{"id":12891,"date":"2021-11-05T23:38:21","date_gmt":"2021-11-05T20:38:21","guid":{"rendered":"https:\/\/momslab.app\/blog\/?p=2807"},"modified":"2025-06-17T09:05:03","modified_gmt":"2025-06-17T06:05:03","slug":"zensko-neplodnost-uzroci-i-lijecenje-znakovi-simptomi-i-klasifikacija","status":"publish","type":"post","link":"https:\/\/momslab.app\/blog\/bs\/zensko-neplodnost-uzroci-i-lijecenje-znakovi-simptomi-i-klasifikacija\/","title":{"rendered":"\u017densko neplodnost &#8211; uzroci i lije\u010denje, znakovi, simptomi i klasifikacija"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Te\u017enja da postane majka jedno je od najsvjesnijih \u017eenskih \u017eelja, a zdravstveni problemi koji mogu sprije\u010diti \u017eenu da za\u010dne i rodi dijete mogu stati na put toj te\u017enji. Prema statistici, tre\u0107ina bra\u010dnih parova koji \u017eele postati roditelji to ne mogu u\u010diniti upravo zbog \u017eenske neplodnosti. Uzroci ovog poreme\u0107aja mogu biti razli\u010diti, i osim toga, ova dijagnoza nije kona\u010dna presuda i ne zna\u010di da je maj\u010dinstvo za takvu \u017eenu uvijek zabranjeno.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Me\u0111utim, da bi se uspje\u0161no borilo protiv bolesti, prije svega je potrebno utvrditi uzroke \u017eenskog steriliteta. To \u0107e omogu\u0107iti da se razvije ispravna strategija i taktika borbe protiv bolesti i br\u017ee postigne pozitivan rezultat. Ako bra\u010dni par, koji ima redovne spolne odnose i ne koristi kontracepciju, tokom 12 mjeseci ne uspijeva za\u010deti dijete, u tome mo\u017ee pomo\u0107i samo ljekar.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/close-up-woman-holding-infertility-proof_23-2149357315-1024x682.jpg\" alt=\"\u017denska neplodnost\" class=\"wp-image-7606\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/close-up-woman-holding-infertility-proof_23-2149357315-1024x682.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/close-up-woman-holding-infertility-proof_23-2149357315-300x200.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/close-up-woman-holding-infertility-proof_23-2149357315-768x512.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/close-up-woman-holding-infertility-proof_23-2149357315-100x67.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/close-up-woman-holding-infertility-proof_23-2149357315-675x450.jpg 675w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/close-up-woman-holding-infertility-proof_23-2149357315.jpg 1480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-\">Vrste \u017eenskog steriliteta<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Uspjeh sprovedenih aktivnosti zavisi od toga koja vrsta \u017eenskog steriliteta \u0107e biti dijagnosticirana. Postoje dva oblika bolesti:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>primarni \u2014 kada \u017eena nije sposobna roditi dijete zbog nemogu\u0107nosti da ili za\u010deti bebu, ili iznijeti i donijeti na svijet \u017eivo dijete nakon po\u010detka spolnog \u017eivota;<\/li>\n\n\n\n<li>sekundarni \u2014 nemogu\u0107nost ponovnog za\u010de\u0107a nakon \u0161to je u pro\u0161losti \u017eena ve\u0107 bila trudna ili je ranije mogla iznijeti i roditi \u017eivo dijete.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Apsolutna neplodnost se smatra kada \u017eena iz bilo kojeg razloga nema matericu ili jajovode. U pro\u0161losti je ovakav oblik \u017eenske neplodnosti \u010dinio apsolutno nemogu\u0107im samostalno no\u0161enje bebe. Me\u0111utim, razvoj reproduktivnih tehnologija, kao \u0161to su metoda IVF (in vitro oplodnja) ili surogat maj\u010dinstvo, daju takvim \u017eenama \u0161ansu da postanu majke biolo\u0161ki vlastitog djeteta.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h--1\">Relativna neplodnost kod \u017eena<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Pored klasifikacije bolesti po principu primarnosti i sekundarnosti, postoji i takav pojam kao relativna neplodnost. Privremeni ili relativni tip \u017eenske neplodnosti \u010desto je povezan s razlozima koji trenutno predstavljaju prepreku za za\u010de\u0107e. Bolest, na primjer, mo\u017ee biti posljedica anovulacije \u2014 jednofaznog menstrualnog ciklusa koji, unato\u010d o\u010duvanju regularnosti materni\u010dnih krvarenja, karakterizira izostanak ovulacije.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Takva situacija mo\u017ee nastati zbog razli\u010ditih okolnosti, uklju\u010duju\u0107i pubertet, promjenu klime ili po\u010detak menopauze. Relativna \u017eenska neplodnost mo\u017ee se prevladati ako se problemu pristupi ozbiljno i na vrijeme, obrati se ljekaru, razvije pravilna taktika i strogo pridr\u017eava izabrane koncepcije lije\u010denja.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/beautiful-young-woman-looking-herself-reflection-mirror-home_1301-7739-683x1024.jpg\" alt=\"\u017denska neplodnost\" class=\"wp-image-7605\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/beautiful-young-woman-looking-herself-reflection-mirror-home_1301-7739-683x1024.jpg 683w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/beautiful-young-woman-looking-herself-reflection-mirror-home_1301-7739-200x300.jpg 200w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/beautiful-young-woman-looking-herself-reflection-mirror-home_1301-7739-67x100.jpg 67w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/beautiful-young-woman-looking-herself-reflection-mirror-home_1301-7739-300x450.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/beautiful-young-woman-looking-herself-reflection-mirror-home_1301-7739.jpg 740w\" sizes=\"auto, (max-width: 683px) 100vw, 683px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--2\">Osnovni uzroci \u017eenske neplodnosti<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Najva\u017eniji faktor koji odre\u0111uje vrstu klasifikacije su uzroci koji ometaju za\u010de\u0107e. Me\u0111u njima je i neplodnost, koja se defini\u0161e kao:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fallopijske-peritonealne \u2013 izra\u017eava se kao neprohodnost jajovoda pri razvoju atrofije resica, koje omogu\u0107avaju kretanje jajne \u0107elije unutar jajovoda, ili upalnih procesa;<\/li>\n\n\n\n<li>Endokrino \u2013 obi\u010dno je posljedica patologije ovarija, koja se ispoljava njihovim iscrpljivanjem, prisustvom sindroma policisti\u010dnih jajnika, kao i poreme\u0107ajem funkcije endokrinih (\u0161titna \u017elijezda, hipotalamus, nadbubre\u017ene \u017elijezde, hipofiza) i neendokrinih organa (bubrezi, jetra). Ovaj vid \u017eenske neplodnosti mogu uzrokovati i psihi\u010dki stres, poreme\u0107aj metaboli\u010dkih procesa. Klju\u010dni moment endokrinske neplodnosti je uvijek neuspjeh u mehanizmu ovulacije &#8211; anovulacija.<\/li>\n\n\n\n<li>Imunolo\u0161ko &#8211; karakterizira se proizvodnjom antitijela protiv mu\u0161kih polnih \u0107elija.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"740\" height=\"1110\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/doctor-explaining-anatomic-model-patient-high-angle_23-2149351704.avif\" alt=\"\u017denska neplodnost\" class=\"wp-image-7607\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h--3\">\u0160ta jo\u0161 mo\u017ee uzrokovati neplodnost<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Me\u0111u uzrocima \u017eenske neplodnosti se tako\u0111e navodi patologija ili odsustvo materice \u2014 organa u kojem se embrion pri\u010dvr\u0161\u0107uje i razvija u plod tokom 9 meseci &#8211; materi\u010dna neplodnost. Ova patologija mo\u017ee biti uro\u0111ena i manifestuje se udvostru\u010denjem i dvorogom matericom, prisustvom intramateri\u010dne pregrade, ali i ste\u010dena, kao posledica polipoze, mioma, o\u017eiljaka na materici ili njenog uklanjanja i drugih faktora. Uzrok bolesti mo\u017ee biti i prisustvo endometrioze \u2014 patolo\u0161kog \u0161irenja unutra\u0161njeg sluznicog sloja materice izvan nje.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hromosomska patologija dovodi do \u017eenskog infertiliteta. Do steriliteta i psiholo\u0161kog oblika neplodnosti dovodi svjesna ili podsvjesna nespremnost \u017eene da ima dijete. Ponekad \u2013 to je strah od trudno\u0107e i poro\u0111aja, ponekad \u2013 nespremnost da postane majka djeteta tog mu\u0161karca ili nespremnost da izlo\u017ei svoj izgled promjenama koje mo\u017ee izazvati trudno\u0107a.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/woman-health-female-model-holding-card-with-emoji-near-stomach-young-adult-girl-with-paper-sign-symbol-isolated-gray-studio-background-cut-out-part-body-medical-problem-solution_155003-33882-1024x682.jpg\" alt=\"\u017denska neplodnost\" class=\"wp-image-7611\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/woman-health-female-model-holding-card-with-emoji-near-stomach-young-adult-girl-with-paper-sign-symbol-isolated-gray-studio-background-cut-out-part-body-medical-problem-solution_155003-33882-1024x682.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/woman-health-female-model-holding-card-with-emoji-near-stomach-young-adult-girl-with-paper-sign-symbol-isolated-gray-studio-background-cut-out-part-body-medical-problem-solution_155003-33882-300x200.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/woman-health-female-model-holding-card-with-emoji-near-stomach-young-adult-girl-with-paper-sign-symbol-isolated-gray-studio-background-cut-out-part-body-medical-problem-solution_155003-33882-768x512.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/woman-health-female-model-holding-card-with-emoji-near-stomach-young-adult-girl-with-paper-sign-symbol-isolated-gray-studio-background-cut-out-part-body-medical-problem-solution_155003-33882-100x67.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/woman-health-female-model-holding-card-with-emoji-near-stomach-young-adult-girl-with-paper-sign-symbol-isolated-gray-studio-background-cut-out-part-body-medical-problem-solution_155003-33882-675x450.jpg 675w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/woman-health-female-model-holding-card-with-emoji-near-stomach-young-adult-girl-with-paper-sign-symbol-isolated-gray-studio-background-cut-out-part-body-medical-problem-solution_155003-33882.jpg 1480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--4\">Faktori \u017eenskog infertiliteta<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Negativan faktor \u017eenskog infertiliteta, koji mo\u017ee utjecati na razvoj poreme\u0107aja, je starost. U trenutku ro\u0111enja \u017eena je nositeljica oko 400.000 jajnih \u0107elija. Me\u0111utim, broj neaktivnih folikula se s godinama pove\u0107ava, \u0161to smanjuje njihovu reakciju na hormone. Zbog toga jajna \u0107elija ne dosti\u017ee maksimalnu fazu sazrijevanja, \u0161to postaje uzrok bezovulacijskih ciklusa.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Jo\u0161 jedan faktor \u017eenskog infertiliteta je &#8220;starenje jajnih \u0107elija&#8221;. S tim su povezane hromozomske promjene koje dovode do nemogu\u0107nosti oplodnje jajne \u0107elije, patologija u razvoju embriona, koje provociraju poba\u010daje. Klasifikacija faktora uklju\u010duje i idiopatski ili &#8220;infertilitet nejasne geneze&#8221;. Odre\u0111uje se kada sveobuhvatno ispitivanje oba partnera ne otkriva razloge zbog kojih trudno\u0107a ne nastupa. Ova situacija nije toliko rijetka i karakteristi\u010dna je za pribli\u017eno 5-7 % neplodnih parova.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--5\">Simptomi \u017eenskog infertiliteta<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Obi\u010dno poreme\u0107aj reproduktivne funkcije prolazi bez izra\u017eenog patognomoni\u010dnog znaka. Me\u0111utim, ako se \u017eena obrati ljekaru sa sumnjom na infertilitet, specijalista mo\u017ee ustanoviti njegovo prisustvo po posrednim, sporednim simptomima:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>nelagodnost ili bol u podru\u010dju male karlice;<\/li>\n\n\n\n<li>poreme\u0107aji menstrualnog ciklusa;<\/li>\n\n\n\n<li>obilna, bolna menstrualna krvarenja;<\/li>\n\n\n\n<li>prisutnost neplodnosti u porodicama bliskih ro\u0111aka;<\/li>\n\n\n\n<li>neuobi\u010dajeno obilan vaginalni iscjedak s neobi\u010dnim mirisom i bojom, \u0161to mo\u017ee ukazivati na upalni proces;<\/li>\n\n\n\n<li>prisutnost vi\u0161ka kilograma ili prekomjerne mr\u0161avosti;<\/li>\n\n\n\n<li>poreme\u0107aj funkcije \u0161titne \u017elijezde (pra\u0107enje kod endokrinologa);<\/li>\n\n\n\n<li>izra\u017een hirzutizam &#8211; poja\u010dana dlakavost;<\/li>\n\n\n\n<li>mu\u0161ki tip tjelesne gra\u0111e;<\/li>\n\n\n\n<li>prisutnost te\u0161kih oblika akni;<\/li>\n\n\n\n<li>prisutnost hroni\u010dnih patologija, malformacija koje nisu povezane s reproduktivnim sistemom.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/medium-shot-doctor-holding-anatomic-model_23-2149351695-1024x576.jpg\" alt=\"\u017denska neplodnost\" class=\"wp-image-7610\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/medium-shot-doctor-holding-anatomic-model_23-2149351695-1024x576.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/medium-shot-doctor-holding-anatomic-model_23-2149351695-300x169.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/medium-shot-doctor-holding-anatomic-model_23-2149351695-768x432.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/medium-shot-doctor-holding-anatomic-model_23-2149351695-1536x864.jpg 1536w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/medium-shot-doctor-holding-anatomic-model_23-2149351695-100x56.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/medium-shot-doctor-holding-anatomic-model_23-2149351695-700x394.jpg 700w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/medium-shot-doctor-holding-anatomic-model_23-2149351695-1600x900.jpg 1600w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/medium-shot-doctor-holding-anatomic-model_23-2149351695.jpg 1800w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h--6\">Znakovi bolesti<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Nedostatak trudno\u0107e u toku godine redovnog seksualnog \u017eivota bez za\u0161tite sa jednim seksualnim partnerom glavni je znak \u017eenske neplodnosti. Period od jedne godine odre\u0111en je putem statisti\u010dkih prora\u010duna. Dokaz je to \u0161to trudno\u0107a kod redovnog seksualnog \u017eivota nastupa u prva tri mjeseca kod 30% zdravih parova. Tokom narednih sedam mjeseci jo\u0161 60% parova za\u010dne dijete. Nakon jedanaest \u2013 dvanaest mjeseci od po\u010detka redovnog seksualnog \u017eivota oplodnja se de\u0161ava kod preostalih 10%.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Iz ovoga slijedi da je godina dovoljno vrijeme za ocjenu sposobnosti odre\u0111enog para za za\u010de\u0107e djeteta. Ako u ovom periodu trudno\u0107a nije nastupila uprkos svim naporima, nedostatku kontracepcije i odsustvu patologija kod partnera, onda ima smisla govoriti o prisutnosti \u017eenske neplodnosti.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h--7\">Dijagnostika<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Da bi se propisao adekvatan i efikasan tretman \u017eenskog steriliteta, prvo ga treba jasno dijagnosticirati. Sumnje o njegovom postojanju mogu se potvrditi ginekolo\u0161kim pregledom i ultrazvukom &#8211; provode se u najranijoj fazi za procjenu veli\u010dine i karakteristika gra\u0111e jajnika, maternice, te otkrivanje patologije zdjeli\u010dnih organa. Tako\u0111er se propisuje analiza krvi na hormone \u2013 ona omogu\u0107ava odre\u0111ivanje funkcije endokrinog sistema i jajnika.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">U dijagnostici poma\u017ee samostalno vo\u0111enje grafikona bazalne temperature od strane pacijentice tokom 2-3 menstrualna ciklusa, koji se koristi za procjenu ovulacije. Po izboru lije\u010dnika, kao dodatno ispitivanje, mo\u017ee se propisati ultrazvu\u010dno pra\u0107enje procesa sazrijevanja folikula i ovulacije.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h--8\">Koje druge metode se koriste<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Uspje\u0161na borba protiv \u017eenskog neplodnosti mo\u017ee postati mogu\u0107a ako se iskoristi cijeli arsenal dostupnih savremenih metoda, uklju\u010duju\u0107i laparoskopske operacije, koje su istovremeno i terapijske i dijagnosti\u010dke procedure. Tokom laparoskopske procedure, stru\u010dnjak ima priliku da na ekranu posmatra jasnu uveli\u010danu sliku organa male karlice. Ako se u procesu otkriju uzroci neplodnosti, stru\u010dnjak ima mogu\u0107nost da ih odmah tokom postupka otkloni: ukloni \u017eari\u0161ta endometrioze, ciste na jajnicima, priraslice.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gisteroskopija se tako\u0111er koristi za preciznije prou\u010davanje \u0161upljine materice i otkrivanje odstupanja koja nisu dijagnosticirana pomo\u0107u ultrazvuka i uobi\u010dajenim pregledom. Izvo\u0111enje gisterosalpingografije ima za cilj utvr\u0111ivanje prohodnosti jajovoda. Pregled se zasniva na uvo\u0111enju kontrastnog sredstva u matericu, nakon \u010dega se izra\u0111uje serija snimaka.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--9\">Lije\u010denje \u017eenskog steriliteta<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Izbor metode lije\u010denja \u017eenskog steriliteta odre\u0111uje se uzrokom koji je doveo do razvoja patologije. Tako se medikamentozna terapija koristi kod \u017eenskog steriliteta uzrokovanog infektivnim bolestima. U takvoj situaciji se propisuje antibiotska terapija &#8211; lijekovi kao \u0161to su ciprofloksacin, ofloksacin, metrogil, metronidazol i sli\u010dna sredstva.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Konzervativno lije\u010denje se propisuje i kod simptoma endokrinskog oblika bolesti. Takvo lije\u010denje se temelji na upotrebi lijekova koji sadr\u017ee hormone, uklju\u010duju\u0107i klomid, rekombinantne ili mokra\u0107ne gonadotropine. Kod dijagnosticiranog imunolo\u0161kog oblika steriliteta, obi\u010dno se propisuju kortikosteroidi i antihistaminici.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/doctor-performing-ultrasound-scanning-her-pregnant-patient_7502-5429-1024x683.jpg\" alt=\"\u017denska neplodnost\" class=\"wp-image-7609\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/doctor-performing-ultrasound-scanning-her-pregnant-patient_7502-5429-1024x683.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/doctor-performing-ultrasound-scanning-her-pregnant-patient_7502-5429-300x200.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/doctor-performing-ultrasound-scanning-her-pregnant-patient_7502-5429-768x512.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/doctor-performing-ultrasound-scanning-her-pregnant-patient_7502-5429-100x67.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/doctor-performing-ultrasound-scanning-her-pregnant-patient_7502-5429-675x450.jpg 675w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/11\/doctor-performing-ultrasound-scanning-her-pregnant-patient_7502-5429.jpg 1480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h--10\">Koje metode se primjenjuju&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Za borbu protiv \u017eenskog steriliteta koriste se i hirur\u0161ke metode lije\u010denja. Ovi na\u010dini uklanjanja tegobe obi\u010dno su efikasni pri otkrivanju patologija maternice i jajovoda. U takvoj situaciji radi se o minimalno invazivnim operacijama koje nanose minimalnu \u0161tetu pacijentici. Ove manipulacije se izvode isklju\u010divo u bolni\u010dkim uslovima. Period oporavka u ovom slu\u010daju ne prelazi 3-5 dana.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Najpopularnije hirur\u0161ke metode su histeroskopija i laparoskopija, koje se koriste i u dijagnosti\u010dke svrhe. Kod \u017eenskog steriliteta, uzrokovanog psiholo\u0161kim faktorom, koji se, prema statistici, javlja u pribli\u017eno 30% slu\u010dajeva problema s reproduktivnom funkcijom, na pacijenticu utje\u010du psiholo\u0161ki faktori \u2013 pre\u017eivljeni \u0161okovi, stresovi. U takvoj situaciji u rje\u0161avanju problema mogu pomo\u0107i psihoterapeuti i psiholozi.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Te\u017enja da postane majka jedno je od najsvjesnijih \u017eenskih \u017eelja, a zdravstveni problemi koji mogu sprije\u010diti \u017eenu da za\u010dne i rodi dijete mogu stati na&#8230;<\/p>\n","protected":false},"author":11,"featured_media":7612,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","tstyn_error":""},"categories":[821],"tags":[],"class_list":["post-12891","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zensko-zdravlje-bs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u017densko neplodnost - uzroci i lije\u010denje, klasifikacija, metode borbe<\/title>\n<meta name=\"description\" content=\"Poreme\u0107aj \u017eenske reproduktivne funkcije, poznat kao neplodnost, ima svoje uzroke uzrokovane nizom faktora. \u0160ta ga uzrokuje, kako ga dijagnosticirati i lije\u010diti \u2013 objasnit \u0107e stru\u010dnjaci.\" \/>\n<meta name=\"robots\" content=\"index, nofollow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/momslab.app\/blog\/bs\/zensko-neplodnost-uzroci-i-lijecenje-znakovi-simptomi-i-klasifikacija\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u017densko neplodnost - 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