asistirana reproduktivna tehnologija u humanoj reprodukciji

DEO III
STERILITET ................................................................................................. 93
1. POREME]AJI @ENSKE PLODNOSTI .................................................... 94
1.1. Miomi i sterilitet .................................................................................... 95
1.2. Endometrioza i sterilitet ......................................................................... 97
1.3. Infekcije kod `ene i njihov zna~aj u sterilitetu ......................................100
1.4. Gojaznost, poreme}aji ishrane i sterilitet ..............................................112
1.5. PCO-policisti~ni ovarijumi i PCOS- policisti~ni ovarijalni sindrom .....119
1.6. Disfunkcija lutealne faze i sterilitet ......................................................126
1.7. Tiroidna `lezda i neplodnost .................................................................127
1.8. Zna~aj hiperprolaktinemije kod neplodnih `ena....................................128
1.9. Imunoglobulini, njihova funkcija i sterilitet .........................................129
1.10. Stres i sterilitet ...................................................................................... 132
1.11. Psihosomatski aspekti steriliteta ............................................................133
2. POREME[AJI MU[KE PLODNOSTI .....................................................135
2.1. Pretestikularni uzroci ............................................................................136
2.2. Testikularni uzroci ................................................................................140
2.3. Posttestikularni uzroci ...........................................................................145
2.4. Infekcije kod mu{karca i njihov zna~aj za sterilitet .............................146
3. DIJAGNOSTIKA STERILITETA ............................................................150
3.1. Dijagnostika steriliteta kod `ene ...........................................................150
33.1.1. TTrrooddiimmeennzziioonnaallnnaa ttrraannssvvaaggiinnaallnnaa ssoonnooggrraaffiijjaa uu rreepprroodduukkttiivvnnoojj mmeeddiicciinnii ........150
33.1.2. HHiisstteerroossaallppiinnggooggrraaffiijjaa .........................................................................154
33.1.33. LLaappaarroosskkooppiijjaa .....................................................................................155
33.1.4. HHiisstteerroosskkooppiijjaa .................................................................................... 161
33.1.5. SSoonnoohhiisstteerroossaallppiinnggooggrraaffiijjaa ..................................................................162
3.2. Analiza ejakulata .................................................................................. 162
3.3. Pregledi oba partnera ............................................................................167
33.33.1.. MMoolleekkuullaarrnnoo bbiioolloo{{kkaa ddiijjaaggnnoossttiikkaa .....................................................167
3.4. EBM -evidenciono bazirana medicina .................................................167
4. TERAPIJA STERILITETA .......................................................................168
4.1. Operativna terapija ...............................................................................168
4.2. Alternativne i fizikalne metode le~enja ................................................173
DEO IV
ASISTIRANA REPRODUKTIVNA TEHNOLOGIJA
XII
1. IN VITRO FERTILIZACIJA .............................................................................177
1.1. Stimulacija folikulogeneze ...................................................................178