שאלה לד"ר לגבי רירית רחם

התופעה שאת סובלת ממנה קרויה אמנוריאה משנית (secondary amenorrhea ). הטיפול קשור כמובן בגורם, ראי למשל: Endometrial pathology and infertility. Fertil Steril. 1997 Apr;67(4):687-92. Ruiz-Velasco V, Gonzalez Alfani G, Pliego Sanchez L, Alamillo Vera M. Universidad Nacional Autonoma de Mexico, Mexico City, Mexico. OBJECTIVE: To call attention to endometrial pathologies, which in addition to causing menstrual problems, are a cause of infertility. DESIGN: Controlled clinical study. SETTING: Specialized unit in the management of infertile patients. PATIENT(S): Fifteen infertile women between the ages of 26 and 39 years and suffering infertility from endometrial problems for a period of 4 to 18 years were included in the study. Six patients had primary infertility and nine others had secondary infertility. INTERVENTION(S): Once the endometrial pathology was diagnosed, treatment was initiated according to the type of problem: hysteroscopy, curettage, and hormonal replacement with or without corticoids or antiphymic drugs. MAIN OUTCOME MEASURE(S): Clinical studies, laboratory tests, hormonal serum levels, and endoscopy. RESULT(S): After initiating specific treatment for each of the pathologies, menstruation was re-established in 14 of 15 patients. Nine patients became pregnant (8 of 10 cases with bone, squamous cell, or muscular metaplasia). CONCLUSION(S): Pathological changes of the endometrium are causes of infertility. These problems are not as rare as thought. They must be searched for carefully and diagnosed promptly. The majority carry a good prognosis when adequately treated.