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Специалист работает как с женщинами, так и с мужчинами, так как причины бесплодия могут быть с обеих сторон [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/)[3](https://dnk.clinic/blog/detail/reproduktolog/). \n\nНекоторые направления работы репродуктолога: \n* **Диагностика причин бесплодия** — оценка состояния репродуктивной системы пациента, выявление возможных проблем со здоровьем, которые могут препятствовать зачатию [1](https://www.cfm.ru/kurgan/poleznaja-informacija/stati/vrach-reproduktolog-kto-ehto-i-chto-lechit/). \n* **Лечение бесплодия** — может включать медикаментозную терапию, хирургические вмешательства, а также применение вспомогательных репродуктивных технологий (ВРТ) [1](https://www.cfm.ru/kurgan/poleznaja-informacija/stati/vrach-reproduktolog-kto-ehto-i-chto-lechit/)[2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n* **Консультации по планированию семьи** — помощь парам в выборе оптимального времени для планирования беременности, рекомендации по подготовке к зачатию [1](https://www.cfm.ru/kurgan/poleznaja-informacija/stati/vrach-reproduktolog-kto-ehto-i-chto-lechit/). \n\n## У женщин\nНекоторые проблемы, которые лечит репродуктолог у женщин: \n* **Гормональные нарушения**, влияющие на овуляцию, регулярность менструального цикла, выработку яйцеклеток [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n* **Заболевания, передающиеся половым путём**, которые могут вызывать воспаления и другие проблемы [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n* **Гинекологические диагнозы**, мешающие забеременеть: синдром поликистозных яичников, непроходимость маточных труб, эндометриоз, миома матки [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n* **Хронические воспалительные процессы** органов малого таза [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n\n## У мужчин\nНекоторые проблемы, которые лечит репродуктолог у мужчин: \n* **Нарушения сперматогенеза** — сниженное качество или количество сперматозоидов, их неподвижность или аномалии формы [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n* **Воспаления простаты и яичек** [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n* **Варикоцеле** (расширение вен яичка, семенного канатика) — негативно влияет на выработку спермы [9](https://www.ckbran.ru/hospital/eko-ekstrakorporalnoe-oplodotvorenie/lechenie-muzhskogo-besplodiya). \n\n## Методы лечения\nПосле сбора анализов и постановки диагноза репродуктолог разрабатывает стратегию лечения [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). Она может включать: \n* **Коррекцию гормонального фона** — медикаментозную стимуляцию овуляции, регулировку уровня пролактина, щитовидной железы и других показателей [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n* **Терапию воспалительных и инфекционных заболеваний** [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n* **Хирургические вмешательства** при необходимости (лапароскопия, гистероскопия и др.) [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n* **Вспомогательные репродуктивные технологии (ВРТ)**: ЭКО (экстракорпоральное оплодотворение), ИКСИ (введение сперматозоида в яйцеклетку), криопротоколы (перенос замороженных эмбрионов) [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n\n**Важно**: репродуктолог не навязывает процедуры, всё обсуждается [2](https://aist-crm.ru/blog/kogda-pora-obratitsya-k-reproduktologu-signaly-organizma/). \n\n## Консультации\nКонсультация репродуктолога необходима, если в течение года регулярной половой жизни без использования контрацепции естественная беременность не наступает [3](https://dnk.clinic/blog/detail/reproduktolog/). Для женщин старше 35 лет этот срок сокращается до шести месяцев, поскольку с возрастом снижается овариальный резерв и увеличивается риск осложнений [3](https://dnk.clinic/blog/detail/reproduktolog/). 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