The expert answers: TORCH, orgasm, premature puberty

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QUESTION: Hi, I am 28 years old and have been married for over 2 years. By this time my wife had had 2 miscarriages. At the age of 2 months, we were completely cured of TORCH infection. Unfortunately, doctors say that the fetus died again. When I was examined, varecocele was detected, the percentage of sperm was 45%, and my wife said a two-horned uterus. Advise how to proceed. Thank you in advance.

ANSWER:  The role of TORCH infection during pregnancy is great. TORCH infection does not heal on its own. Before pregnancy, TORCH should be treated to bring the infection to a "sleep" state. I don't know if sperm counts are related to miscarriage, but we don't have any information. We don't know what 45% of the spermogram is. Abortion is not just about TORCH infections. There are many other reasons. I do not think that varicocele has anything to do with miscarriage.

It is recommended that a gynecologist recommend a bicornuate uterus. Horned uterus can cause miscarriage. It depends on the shape of the two-horned uterus. Pregnancy can also go well with a horny uterus.

Our recommendation is that if a woman has a bifurcated uterus and it is completely bifurcated, surgery should be performed in consultation with a gynecologist. Consult a gynecologist.

© Abdulxayev Fayzullo. Urologist.

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QUESTION: Hello, which hormones are released during orgasm. Do these hormones affect the body, menstruation, that is, increase menstruation, or vice versa. Thank you.

ANSWER: During orgasm, women produce estrogen, prolactin and oxstocin. Sex has no significant effect on the menstrual cycle. If a woman is having sex for the first time, she may have a psychogenic menstrual disorder. However, sex increases a woman's immunity, reduces pain and improves mood due to the release of endorphins.

© Yoqubjonov Khurshidbek, gynecologist.

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QUESTION: Hello, can you tell me about the premature maturation of the placenta? What should be done? Thank you for your answer.

ANSWER: There are 4 levels of satellite maturation. Grade 30 to 0 weeks of gestation. It is grade 24 at 34-1 weeks, grade 34 at 39-2 weeks, and grade 37 after 3 weeks. Early maturation of the placenta can be diagnosed by ultrasound. There are several reasons for the early maturation of the satellite. Examples include smoking and alcohol consumption, infectious agents, abortions in previous pregnancies, gestosis, endocrine disorders, multiple pregnancies, and more. Early satellite maturation may not always be accompanied by satellite deficiency. It is therefore necessary to complete the inspections. Placental insufficiency is associated with 50-70% risk of preterm birth, 32% gestosis, and 25-45% other diseases. Fetal hypoxia may develop due to impaired oxygen delivery to the fetus. Therefore, consult your doctor in this case.

© Yoqubjonov Khurshidbek, gynecologist.

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QUESTION: I am 25 years old. A year ago, doctors diagnosed me with uterine fibroids. She was then surgically removed along with my ovary on one side. I haven't menstruated since. I was examined by a doctor. I took the said treatment courses. But there is no result. It is said that a woman who is not menstruating cannot have children. I'm worried about that. What advice would you give me?

ANSWER: Typically, fibroids occur in older women. This is a rare condition at your age. Of course, there were enough reasons for the development of fibroids. For example, painful menstruation or excessive blood loss during adolescence can contribute to the development of disease. In addition, it is caused by changes in the activity of hormonal glands in the body and goiter. My advice to you, go to the gynecologist, endocrinologist again. If a hormonal imbalance occurs, it should be treated immediately. If one of the ovaries is removed, the other can be used to conceive. However, in some cases, the hormone produced by a single ovary cannot fully function as a uterus. It's the same with you. Pain is caused by hormones that cause menstrual symptoms. However, they are unable to ensure menstruation. In order for the menstrual cycle to be regular, the endocrinologist must determine the level of hormones in the blood and perform treatment according to the analysis.

© Rayhon Salomova, gynecologist.