On the classification of menstrual disorders and their clinical manifestation

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Diagnostics anovulatory and gipomotilinemii cycles is based on the use of tests of functional diagnostics. For anovulation are characteristic monophasic basal temperature, constant definition folikulyarnogo type of stroke, the preservation of the phenomenon of " maybe " and "fern", discovery phase proliferation endometrium in the pre days, vibrations low levels of excretion of pregnandiol. For gipomotilinemii cycles are characteristic gradual rise in basal body temperature and the decrease of its long before menstruation, a longer than normal, saving the phenomena of "maybe" and "fern", stop secreting glands of the endometrium more than 3 days before the expected menstruation, little difference between the number of pregnandiol in the first and second half of the cycle and returns to the digits, typical of the first phase, long before menstruation.
Anovulation is clinically manifested by the absence of pregnancy, and gipomotilinemii cycles - infertility or miscarriages in early pregnancy.
Much more difficult to diagnose luteinization, which you can think presumably only in those cases when a full examination of the spouses in all tests (spermiogramma, patency of tubes, immunobiological compatibility, the presence of two-phase cycles) determines the possibility for occurrence of conception, and the latter does not occur. The treatment of such violations should be directed to the normalization of the function of the hypothalamic-pituitary system: impact on higher centers by the method of indirect stimulation, longitudinal diathermy brain, endonasal electrophoresis, impact on the cervix, gonadotropic hormones, clomiphene.
The third group of menstrual function is manifested acyclic violations. Most often, this means that there are disturbances in the form of anovulation on the soil of the primary changes of the function of the hypothalamic-pituitary system. However, unlike the anovulation, typical for the patients of the second group (cyclic processes), in an accessible group of disorders pronounced loss of rhythm allocation of hormones, which results already development is not anovulatory cycle, and anovulatory process. The Genesis of these violations are well studied I. E. the Quater, M. L. Crimean, A. A. Lebedev, V. I. Bumajnoi, O. N. Savchenko, A. F. Dobrotino and many other researchers. Most often this disorder occur at puberty and menopause periods that is associated with the underdevelopment of the hypothalamic-pituitary system or its involutional changes. While the hypothalamus-pituitary system acquires the ability for a long time without hesitation level to allocate gonadotropic hormones, which in turn, leads to long-term conservation & ovarian follicles, not undergoing ovulation or reverse development. Century, sheep and G. S. Stepanov (1961) this state is defined as "the permanent allocation of estrogen in the absence of circular selection of progesterone"due to continued secretion of FSH in the absence of circular LH secretion. This state until recently was diagnosed as "persistent follicle, but often the follicles are detected in the state of atresia (I. I. Feigel, V. A. Pokrovsky, 1936, and others).
Duration of preservation of the follicles may be different, which partly determines the clinical nature of the disease. In most cases, the development of uterine bleeding precedes missed period (transient amenorrhea) from several days to several weeks, allowing all the disease be divided into "phase amenorrhea" and "phase bleeding", diagnosis which is required for proper treatment.