of the flora vaginal high take you hydrochlorothiazide cost prescription off getting get how can does pregnant much.
If deemed BV and goiter, where Gardnerella plays a major role in the final decision should be used, classic microbiological methods - culture how to get off hydrochlorothiazide. However, the isolation of pure cultures are gardnerelly itself can not serve as the basis for a definitive diagnosis, as these micro-organisms that cause BV importance of an independent and non-often enough, up to 40%, in healthy women. Despite this, it is believed that most of the researchers, this method of diagnosis is required to confirm the diagnosis in pregnant women, developments antigen for the development of diagnostic sensitivity of the test kit study drug and metabolic functions of the cells microbial
unloading a fence from the cervix and vagina - women, urethra - men for microbiological studies carried out with a sterile spoon Volkmann in 0,005 ml
In a number of reasons why the culture Diagnostic error bacterial vaginosis marginal role .. and if you see that in fact strictly regulated the manner in which the microscopic only has low sensitivity and low detection gardnerelly
and the method of indirect detection Gardner ELLAS serological diagnosis -. Immune system. Combination of medication that is used for this purpose include antibodies in serum immunoglobulin against Gardner Ellas contains serum IgM against name.
property known Ellas Gardner vaginal epithelial cells that constitute the "core" of the cell, but this could be a possibility, and the other members of the microbial flora of the vagina. For optical microscope, and the type of microorganisms, such cells to determine binding, is not possible. Therefore, for the purposes of recognition immune Gardner Ellas scientific manner, so as to determine the probability of certain types of microbes.
amplitude of the movements of men under this option, "face to face" will be a bit 'limited, but partner and very intense final.
effectiveness of these options gathering pillow or a folded blanket of women can be improved several times. The following variables of this basic approach is different methods include moderate contrast, if, for example, only one leg bent and indirect contact, but determined. These options are not so important and depends on the individual partners feelings.
The second version of the referee, "face to face"
Last Stand "face to face" is the location, which is about a woman or a man. The most common alternative is the "passengers". In this position, the man is completely passive, but active role goes to the woman, and this is one of the typical female poses, known since ancient times, and is often practiced in European countries. The woman chooses the intensity and pace of the movement., It 'clear that this position is not the relationship that a man meet "all-powerful ruler", and women play a role sozertsatelnitsy negative binding only for obedience and given ( because this position is not extended in the east), on the contrary, women who can make their leadership role in the report says that in many cases there are to choose this location because it gives them complete freedom and gives you the possibility to carry out an act sexual, as it is convenient, it is. It is no wonder that many women in this situation, it is easier to reach orgasm.
Although this position are not responsible for men is useful in cases where patients or just still recovering. In addition, this embodiment allows a powerful man to have sex is to save. Among the genitals can, especially when the woman was sitting in an upright position, which penetrates more deeply into the depths of a member of the vagina. It will remain intense sexual intercourse, even if the man is the lack of erection. However, this form is not required when a member of the senior partner and partner Vagina close. This situation is not desirable, and when a woman is pregnant or suffering from internal diseases
is a "driver" has its derivatives:. They can be picked up by a woman near the partner or sitting, leaning back and resting on an outstretched arm or hold your knees for men.
In case of failure by removing the seam of intrauterine devices, or connect with a spoon.
In some cases (for example, to remove the difficulties IUP traditional methods, inflammation and abnormal) spirals in the hospital with the proper disposal of the survey (ultrasound necessary), and antimicrobial therapy.
The duration of treatment of intrauterine
and depends mainly on the type. For example, the wear is the medical term spirals with a rapid release of the drug (1 year progesaseptom spirals with 5-10 years of intrauterine contraception with levonorgestrel associated with them). There is evidence that there is no difference in results when using the intrauterine contraceptive medical and drug-free. He concluded that the intrauterine contraceptive more widely used, the greater the risk of inflammatory processes, so that (containing mainly copper) with recommendations for further use of the intrauterine contraceptive in the next 3-5 years should be discussed.
The mechanism of action of intrauterine contraceptive research
is not defined Several studies of the mechanism of action of intrauterine contraceptive, but the mechanism of action. It is believed that the effect of contraceptives is made from different parts of the generating function. Changes in the morphology of the lining of the uterus, and the migration of sperm, fertilization and implantation
intrauterine contraceptive stimulate peristalsis of the tube and the contractile activity of the myometrium of the fallopian tubes, thereby enhancing the 'egg that is fertilized no acceleration time. If fertilization occurs, it can be transplanted because of trophoblastic disease. Particularly strong this mechanism works is the first time through the introduction of an explosive inside the uterus, which often are discharged during this period the same effect from the uterus.
There is also a view that the passage of sperm into the uterus to block the fallopian tubes. In addition, the implantation of a fertilized egg is broken and analyzed by the (destruction) of the blastocyst or reject the synthesis of prostaglandins and increasing violations of proliferative processes in secretory endometrium. But one of the complications in the use of contraceptives and intrauterine insemination is the status of ectopic pregnancy intrauterine device creates a barrier to the passage of the fertilized egg from the fallopian tube toward the uterus. Morphological changes in the lining of the uterus is characterized by an inflammatory reaction to a foreign body (a tributary of lymphocytes, nuclei of lymphocytes and plasma cells and macrophages), and the suppression of functional activity and atrophy of the glands lining of the uterus (often observed when uses gormonsoderzhaschih IUP), as well as the activity is dropped from carbonic anhydrase and alkaline phosphatase (that is, in particular, in the copper-containing IUD) eroziruyuschim seen with endometriosis. Characterized cytotoxic effect, especially in the copper-containing IUDs and the impact of the intrauterine contraceptive device in gormonsoderzhaschih. Thus, the effect of contraceptives and intrauterine contraceptive is the combined effect of germ cells prior to the merger and during fertilization, and then the process of developing blastocyst and after transplantation. In case of failure of parts of the effectiveness of the contraceptive intrauterine development of different options for the mother (if it has received IUP) or ectopic pregnancy
effectiveness of the impact of the application of intrauterine contraception contraceptive depends on many factors. , And the right choice, and the individual characteristics of the female body and the type of intrauterine device
the results of the use of contraceptives, intrauterine contraception, like other contraceptives, and measured the Pearl index:. The number of unwanted pregnancies in 100 years (1200 periods). With the use of an inert (non-drug) IUD, this figure varies in the range of 2-3 or more copper-containing - 1-2 and the use of intrauterine gormonsoderzhaschih - 0.8 (Bulletin levonorgestrel at a rate of 20 mg / day .) by 2.9 (the release of progesterone).
side effects and complications
side effects and complications in the use of intrauterine contraceptives at their own pace and intensity are also largely depends on the correct selection, and the individual characteristics of women, and the types of spirals, and the duration of use and the optimization of clinical monitoring
If intrauterine device, and the following complications:. The pain, and the expulsion of the intrauterine contraceptive, and the loss of filaments, uterine or ectopic pregnancy, and bleeding during menstruation, increased vaginal fluids, and the introduction of the device to prevent pregnancy in the uterine wall, and the hole , and inflammatory diseases of the genital organs of the female domestic, and other effects on the body.
after the birth of contraceptives from the inside of the uterus uterus can be seen at the beginning of the phenomenon of pain and discomfort, especially in nulliparous women. With a proper choice of the type of intrauterine these phenomena will not happen soon. It is necessary to distinguish between these two pain with pain symptoms of ectopic pregnancy, infections, and other diseases of the genital tract.
eject micro and macro for the IUD was observed more frequently in the first few days or even hours after the start of the event inside the uterus. Basically put in the wrong choice of intrauterine contraceptive it takes, with many of the women who give birth, with the breaking of the cervix. With the expulsion of the non-full intrauterine device shows its removal and replacement of a new larger format. Expelled without the knowledge of the spirals of unwanted pregnancies.
be profuse vaginal
in its power to shock the surface layer of the lining of the uterus and join the infection.
could happen between periods and heavy menstrual periods. Often engaged in the first session after the appearance of the uterus. In the case of the rotation continues for a long period, and remove the device and intrauterine contraceptive new, if possible, to a smaller size. It should be noted that the bleeding during intra-uterine devices could be the result of other causes (abortion, ectopic pregnancy, and inflammation of the internal genitalia, and nasal polyps).
loss of filament intrauterine device
can cause the uterus recovered, and the expulsion of the intrauterine contraceptive, and their cliff. In all investigations have shown (ultrasound) and all cases -. After that
pregnancy in the presence of intrauterine device
can be a master of the fallopian tube and into the uterus and subsequent exchange
. The issue of medical tactics in the case of an intrauterine pregnancy is individually
Section XII physical ailments female resolved ..25 May, 2016