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Preparation h makes it worse: Do Hemorrhoids Go Away On Their Own?


Do Hemorrhoids Go Away On Their Own?

Home / Do Hemorrhoids Go Away On Their Own?

Hemorrhoids are a chronic disease, meaning the symptoms persist for a long time and are constantly recurring. If you have experienced recurring bouts of hemorrhoids, your hemorrhoids likely won’t go away on their own. Left untreated, hemorrhoids often get worse over time – and therefore harder to treat. This means that a hemorrhoid that could easily be treated today could eventually require surgery.

If you’re unsure if you have hemorrhoids, consult with your doctor to get an accurate diagnosis and see if you should have a colon cancer screening, or a colonoscopy. Typically, adults over the age of 50 should undergo colonoscopy at least every 10 years, or more frequently if your family has a history of GI issues.

Temporary vs. Permanent Options

There are a variety of at-home hemorrhoid remedies to choose from. However, while these will mask your symptoms for a short time, they provide only temporary relief. By contrast, hemorrhoid treatment performed by a qualified physician, such as the CRH O’Regan System, can relieve your hemorrhoids permanently. If you want to get rid of your hemorrhoids, not simply mask the symptoms, consider a more permanent option.

Temporary Hemorrhoid Treatment Options

Relief Using Hemorrhoid Creams

Hemorrhoid creams, such as those made by Tucks and Preparation H, are an appealing medicine to many people suffering from hemorrhoids as they can be purchased from the drugstore without a prescription and used in the privacy of the home. These creams typically contain a medicinal ingredient such as hydrocortisone along with a soothing agent to provide quick relief from hemorrhoid symptoms like itching and burning.

Whichever hemorrhoid cream you choose, it will have to be applied several times per day, especially in the morning and at night.

For External use:

Squeeze a small amount of the cream onto your finger and apply to the outside of the anus. Be sure to wash your hands thoroughly with warm soap and water before and after application or use a disposable glove or finger cot.

For Internal use:

If you do not see hemorrhoid relief from external application, some creams are able to be applied inside the anus. It is best to have a bowel movement before attempting to apply hemorrhoid cream this way.

Then, after thoroughly washing your hands, attach the rounded applicator tip to the cream tube. Gently squeeze the tube in order to in order to test the applicator to see how much ointment comes out. You want to aim for an amount that is similar to the length of the tip of your index finger.

Before insertion, lubricate the applicator either with the ointment, KY jelly or another safe lubricant. You may find it easiest to insert the applicator by laying on your side with your top knee drawn up towards your chest. You can then lift your upper buttock and insert the applicator until it passes your sphincter muscle (the muscle you use to hold in a bowel movement).

Squeeze the tube using the same amount of pressure as when you tested the applicator. It is recommended that you stay lying down for a few minutes and avoid having a bowel movement for one hour after application in order to keep as much medicine inside as possible.

While hemorrhoid creams, applied either externally or internally, may provide some relief, this relief is short-lived. Multiple applications are required throughout the day over multiple days in order to see prolonged relief. In addition, some creams and medicated wipes actually contain ingredients that, while initially soothing, are actually irritants that will worsen your hemorrhoids long-term.

If you’ve tried creams before, you may find that after some time your hemorrhoids do go away, but then come back weeks or even months later. This is because the creams are simply masking your symptoms rather than getting rid of the underlying issue. The only way to truly get rid of your hemorrhoids and get prolonged relief is with a hemorrhoid treatment like the CRH O’Regan System or with hemorrhoid surgery.

What You Should Know About Hemorrhoid Creams Like Preparation H

Preparation H is one of the best-selling hemorrhoid medicines available. It can be purchased in a number of varieties including wipes, creams and suppositories.

Most Preparation H products are recommended to be applied 4-6 times per day, especially in the morning and evening. The active medicinal ingredient varies between products, but most forms of Preparation H aim to reduce the inflammation that leads to some of the discomfort hemorrhoids cause. Products are available for both internal and external hemorrhoids.

Like other topical creams, Preparation H products alleviate symptoms for only a short time and do not get rid of the hemorrhoids completely. Your hemorrhoids will not go away from using Preparation H.

Home Remedies for Hemorrhoids

In addition to hemorrhoid creams, there are a number of other home remedies for hemorrhoids that can provide relief from bothersome hemorrhoids. Some people prefer natural treatments over store-bought ointments containing medicinal ingredients. No matter what home remedy you choose, it will provide only temporary hemorrhoid relief.

Some examples of hemorrhoid home remedies include:

Apple Cider Vinegar.  This is an appealing at-home remedy as it can be purchased at most grocery stores; in fact, many people may already have this item in their pantries! If you are going to try apple cider vinegar for your hemorrhoids, organic, raw and unfiltered apple cider vinegar is recommended.

The most common way to use apple cider vinegar is by applying it to your hemorrhoids topically. Some users report the vinegar causes stinging which may be reduced or prevented by diluting the vinegar with equal parts water prior to application.

Others say they get better results from ingesting the apple cider vinegar orally in a glass of water. Finally, some will add 1-2 cups of apple cider vinegar to their sitz bath for added relief. While apple cider vinegar may provide temporary relief, only a treatment such as the CRH O’Regan System will be able to fully get rid of your hemorrhoids.

Sitz Bath. This is one of the most common ways to achieve hemorrhoid relief at home and is physician recommended. It involves sitting in warm (not hot) water mixed with epsom salts for a short period of time which encourages blood flow to the infected area and relaxes the anal sphincter.

You should sit in the sitz bath for 15 minutes at least three times per day, including after bowel movements. Be sure to dry your bottom thoroughly following the bath as moisture in the area can further irritate your hemorrhoids.

The warm water should be high enough to reach your anal area only, which can be achieved by either filling a clean bathtub to the appropriate depth or by purchasing a sitz bath from the drugstore, which is a small plastic bowl you can put on the toilet seat. If you choose to have your sitz bath in the bathtub, you will require more epsom salts to achieve the same concentration as with the store bought bath.

Witch Hazel. Although there is not conclusive scientific evidence, this plant is said to reduce pain, swelling and itching in hemorrhoids. Witch hazel is an ingredient in some hemorrhoid wipes, creams and suppositories but usually comes in liquid form.

Like other natural treatments such as tea tree oil and apple cider vinegar, witch hazel is typically applied topically. Unfortunately, while these natural remedies may provide temporary relief, they will not cause your hemorrhoids to go away completely and often contain ingredients that will inevitably worsen your hemorrhoids. Liquid witch hazel may also be added to a sitz bath.

If you have been trying to get rid of your hemorrhoids at home and they keep coming back, or if you don’t want to deal with messy creams and inconvenient applications throughout the day, speak with your doctor about another option, such as the CRH O’Regan System.

Permanent Hemorrhoid Treatment Options

Do you really need to treat your hemorrhoids? If your symptoms have persisted or come back over a period of time, the answer is usually yes.

Home remedies for hemorrhoids may provide hemorrhoid relief for a period of time, but if symptoms come back or never completely go away, you may require help from a medical professional to get rid of your hemorrhoids for good.

Hemorrhoidectomy (Hemorrhoid Surgery)

Hemorrhoidectomy is a form of surgery usually performed by a general surgeon or colorectal surgeon. Surgical hemorrhoidectomy is the most effective treatment for hemorrhoids. However, because it also has the highest complication rate and results in significant pain and downtime, it is often a last resort for those suffering from hemorrhoids.

Physicians typically reserve hemorrhoid surgery for more advanced cases and will recommend less invasive therapies and/or lifestyle changes, like adding a fibre supplement to your diet, before resorting to hemorrhoid surgery.

Non-Invasive Permanent Treatment

While there are several forms of non-invasive treatment that can provide temporary hemorrhoid relief, very few are permanent. After hemorrhoid surgery, the rubber band ligation (hemorrhoid banding) technique has the lowest recurrence rate, meaning hemorrhoids are the least likely to return.

Depending on the type of hemorrhoid banding, however, this method can require sedation and/or have a high likelihood of causing pain. Unlike these other methods, the CRH O’Regan System is a form of hemorrhoid banding that can get rid of hemorrhoids for good but without any pain or sedation.

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How Can I Treat My Hemorrhoids?

Hemorrhoids are swollen veins in the anal canal. Of course, everyone has veins in this area, but when they become enlarged they can bleed, itch and cause pain. Hemorrhoids can be located internally, externally or both. While rarely a serious condition, hemorrhoids certainly cause a lot of discomfort and concern. Here is a guide to the treatment of hemorrhoids at home.

When Should You See the Doctor for Hemorrhoids?

Before assuming that your condition is hemorrhoids, it’s a good idea to see your doctor for an examination. After all, it’s difficult to take a look for yourself. And please, no “selfies”!

If there is any bleeding, severe pain or fecal incontinence (loss of bowel control), you should definitely see your doctor. A large amount of bleeding or the sudden onset of severe pain means you should seek medical treatment immediately.

How Can You Treat Hemorrhoids at Home?

Here are some things you can do at home to relieve symptoms of hemorrhoids, including some home remedies:

  • Drink water – make sure you are well hydrated. When you do not have enough water intake, your bowel movements can become hard and difficult to pass. This increases pelvic pressure and makes the hemorrhoids get enlarged.
  • Eat more fiber – an adequate fiber intake is important to ensure that you do not get constipated and that the bowel movements remain soft and easy to pass.
  • Take a sitz bath – this means sitting in warm water for about 20 minutes at a time. No additives are needed. While some people buy special sitz bath seats from the pharmacy, all you need is a bathtub and some warm water. You can do this about 2 or 3 times a day. Remember to gently pat dry the anal area to avoid irritation.
  • Use soothing wipes – cleaning your anal area after bowel movements is important, as left over fecal material is irritating to the skin. While moist toilet paper or a wash cloth will work, many people prefer the pre-packaged wipes (Preparation H medicated wipes or Cottonelle flushable wet wipes are examples). These wipes often have witch hazel and aloe in them, which are soothing. Avoid baby wipes, as they are not usually flushable and can clog the toilet. Tucks (witch hazel pads) can be soothing, but are small and may be hard to apply.
  • Avoid rubbing too much – this can irritate the skin and hemorrhoids. The rougher toilet papers are the biggest problem, but any toilet paper can feel like sandpaper if you rub too hard or too much.
  • Heed the urge – get to the bathroom as soon as possible when you have an urge to pass a bowel movement. “Regularity” is overrated.
  • Don’t sit too long on the toilet – this engorges the hemorrhoidal veins and can make the situation worse. Take care of business and move on.
  • Avoid sitting for long periods – while everyone knows that pregnancy increases the risk of having hemorrhoids, sitting for a long time (like long distance truck drivers) can increase hemorrhoids, too. Get up and walk around frequently if your job requires a lot of sitting.
  • Apply ice packs – some doctors recommend this, but I don’t. I think the treatment itself may be more uncomfortable than the disease.
  • Use ointments, creams and suppositories – these can help in several ways. Most of them contain emollients – medications to soften and soothe the skin. Some contain hydrocortisone. This topical steroid reduces inflammation. Other products contain anesthetics such as 5% lidocaine. Be careful not to confuse hemorrhoidal suppositories with laxative suppositories. For example, while glycerin is good to soften your hands, a glycerin suppository is a laxative and will not help hemorrhoids. Don’t use these products for more than 10 days unless under the instructions of a doctor. They can make the situation worse with prolonged use.

What If a Hemorrhoid Won’t Go Away?

Most people will get relief from at-home treatments. However, sometimes these remedies do not work, or don’t work well enough. In that case, there are treatments that the doctor can provide. These can range from pills to prescription creams to minimally invasive procedures, and even to hemorrhoid removal surgery. 

Read more about when at-home treatments for hemorrhoids don’t work >

In the meantime, if you have more questions or feel your condition is urgent, contact your Temple physician or healthcare provider.

To schedule an appointment, please call 800-TEMPLE-MED (800-836-7536) or request an appointment online.

6 self-help tips for hemorrhoid flare-ups

Getting older has its benefits—and its drawbacks. Included in the latter are hemorrhoids. These swollen blood vessels on the outer rectum and anus can turn bowel movements into intensely painful experiences. Classic symptoms include rectal pain, itching, bleeding, and possibly prolapse (protrusion of hemorrhoids into the anal canal). Although hemorrhoids are rarely dangerous, they can be a painful recurrent bother.

Hemorrhoids come in two varieties. The internal type sprout from within the rectum. External hemorrhoids develop on the anus itself. Either way, stools passing by them can cause pain and bleeding.

But simple self-help measures can ease the ordeal of most hemorrhoids and allow healing. Here are effective steps you can take to care for hemorrhoids—and when it’s time to seek out a procedure to remove them.

What helps hemorrhoids

Here are six self-help tips to ease hemorrhoid pain and promote healing:

  1. Step up the fiber. The most important thing is to add fiber to your diet. This is best done with foods that help hemorrhoids, but some people find they need to take a fiber supplement to get 20 to 30 grams of fiber per day. To start, try a psyllium husk fiber supplement, such as Metamucil or a generic equivalent. If psyllium causes gas or bloating, try a supplement containing wheat dextrin or methylcellulose.
  2. Lubricate the process. Mixing a tablespoon of mineral oil with applesauce or yogurt and eating it at breakfast or lunch allows stool to slide by the hemorrhoid more easily. But don’t do this for a long period (if you try this, you may want to place a liner in your undergarments to absorb any oil leakage.)
  3. Don’t delay. When you feel the urge, go to the bathroom immediately; don’t wait for a more convenient time. Putting off bowel movements can worsen constipation, which then aggravates hemorrhoids.
  4. Try elevation. Elevating your feet a bit with a step stool as you sit on the toilet changes the position of the rectum in a way that may allow for easier passage of stools.
  5. Off-the-shelf remedies. Over-the-counter products are available for hemorrhoids. These include witch hazel infused pads and soothing creams, like the iconic brand Preparation H and its generic equivalents. If these don’t work, ask your doctor about prescription preparations.
  6. Sit in a sitz. Don’t overlook the relief offered by sitz baths. Using a basin that fits under the toilet seat, soak the inflamed area in warm water for 10 to 15 minutes, two to three times a day.


If hemorrhoids persist no matter what steps you take to make them go away, or they begin to bleed, interfere with bowel movements, or make life difficult, ask your doctor about medical procedures to remove or reduce hemorrhoids. Two minimally invasive techniques—rubber-band ligation and laser, infrared, or bipolar coagulation—shrink internal hemorrhoids. Some people need surgery (hemorrhoidectomy) to take care of the problem.

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How long do hemorrhoids last? Treatment and recovery

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Hemorrhoids are swollen, irritated veins around the anus or rectum that can last for varying lengths of time. In some people, hemorrhoids clear up on their own after a few days. In other cases, they can become a regular occurrence.

Some people may need medication or medical procedures to minimize their symptoms and shrink the hemorrhoids.

Hemorrhoids can cause pain and make simple activities, such as sitting or walking, uncomfortable or challenging.

In this article, learn more about how long hemorrhoids last and how to get relief.

There is no set duration for hemorrhoids. Small hemorrhoids may clear up without any treatment within a few days.

Large, external hemorrhoids may take longer to heal and can cause significant pain and discomfort. If hemorrhoids have not resolved within a few days, it is best to see a doctor for treatment.

Risk factors for severe or recurrent hemorrhoids include:

  • not getting enough fiber
  • being overweight or obese
  • being pregnant
  • having chronic constipation
  • having chronic diarrhea
  • aging muscles
  • sitting on the toilet for too long
  • straining while having a bowel movement
  • having anal intercourse
  • overusing or abusing enemas or laxatives

Some of the above factors can also make it difficult for hemorrhoids to heal, allowing the problem to persist for longer.

Some hemorrhoids do not require treatment and will clear up on their own within a few days. During this time, a person should rest and avoid doing anything that strains or puts pressure on the area.

Over-the-counter (OTC) treatments may work for some people. Medicated creams, such as phenylephrine gel (Preparation H), can help relieve itching and discomfort.

If OTC treatments have little or no effect, a doctor may be able to prescribe more effective ointments.

People who often have hemorrhoids or experience complications, such as blood in the stool, should speak to a doctor. The doctor may recommend alternative treatments or run tests to rule out underlying causes.

People who experience severe hemorrhoids may need more intensive treatment, including medical procedures. These procedures may include:

  • Rubber band ligation, which is the most common nonsurgical procedure for removing hemorrhoids. A doctor will place a small, tight band around the hemorrhoid to cut off circulation to the tissue and allow it to fall off.
  • Sclerotherapy, during which a doctor injects a chemical medication into the hemorrhoid to shrink it. Doctors may also use heat, light, or freezing temperatures to achieve this.
  • Surgical removal, which doctors only recommend in cases where hemorrhoids do not respond to at-home or in-office methods. Surgery is usually successful and prevents the hemorrhoids from coming back.

There is a selection of hemorrhoid treatments available for purchase online.

For people who get hemorrhoids regularly, some dietary and lifestyle changes may help with healing and prevention.


Share on PinterestEating plenty of fiber-rich foods may soften the stool, making it easier to pass.

Straining during bowel movements is a common cause of hemorrhoids, but people can make dietary adjustments to reduce their need to strain.

Including plenty of fiber-rich foods in the diet is generally beneficial. Plant fibers from fruits, vegetables, nuts, and grains help collect water in the stool, making it softer and easier to pass.

Supplementing the diet with soluble fiber, such as methylcellulose (Citrucel) or psyllium (Metamucil), may reduce constipation.

Drinking plenty of water throughout the day helps ensure that the body has enough water for healthy digestion, which can also ease constipation.


Making a few small lifestyle changes can help minimize the symptoms of hemorrhoids. Some tips include:

  • Using a small stool to prop up the legs while having a bowel movement. This will change the position of the anal canal, which may make it easier to pass stool.
  • Avoiding delaying a bowel movement when the need arises.
  • Taking regular showers.
  • Gently washing the anus in the shower after each bowel movement or using moist toilet wipes or water from a bidet.
  • Taking a warm sitz bath to relieve symptoms.
  • Sitting on an ice pack to reduce pain or discomfort.
  • Exercising regularly to help stimulate bowel movements.

Spending too much time on the toilet can cause the blood to pool in the veins in the rectum or put unnecessary pressure on them.

While making dietary changes can reduce toilet time, people should also avoid taking a smartphone, newspaper, or book into the restroom.

Hemorrhoids come from small clusters of veins near the mucous membranes of the anus and lower rectum. They develop when the veins become swollen or irritated.

Internal hemorrhoids appear inside the lower rectum and are not visible to the naked eye. This type of hemorrhoid may not cause any pain or irritation, but a person may have other symptoms.

External hemorrhoids appear on the outside of the anus and commonly cause pain and discomfort.

The symptoms of hemorrhoids may vary from person to person, but often include:

  • a lump external to the anus
  • pain or discomfort
  • itching, even after wiping the area clean
  • swelling near the anus
  • a burning sensation when having a bowel movement or at rest

A person may also notice blood in the toilet or stool.

Share on PinterestThe extra weight that a woman carries during pregnancy may cause hemorrhoids.

Hemorrhoids are a common problem during pregnancy. The extra weight that a woman carries during pregnancy may place a strain on the veins in the anus and rectum.

As the uterus grows, it also puts pressure on the veins near the rectum.

Hormonal changes may relax the veins in this area, which can also make hemorrhoids more likely.

Hormonal and physical changes can also cause gastrointestinal problems, such as constipation or diarrhea, which increase a person’s risk of hemorrhoids.

Hemorrhoids are usually not severe, but they can be bothersome and make daily life difficult.

How long hemorrhoids last can vary from person to person, but a range of OTC remedies and medical options are available to treat them.

There are also some simple changes that people can make to their diet and lifestyle to achieve symptom relief and prevent new hemorrhoids from forming.

Itchy Bottom? Don’t Blame Hemorrhoids – Health Essentials from Cleveland Clinic

Many patients who have anal problems assume they have hemorrhoids and go into the doctor’s office and announce that they have hemorrhoids. What are their symptoms? They say their bottoms itch, or act up, and they feel extra skin down there as they wipe. It must be hemorrhoids, right?

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Self-treatment with medicated wipes or cream is their first go-to. After all, the advertisement on the TV said it’s what works. But the “hemorrhoids” don’t go away — they may get worse.

For most, the answer is simple, says colorectal surgeon Massarat Zutshi, MD: You may not have hemorrhoids, and what you’re doing to treat this non-issue is likely making the problem worse.

trouble with self-diagnosing hemorrhoids

“People self-diagnosing hemorrhoids is something I see almost daily in my practice,” says Dr. Zutshi. “Hemorrhoids are the favorite diagnosis that is easily misinterpreted for many of my patients.”

Certainly bring up any concerns you have with your doctor, Dr. Zutshi notes. Especially if you notice rectal bleeding along with the other symptoms mentioned above, be sure to talk to your doctor about further treatment.

All humans have hemorrhoids normally. They only become an issue when they become swollen and irritated. Most often, you can’t diagnose that yourself. your doctor needs to examine you.

what’s causing my itchy bottom?

What patients often suffer from is the result of, ironically, being too clean.

“What happens is a vicious circle. Filled with good intentions, you try to keep your bottom scrupulously clean by vigorous wiping using flushable wipes,” Dr. Zutshi says. “But the unexpected result is that this leads to soreness and itching and the feeling that you have ‘abnormal down there,’ which in your dictionary is hemorrhoids.”

overcleaning can lead to feeling “dirtier”

The problem is the chemicals in the wipes dry out your bottom. So your skin works to produce more oil. And it still feels “dirty” down there. Vigorous wiping causes irritation of the superficial layers of the skin, repeatedly causing itching and burning, says Dr. Zutshi.

So what are those extra skin flaps? They’re normal for many of us as we age. Women who’ve had children often have hemorrhoids during pregnancy that resolve later. But the stretched skin loses its elasticity and those folds in the perianal area are what patients feel.

This is the point where you self-diagnose hemorrhoids, Dr. Zutshi says, and start using medicated wipes and creams — adding more chemicals that continue to make the situation worse. Even the “alcohol-free” wipes contain chemicals. And so the cycle continues. Remember: The skin in that area is delicate, is never exposed to the sun and should be treated with gentleness.

The shockingly simple fix

The solution often surprises many people, which is … splash some water on it.

Rather than cleaning yourself with flushable wipes, use a bidet — a water spray which can you install on your toilet, or even a portable, spray bottle version — or a plastic sitz bath which is available at any drug store. Pat dry after that and do it gently.

“Whatever method you choose, rinse the area with water to clean it, then pat dry,” Dr. Zutshi says. “Don’t use soap and water, unless it’s very mild like Ivory® or Dove®; the chemicals in soap dry the area too. Just plain water works fine.

“My patients tell me that after they started doing this, their itching and discomfort went away,” she says.

You can also use a barrier cream, like Desitin® or Calmoseptine® , when experiencing discomfort and then later, as needed, to calm the area.

So the moral of the story: Don’t overclean yourself with chemicals. Let water do the work.

Itchy Butt? Here’s How to Know if It’s Hemorrhoids

Talk about a pain in the butt: According to the U.S. National Institutes of Health, up to 75 percent of us will suffer from hemorrhoids—swollen veins around the anus, categorized by itchiness and pain—at one point or another. Oh, what fun.

Here, everything you need to know about the pesky little suckers.

What Causes Hemorrhoids
Blame constipation, which can lead you to force things on the toilet seat, straining the surrounding vessels and veins and inflaming them, says Gina Sam, M.D., director of the gastrointestinal motility center at The Mount Sinai Hospital. People who sit all day can also be plagued by hemorrhoids for the same reason: Being on your butt (even in a seat) can also stress the veins down there. Pregnant women tend to be particularly affected by the problem, notes Sam. This could stem from the congestion, blood flow, and increased pressure from that baby bump, she says.

RELATED: 4 Reasons Why You Might See Blood in Your Poop

Signs You’ve Got ‘Em
While booty issues aren’t exactly easy to see, if you have external hemorrhoids—lumps that are in or around your anus—you might be able to spot them. Otherwise, you might be able to feel the enlarged bumps when you wipe, says Sam. And oftentimes, if you have them, you’ll notice droplets of blood in the toilet or on your TP, says Sam.

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How to Deal
Your best bet is to get to the root of the problem and treat not just the symptoms but the primary cause, says Sam. If you’re constipated, for example, that means it’s time to take a hard look at your diet. “You want to be eating at least 25 to 30 grams of fiber a day and drinking eight to 10 glasses of water,” says Sam. So stock up on foods like raspberries, apples, kale, whole wheat bread, lentils, beans, and nuts. Then, when you’re on the toilet, limit your time (read: no cell phones allowed!) to curb any potential straining. (You might not even realize you’re doing it.) 

RELATED: Turns Out, We’ve All Been Pooping the Wrong Way Our Entire Lives

Chained to a desk? Make sure to take breaks every 15 minutes or so, even if it’s just to grab a drink of water and walk around. Not only can constant sitting cause the hemorrhoids themselves, it can also irritate the problem further, says Sam. You could also try a standing desk.

Relief also comes in the form of OTC treatments like Anusol ($10, amazon.com) and Preparation H ($7, amazon.com). But remember, while these can help soothe your symptoms and decrease inflammation, they aren’t cure-alls. If the problem is interfering with your day-to-day or things are getting worse down there, see your doc, says Sam. A pro can decrease the circulation of the hemorrhoid surgically to shrink its size or perform injection therapy if you’re seeing a lot of bleeding or discomfort, she says.

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Preparation H Cooling Gel rectal Uses, Side Effects & Warnings

Generic Name: phenylephrine (rectal) (FEN il EFF rin REK tal)
Brand Name: Anu-Med, Formulation R, Hemorid, Hemorrhoidal, Hemorrhoidal Cooling Gel, Medicone Hemorrhoidal, Preparation H Cooling Gel, Preparation H Suppositories, Prep-Hem

Medically reviewed by Drugs.com on May 13, 2021. Written by Cerner Multum.

What is Preparation H Cooling Gel rectal?

Preparation H Cooling Gel is a decongestant that shrinks blood vessels. Dilated blood vessels can cause hemorrhoids.

Preparation H Cooling Gel is used on the rectum to relieve itching, burning, irritation, and swelling caused by hemorrhoids.

Preparation H Cooling Gel may also be used for purposes not listed in this medication guide.


Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Before taking this medicine

You should not use Preparation H Cooling Gel if you are allergic to it Preparation H Cooling Gel (often used in certain cold or allergy medicines).

Ask a doctor or pharmacist if it is safe for you to use this medicine if you have:

Ask a doctor before using this medicine if you are pregnant or breast-feeding.

Always ask a doctor before using Preparation H Cooling Gel on a child. Do not give this medicine to a child younger than 2 years old.

How should I use Preparation H Cooling Gel rectal?

Use exactly as directed on the label, or as prescribed by your doctor.

You may use Preparation H Cooling Gel up to 4 times daily, especially after a bowel movement.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Do not place Preparation H Cooling Gel inside your rectum. The gel forms of phenylephrine rectal are for use only on the area around and just outside of your rectum.

Only the rectal suppository should be placed into the rectum.

Call your doctor if your symptoms do not improve after 7 days, or if they get worse.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Since Preparation H Cooling Gel rectal is used on an as needed basis, you are not likely to miss a dose. Do not use Preparation H Cooling Gel more than 4 times per day.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking Preparation H Cooling Gel rectal?

Ask a doctor or pharmacist before using over-the-counter medicines that may contain ingredients similar to Preparation H Cooling Gel.

Preparation H Cooling Gel rectal side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using Preparation H Cooling Gel and call your doctor at once if you have:

  • rectal bleeding;

  • severe irritation inside or around your rectum; or

  • increased blood pressure–severe headache, blurred vision, pounding in your neck or ears, anxiety, nosebleed.

Less serious side effects are more likely, and you may have none at all.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Preparation H Cooling Gel rectal?

Ask a doctor or pharmacist before using Preparation H Cooling Gel with any other medications, especially:

This list is not complete. Other drugs may affect Preparation H Cooling Gel, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Further information

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90,000 Pedagogical universities must change

The acuteness of numerous profile problems is especially clearly felt by pedagogical universities in Russia. In this regard, the heads of educational institutions, who took part in the correspondence round table, expressed their personal point of view on topical issues proposed by the editorial board of “JSC”.

REDKO Lyudmila Leonidovna, Rector of the Stavropol State Pedagogical Institute
ASADULLIN Rail Mirvaevich, rector of the Bashkir State Pedagogical University named afterM. Akmulla (Ufa)
GALUSTOV Ambartsum Robertovich, Rector of Armavir State Pedagogical Academy
PERYAZEV Nikolay Alekseevich, Rector of the East Siberian State Academy of Education (Irkutsk)

– What problems of teacher education are the most acute today? What is their solution?

REDKO L.L., Rector of the Stavropol State Pedagogical Institute, Doctor of Pedagogical Sciences, Professor: “Unfortunately, there are several acute problems. First of all, there is an obvious resource unreadiness of the entire current system of training teachers for the implementation of those large-scale innovative goals that are set today for a modern teacher and school. The practice and conditions for the training of specialists for the school, even in the most advanced educational organizations and institutions, are in direct conflict with the numerous requirements for the teacher, set forth both in the concepts of modernization of education and in the qualification characteristics.The list of personal and professional qualities that even novice teachers should demonstrate as a result of the implementation of the current standards cannot be formed in young people during their studies in the four-year bachelor’s programs. The current situation is one of the reasons for the emergence of the draft of a new teacher standard, which entails the need to update the standards of pedagogical education in general, since the existing ones with great difficulty “catch up” with the new realities.

The highest requirements for the personality of a professional teacher will be met when a number of basic conditions are created for his training.The first of them is that the special social significance and specificity of the pedagogical profession should be clearly formulated in the normative documents, the leading role of the upbringing of the spirituality of the individual in the process of teaching teachers should be substantiated. At the same time, it is necessary to preserve and develop in pedagogical universities that unique educational environment, which, first of all, provides opportunities for consistent moral growth of students.

A separate topic is the use of adequate criteria for measuring and assessing the quality of pedagogical education, the presence of teachers of the most valuable professional and personal characteristics – mercy, patience, generosity, tolerance, readiness for creativity, and others that are not measured in metric units.However, the certification of a teacher, and hence the remuneration of his labor today, is based on the verification of performance, including the listed “outrageous” qualification characteristics ”.

PERYAZEV N.A., Rector of the East Siberian State Academy of Education (Irkutsk), Doctor of Physics and Mathematics, Professor: “There are regions in our country where there is no urgent need for teaching staff: for example, Moscow, Kursk or Belgorod regions. However, graduates of pedagogical specialties from these regions will not go to the Irkutsk region.The situation is similar in many eastern regions of Russia, for example, in the Krasnoyarsk Territory, Transbaikalia, and Altai. Therefore, the preservation and even development of teacher education in the eastern regions of Russia is an important state task. At the same time, the country is undergoing a reform of higher education. One of its components is the rejection of specialized pedagogical universities. Over the past three years, more than 20 pedagogical universities have lost their status ”.

ASADULLIN R.M., rector of the Bashkir State Pedagogical University named after V.I.M. Akmulla (Ufa), Doctor of Pedagogical Sciences, Professor: “One of the most acute problems of pedagogical education, in our opinion, is the problem of the competitiveness of pedagogical universities in the educational services market. Unfortunately, when choosing a university, applicants are not always guided by the final profession, but quite often – by the name of the educational institution.

Another serious problem is the implementation of the practical orientation of educational programs of pedagogical universities.Today it is impossible to train teachers within the framework of the traditional knowledge paradigm.

The situation is aggravated by the continuing decline in the prestige of the teaching profession in society, although in recent years the state has been doing a lot to support teaching.

In our opinion, the effective development of teacher education is possible only in conditions of close integration with secondary schools. However, the points of view of the university and the school on the professional qualities of a modern teacher are significantly different.The development of a teacher’s professional standard is only the first step towards combining the needs of a modern school and the content of teacher education. The very concept of “competence”, as laid down in the Federal State Educational Standards, includes, in addition to traditional skills and abilities, also the experience of professional activity. Therefore, it is obvious that without real pedagogical practice, the preparation of a competent teacher is impossible. On the other hand, with the introduction of the Federal State Educational Standard, modern schools are experiencing an urgent need to update the scientific and methodological support of the educational process and develop new pedagogical methods.Close cooperation, a kind of symbiosis of general education schools and pedagogical universities, will allow teacher education not only to strengthen its position in the educational services market, but also to develop effectively. ”

– How do you assess the draft teacher professional standard? Does this document need to be changed, clarified? What are your suggestions?

ASADULLIN RM: “The need to develop a professional standard for teachers has long been discussed by the pedagogical community.Therefore, the emergence of this project has caused a heated discussion both among school teachers and professors of specialized universities. Unfortunately, the sequence of emergence of the most important documents for pedagogical universities is clearly violated: first, the Federal State Educational Standard appeared, and then the professional standard, although the logic demanded the opposite.

In the proposed project, the structure of the teacher’s activity is logically presented, its main components are highlighted, the leading competencies of the teacher are determined. The detailed characteristics of primary school teachers, Russian language and literature, and mathematics, developed by the authors of the document, deserve attention.However, in the proposed concept, the methodological component of the teacher’s work is lost, which, in our opinion, is the basis of pedagogical activity. ”

GALUSTOV AR, Rector of the Armavir State Pedagogical Academy, Candidate of Pedagogical Sciences, Associate Professor: “The new standard involves building an individual approach to each child, taking into account his qualities, creative abilities, developmental problems.

This should be welcomed.And the teacher himself appears in this standard as a creative, comprehensively developed personality, ready for self-educational activity.

Of course, in the process of adaptation, the standard will be adjusted. In our opinion, it should be equally accessible to both the teacher of an elite school, equipped with the latest technology, and a small school, to which, let’s face it, a graduate with a red diploma is not always ready to come. ”

REDKO LL .: “For all my many years of work experience, I have never been able to see a normative document that is ideal from all points of view – it is impossible to create it.

Of course, the professional standard of a teacher needs changes, clarifications, and serious approbation. Why did we support the proposed standard? This is a framework document that allows a teacher, and even a student, to independently saturate the approaches to their professional training, the formation of their own personal competencies with new content. The new standard is not as literal as qualification characteristics; it does not provide for “one-dimensional” indicators of the teacher’s personality and characteristics.There is no need to painfully ponder how to present to parents, children and, especially, those who are checking the entire list of qualities that are inherent practically only to “saints”.

I also see a positive moment in the fact that a professional standard cannot be introduced without changing the structure and approaches to teacher training. This means that this document is not a matter of today or even tomorrow. There is time for reflection and adjustment.

No doubt, serious testing will be needed before it can be argued that the standard is ready for mass adoption.Approbation sites should be different. It can be a large humanitarian-pedagogical university, or a relatively small, but narrow-profile regional university – we proposed the SSPI as an innovative testing ground, since we are focused only on training teachers across the entire cluster of pedagogical specialties and have a wide network of pedagogical educational institutions in the region our structures.

At the same time, practice convinces that in innovative autonomous universities of technical and any other direction it is quite difficult for pedagogical faculties to maintain the specifics of their “own” professional environment, since the main task of these universities is the development of scientific research, the preparation of effective, rationally thinking business managers, and not disinterested servants of childhood and education. “

– What indicators of monitoring the effectiveness of the activities of educational institutions of higher education and their branches in 2013 presented the greatest difficulty for pedagogical universities?

PERYAZEV NA: “Monitoring of universities was invented as a formal means to reduce their number. Prior to this, the merger and liquidation of universities proceeded with great complications. However, monitoring has nothing to do with the performance of universities.This is supported by a number of obvious examples. This line includes pedagogical universities.

Due to the low prestige of the teaching profession, the average score of applicants entering pedagogical areas is lower than the national average. Only those pedagogical universities that recruit for prestigious non-pedagogical specialties had the opportunity to overcome the necessary barrier.

The call to teach foreign students in pedagogical universities of the country with a large shortage of teachers in its eastern regions looks very strange.This is reminiscent of the 30s of the last century, when the government sold grain abroad, and famine raged in some regions of the USSR.

It is obvious that the area of ​​educational buildings of technical and pedagogical universities differ sharply. For a technical university, 11 square meters per student is most likely not enough, but for a pedagogical university 9 is quite enough. An artificial increase in footage leads to a decrease in economic efficiency – money will be spent on the maintenance of excess space, and not on the provision of the educational process.

As is well known, financial flows in research are being redistributed towards applied research and development. In higher education, these areas are accumulated in technical and classical universities. Here, in addition, fundamental science is developing in a wide range of areas. In pedagogical universities, it is more often represented by the humanitarian direction. At the same time, scientific results are obtained mainly by teachers – there are practically no scientific workers.Therefore, the average indicator of scientific funding for pedagogical universities will always be less than the average for all other universities in the country.

A university with a pedagogical orientation cannot, and should not, engage in various entrepreneurial activities, such as technical, classical or economic. As a result, the average indicator of total funding per teacher at pedagogical universities is also usually below average. ”

GALUSTOV AR: “Monitoring of effectiveness, from our point of view, not only became a serious test for educational institutions in the sphere of higher education, but also outlined prospects for development.Hardly before all universities were aimed at attracting foreign students to training, searching for foreign specialists, and productive international cooperation. But today the prospect of “going out into the world” is important for a young person, without limiting themselves to language and cultural barriers, and universities should provide their students with such an opportunity.

A difficult test for pedagogical universities is the high rate of the Unified State Examination of incoming applicants. I propose to look at this circumstance objectively: we should strive to accept as students not all those who have overcome the lowest, “three” bar, but school graduates who have made a truly conscious professional choice.Of course, against the background of today’s decline in the number of graduates, this is not easy to do. However, in the future, such a principled position will lead to a qualitatively new understanding of the function of higher education: not just to train a person with a diploma, but to graduate a specialist who seeks to apply his knowledge in practice. This will entail the fulfillment of one more monitoring indicator – employment of graduates ”.

REDKO LL: “The specifics of teacher training, as well as of the institutions in which he is trained, should be taken into account when assessing the quality of the activities of pedagogical universities.However, so far there is only one reason for enthusiasm: the Ministry of Education and Science of the Russian Federation, when monitoring, now takes into account such an indicator as the employment of graduates, and in the SSPI this level is very high – more than 80 percent. Already in senior years, about half of the students work in their specialty – this is due to the shortage of teaching staff associated with the strengthening of migration processes and the leveling of the demographic situation.

Undoubtedly, one of the most difficult indicators to achieve is international activity.Russian teachers, unlike their foreign colleagues, face a difficult task – to educate patriots who are ready to work in their homeland. Our graduates must, through work and attitude to life, broadcast the values ​​that contribute to the prosperity of the Motherland. In this regard, it is difficult to expect the relevance of the results of scientific research, practical developments available in the Russian pedagogical school, and, therefore, to hope for a high level of citation in the world’s leading publications.

A similar story is with the international student enrollment rate. The budget of which constituent entity of the federation, or even the federal budget, in today’s realities, will prepare specialists for foreign states according to Russian pedagogical standards? And today our specialists are in demand in a number of countries. But in what areas? Fuel and energy complex, natural science research and research. And no one orders Russian educators, historians, linguists, school teachers of mathematics.

A proposal was considered to bring pedagogical universities into a special group, like creative and sports, but so far it has not been implemented. This is a very serious problem: pedagogical universities can be a priori driven into ineffective ones ”.

ASADULLIN RM: “It seems that the indicators by which the effectiveness of Russian universities has been recently evaluated require substantial improvement. There is a problem: the education system is evaluated primarily from an economic point of view.This approach loses the main value of education – the formation of the personality, the upbringing of a professional. Therefore, the main indicator of the effectiveness of any university, and especially a pedagogical one, should be the professional and personal qualities of its graduates.

Given the low popularity of pedagogical specialties among applicants, the greatest difficulty for pedagogical universities today, perhaps, is the fulfillment of the indicator that determines the average USE score upon admission.As you know, far from the most prepared applicants come to “our” universities. This does not take into account what pedagogical technologies are being developed in universities, what methods and means are used in order to educate real professionals in their field from the existing contingent of students. ”

– What are the prospects for the development of teacher education in Russia?

ASADULLIN RM: “Today, several concepts for the further development of teacher education are known.However, not all of them are discussed with the involvement of the pedagogical community. Which concept wins depends on the leadership of the relevant ministry. From our point of view, teacher education is an established industry, without which the structure of higher education is unthinkable. The task of increasing its efficiency must be addressed in a comprehensive manner – taking into account the specifics of the constituent entities of the Russian Federation and those problems that have already been mentioned earlier.

Pedagogical universities today must change in order to maintain the status of independent elements of the university system.The only way is seen: to become universities of an innovative type, training specialists on the basis of a combination of the achievements of pedagogical science and advanced educational technologies. ”

GALUSTOV AR: “Pedagogical education is a unique branch of the tree of higher education. Today it is going through a difficult period. A pedagogical university should produce not just a knowledgeable teacher, but also form a creative personality, confident in his potential, the ability to contribute to the development of society.But to make this possible, the pedagogical university will have to radically change the approach to the implementation of educational activities. ”

REDKO L.L .: “I am convinced that if we don’t take care of children properly, we don’t realize what processes are going on in the sphere of childhood and what needs to be done so that they can be effectively managed, all other problems will soon recede into the background … Everything that is planned in the country is needed for the people who approve of it. But for the people to support the plans of the government, it is necessary that they support the government, realizing why it is worth doing.I do not see any other manageable structure that is able to perceive this task as its own and strain for its implementation, except for … the school with its teachers. And basically those who work today. Remember, there was a slogan: specialists with a “different” education should go to school – docents, etc.? This idea was presented in the project “Our New School” as a separate innovative approach to personnel training. Where are these people? As there were up to one percent of “other” teachers in the school, it is. All knowledge that is of an informational nature can today be obtained without a teacher from the network.To teach how to filter the knowledge gained – to discard what destroys you, and, conversely, to use what helps to survive in life – this is a task only a teacher can do.

This is confirmed by the history of teacher education in Russia. How many times have pedagogical universities been closed? And every time they were rediscovered. Even our institute appeared three years after the former Stavropol Pedagogical Institute turned into a classic one, when it was realized that no more than ten people from the entire graduation of the new university came to schools.Those who study according to the standards of a large classical university are faced with the goal of making a new science, generating new knowledge. And in a pedagogical university, a future specialist must every year and, preferably, at least two or three weeks in each semester, see the best examples of pedagogical work and at the same time the problems that the general education school lives with today. And when, passing from course to course, every year he will be confirmed in his choice, and not be transferred to another university, then one can have the hope that the graduate who received the diploma will stay to work at the school.

If he is properly taught, he will do what he knows with pleasure. For a job well done, the teacher receives gratitude, which can only be compared with gratitude to a priest or doctor. It is no coincidence that at all times believers have called one person the Savior and Teacher. Reformers of teacher education should remember this. ”

90,000 -5% of world oil production. Aftermath of the attack on oil infrastructure in Saudi Arabia

The organizers of the attack carefully timed the attack.In the context of a decrease in the growth rate of oil production in the United States, the world market reacts painfully to the decline in Saudi oil production.

Riyadh, 16 Sep – IA Neftegaz.RU. Saudi Arabia’s oil production declined sharply following drone attacks on the kingdom’s largest oil processing facilities.

Attack of drones.
In the early morning of September 14, 2019, powerful unmanned aerial vehicles (UAVs) attacked Saudi Aramco facilities in Abkaik and Hurais in the eastern part of the kingdom.
10 drones took part in the attack.
Among the enterprises attacked is the oil treatment plant (OTP) in Abkaik, which Saudi Aramco calls the world’s largest oil stabilization plant.
The plant is located 60 km from Dhahran in the eastern province of the kingdom and can process up to 7 million barrels per day of feedstock from the large Saudi oil fields of Gavar, Shayba and Khurais.
Ghawar (Gavar) is capable of producing 5.8 million barrels per day Arab Light, Shaybah (Washer) – 1 million barrels per day Arab Extra Light,
The oil treatment facility in the Khurais area also suffered, at 2, m , the kingdom’s largest oil field with reserves of 20 billion barrels.oil.
After the attack, fires began, which were localized with great difficulty.
As a result of the attack, no one was killed or injured, but the Saudis’ oil production fell by almost 2 times!

According to the President and CEO of Saudi Aramco A. al-Nasser, due to drone attacks on Saudi Aramco facilities, production decreased by 5.7 million barrels per day of oil.
This represents 50% of the kingdom’s current oil production and over 5% of world production.
The timing of the attack has been carefully chosen. For several months, the growth of shale oil production in the United States has slowed down significantly.
Against this background, the drop in oil production in Saudi Arabia seriously destabilizes the world oil market.
Saudi Arabian Energy Minister A. bin Salman assured that part of these losses will be compensated from reserve storage facilities.
For the curious, recall that the Saudis have a lot of mothballed deposits, which allows the Saudis to quickly restore production.
But this does not happen, and this is strange.
There are probably fears of a repeated airstrike.
On September 15, 2019, Saudi state television reported that the attacks had not affected the kingdom’s oil exports.
But this is slyness.
It is known that Saudi Arabia has closed the export MNP with a throughput capacity of 230 thousand barrels per day, through which Arab light oil is supplied to Bahrain.
Bahrain-based Bapco has already closed a crude oil distillation unit at its refinery in Bishkek.Sitrah, while the hydrotreating and visbreaking units reduced productivity by up to 45%.

Saudi Aramco is working to restore production.
Estimates of the timing of recovery of production are still ambiguous.
Reuters and Al Jazeera reported that it could take several weeks for Saudi Arabia to return to its previous oil production after the drone attack.
According to the WSJ, by the evening of September 16, 2019, the Saudi authorities will restore the level of oil production by 1/3, which turned out to be significantly lower than the initial forecasts.
Saudi Aramco itself does not provide any estimates, promising to provide new information in 48 hours.

Who attacked.
The Houthis of the Ansar Allah movement claimed responsibility for the attacks.
In a statement, they pledged to expand the attack zone in Saudi Arabia, which is part of the coalition that is fighting against them in Yemen.
The Houthis have already attacked oil infrastructure in Saudi Arabia.
Then, due to the drone attack, 2 oil pumping stations (OPS) on the East-West oil trunk pipeline (MNP) (Petroline) were damaged.

Reaction of the Saudis.
The Saudi Arabian authorities commented on the incident with restraint, calling the incident a terrorist attack, but not making any accusations against anyone.
But in reality, the reaction of the kingdom turned out to be tough.
The Sky News Arabia TV channel reported that the military aircraft of the coalition led by Saudi Arabia launched massive strikes on the positions of the Ansar Allah movement in Yemen on September 14.
Most likely, these strikes were a response to the drone attack.

International reaction .
– according to the already established tradition, they were accused of an attack on Iranian fields.
US Secretary of State M. Pompeo on his Twitter called on all countries to publicly and unequivocally condemn Iran’s attacks on Saudi Aramco facilities.
There is no evidence that the attacks were carried out from Yemen, the head of the US State Department said.
In general, Iran is responsible for almost 100 attacks on Saudi Arabia, M.Pompeo, adding that the US authorities intend to hold Iran accountable for its aggression.
Iran denies these accusations, the country’s Foreign Ministry called M. Pompeo’s statement a lie.

– expressed their readiness to support Saudi Arabia.
On September 14, 2019, US President D. Trump held a telephone conversation with Crown Prince of Saudi Arabia M. bin Salman.
In the conversation, D. Trump said the United States is ready to cooperate in maintaining the security and stability of the kingdom.
The US Department of Energy, in turn, promised to allocate, if necessary, strategic reserves to stabilize the oil market, D. Trump gave his permission for this.

Great Britain.
The British Foreign Office called the attack on oil facilities reckless.
It is unacceptable to threaten civilian areas and commercial infrastructure, it is dangerous and provocative.

Condemned the attacks on Saudi Aramco businesses, saying they exacerbate the situation in the region.
The German Foreign Ministry called for abandoning such attacks.
The European External Action Service said attacks on oil facilities in Saudi Arabia threaten regional security and undermine dialogue efforts.

The attack on Saudi Arabia is a worrying event for the oil market.
D. Peskov: any such turbulence does not help stabilize the energy market.
R. Kadyrov: in his telegram, condemning the actions of the Houthis and calling on the world powers to make efforts to prevent attempts to create a new hotbed of tension in the Middle East.
Head of the RF Ministry of Energy A. Novak:
– so far there is no need to take emergency measures under the OPEC agreement + due to attacks on oil facilities in Saudi Arabia and a sharp reduction in oil production.
– the world has enough commercial oil reserves to cover the retired volumes in the medium term.
– there is no need to take any extra urgent measures, but much will depend on the period affected by the consequences of the disruption of the infrastructure.

Pregravid preparation – Medical Center “Life Line” in Solntsevo

Pregravid preparation ( pre – before, gravid for a successful pregnancy) a 9000 , easy pregnancy and childbirth without complications. A responsible approach to pregravid preparation allows a woman to enjoy pregnancy and the fetus to grow and develop properly .

History of the issue.

The demographic situation in modern Russia is defined by sociologists as a state of “depopulation” or, as this process is figuratively called, – “Russian cross”.

And what is most unpleasant, the socio-economic processes in the modern history of Russia are taking place against the background of a steady deterioration in the health of the population. That is why the protection of reproductive health in our country is elevated to the rank of state policy and national security (“Concept of the demographic development of the Russian Federation for the period up to 2015.»), Since the hope for improving the quality of health of the next generations is associated exclusively with the health of women of childbearing age, children and adolescents.

Moscow also failed to avoid such a phenomenon as the “Russian cross”, despite the fact that the birth rate in our city increased slightly (taking into account all undocumented migrants), and the death rate of the population decreased by 1.2 times, there is still a large gap between fertility and mortality.

Specialists in different fields of knowledge – sociologists, economists, political scientists and doctors, offer their own options for overcoming the “Russian cross”.Since 1995, at the level of the Ministry of Health of the Russian Federation, the target program “Safe Motherhood” has been implemented, which is included in the presidential program “Children of Russia”. The main goal of this program is social support for mothers and children, reproductive health protection, creation of the necessary conditions for the birth of healthy and desired (!!!!) children, prevention and reduction of abortions, maternal and infant morbidity and mortality.

Our medical center “Life Line”, which has a long and successful experience in conservative treatment of infertility, makes its contribution to solving this global problem.Years of observation of infertile couples who turn to us for help gave us the obvious idea that prevention is much more “profitable” in every sense than treatment.

Pregravid preparation is the very prevention of a successful pregnancy. More than half of the couples who came to us for infertility treatment could have avoided such a “sentence” by going through pre-conception training on time.

A holistic approach to pregravid preparation.

Translated into Russian, this means a holistic approach to the problem of healthy conception of a child.In recent years, holistic principles in medicine have become more and more often used by traditional doctors, since the narrow specialization characteristic of medicine of the twentieth century has led to the fact that “the forest is no longer visible for the trees”.

Based on the experience of therapists professing a holistic approach, we formed our project on pregravid training based on the idea of ​​a person as a unity of physical (biological), mental and spiritual components. Doctors, by virtue of their education, can only act on the physical level, that is, heal the patient’s body.As a rule, medical centers dealing with pre-conceptional training of women are limited only to the treatment of sexually transmitted diseases, which in itself is very important, but extremely insufficient. Pregnancy and childbirth, although of course a physiological process, but since it is associated with the mystery of the emergence of new life, it is one of the most spiritualized processes of mankind.

Mental needs for pregravid training will be satisfied in family centers, where professional psychologists prepare a married couple for the birth of a child.Typically, family centers and health centers, doing the same thing, are in antagonistic relationships, subjecting each other’s work to criticism.

Keennet Earl Wheeler II is an American philosopher and writer who developed the theoretical and practical provisions of the integral approach in combining discoveries made in various spheres of human activity (psychology, medicine, sociology, philosophy, mysticism and religious studies, postmodern movements, empirical sciences , systems theory, etc.wrote that “- I do not believe that even one human mind is capable of one hundred percent error. Therefore, instead of asking which approach is correct and which is not, we assume that each approach is right, but only partially, and then we try to figure out how to fit these partial truths together, how to combine them – and not how choose one of them and discard the rest. ”

So we are trying to “fit our partial truths” with the family club “Christmas”, which for 20 years has been engaged in similar tasks.The experience of the Christmas family club speaks for itself. Many married couples, once attending seminars, return there again and again, gradually moving into the status of large families.

And, finally, the spiritual component lies with the future parents. Since motherhood and fatherhood are their spiritual experiences. Doctors and psychologists can only help to go through this spiritual path with the least loss. The more soul will be invested in preparing for pregnancy and childbirth by future parents, the more harmonious and stronger the family will be.

Our experience of joint work is a vivid confirmation of this.

Stage 1 of pregravid preparation – physical level.

It is advisable to read pregravid preparation six months or better a year before the expected moment of conception. This period is due to the fact that at the moment, the level of spread of sexually transmitted diseases is so high that some doctors insist on classifying them as a pandemic. Therefore, the risk of being infected with a viral or bacterial pathology is so great that treatment and subsequent recovery can take a fairly long period.

Stages of pre-conception preparation of the first level:

– diagnostics of the health index of future parents;

– preparing each parent for conception;

– determination of the optimal days for conception;

– preparing a woman’s body for pregnancy.

Specialists of the first level of training:

– obstetrician-gynecologist

– andrologist

– therapist

– geneticist (with a burdened family history)

An obstetrician-gynecologist and an andrologist can assess the readiness of the reproductive systems of future parents for the birth of a child (examination, ultrasound, colposcopy, spermogram, smear tests, ELISA, PCR).If necessary, treat or sanitize the birth canal.

General practitioner consultation – health index diagnostics. The therapist in pregravid preparation pays special attention to microelementosis (ECG, computer testing, analyzes – clinical and biochemical blood and urine tests, analysis for dysbiosis).

A geneticist calculates the risk of having a child with a hereditary pathology. Ideally, all married couples should consult a geneticist, but the absolute indication for medical genetic counseling is:

– there are hereditary diseases or developmental defects in the family;

– consanguineous marriage;

– woman over 35 years old, man over 50 years old;

– there were spontaneous miscarriages, undeveloped pregnancy, intrauterine fetal death, stillbirth;

– long-term exposure to harmful factors (radiation, various chemical compounds, etc.)).

What you need to pay attention to at the first stage of pre-conception preparation.

  1. Sexually transmitted infections.

At the first (medical) stage of pregravid preparation, as mentioned above, a huge role is assigned to the diagnosis and treatment of infections. Chronic, undetected and untreated viral and bacterial infections are the leading factor in the unfavorable course of pregnancy.Even if the infectious process does not directly affect the fetus, it still leads to the development of chronic endometritis in women and prostatitis in men, to autoimmune disorders, which often cause infertility, miscarriage, and intrauterine fetal development disorders.

According to statistics, with a general improvement in the situation with abortions in our country in recent years,

and it should be noted that the section “abortions” includes not only surgical and medical termination of pregnancy, but also self-abortions and abortions for medical reasons.So in the structure of all abortions, the percentage of self-abortions increases sharply, that is, the reproductive health of women in Russia, despite the growth in well-being, continues to deteriorate.

In the structure of late abortions at 22-27 weeks, spontaneous abortions (56%) and abortions for medical reasons (41%) prevail, among which half (50.6%) are abortions for congenital malformations of the fetus (CMF). Of all abortions for medical reasons, abortions for congenital malformations of the fetus were in Russia in 2010.23.9%. Accordingly, due to the pathology of the mother, pregnancy was terminated in 76.1%. In 86%, congenital fetal pathology occurs as a result of intrauterine infection. Carefully reading the statistics, one can understand that such a simple action as the treatment of infections greatly reduces the risk of an unfavorable course of pregnancy.

It is important for men to remember that infections should only be treated together. True, often, gynecologists advise the husbands of their patients, in order to save money, to drink drugs prescribed for a woman, and not go to an appointment with an andrologist.But, unfortunately, the flip side of such savings is the health of the unborn child. Women’s treatment regimens are completely unsuitable for men, due to the different structure of the reproductive system.

  1. Avitaminosis and Microelementosis

The second place after the treatment of genital infections from the point of view of official medicine is the correction of nutrientopathies, that is, vitamin deficiencies and microelemetosis. Pregnancy, whatever one may say, is a big test for a woman.Even for a young healthy body, this is a serious additional burden. A healthy female body is restored only a year after childbirth. With repeated births, this period increases to 2-3 years.

During pregnancy, all vital organs work with a vengeance, all their work is aimed at maintaining the system – mother-placenta-fetus. Planning a pregnancy for a woman includes not only a reproductive health examination, but also the readiness of the body as a whole for a doubled load.That is why it is so important to be examined by a therapist on time for microelementosis and vitamin deficiency states of the expectant mother. In this situation, it is very important not to forget about yourself.

Vitamin deficiency in pregnant women in all regions of Russia is depressingly high. So, hypovitaminosis of group B, according to various sources, ranges from 20 to 100% of the examined, vitamin C in 13-50%, vitamin A – 25-94% with a relatively sufficient supply of vitamins E. Moreover, in the vast majority of pregnant women (70.0-80 , 0%), regardless of age, season, place of residence, there is a combined deficiency of three or more vitamins, that is, polyhypovitaminosis states.

During the period when a woman is preparing for motherhood, the daily need for vitamins and minerals doubles, and the phase of accumulation of vitamins to the desired physiological level is measured not for a week, and sometimes not even for a month. Therefore, it is too late to start drinking vitamin complexes, being already pregnant, to put it mildly.

During pregnancy, vitamin deficiency leads to an increased risk of adverse outcomes for the mother, such as gestosis, bleeding and postpartum purulent-septic complications.Tissues damaged during childbirth heal very slowly. The frequency of spontaneous abortions and premature births is significantly increasing. With hypovitaminosis, the condition of the skin and hair changes, osteoporosis (bone loss) and caries develop. Postpartum depression is especially difficult.

Newborns born to mothers with nutritional deficiencies and, in particular, vegetarians, as a rule, have a lower body weight (less than 2500 g), more often intrauterine growth retardation and congenital malformations occur.Children often develop vitamin deficiencies in the first year of life. At the same time, if a woman started taking vitamins at least 3 months before pregnancy and continued taking them during the first 12 weeks of pregnancy, then the risk of congenital heart defects in the fetus is significantly reduced. These children also have a significantly lower risk of developing brain tumors, diabetes mellitus and coronary heart disease in the adult period.

Consequences of vitamin deficiency and hypovitaminosis in pregnant women




Dry skin, poor appetite, vision problems – “night blindness” in the mother.The threat of premature birth, delay in fetal development, weight loss, malformations of the organs of vision, genitourinary system.


Increased fatigue, even in the absence of a load. Bleeding gums, dry hair, susceptibility to infections. It is necessary for the normal development of the bones and teeth of the child, prevents anemia and is responsible for metabolic processes, including the absorption of iron.The risk of premature birth.


Malformations of bones and teeth in the fetus, cramps of arms and legs in newborns and low blood calcium levels, softening of bone tissues in the mother’s body.


Infertility, miscarriage, fetal deformities, muscle spasms and weakness, fetal growth retardation.


Violation of the blood coagulation process – bruises, swelling.



Malfunctions of the nervous, circulatory and cardiovascular systems. Avitaminosis B1 – fatigue and muscle spasms. Avitaminosis B2 – diseases of the skin and mucous membranes – dermatitis, stomatitis. Avitaminosis B6 – dermatitis of the skin of the face.Avitaminosis B12 – anemia, premature birth.



Erythrocytic anemia, intrauterine growth retardation, premature birth, low birth weight, the main cause of fetal neural tube defects.

However, in the desire to give your unborn child all the best and in as large quantities as possible, one should not go beyond reasonable limits, since the consequences of hypervitaminosis are as destructive as vitamin deficiency.

Consequences of hypervitaminosis in pregnant women




Defects in the development of the central nervous system (encephalopathy), splitting of the hard palate, kidneys, heart, genitals, limbs. An excess of vitamin A aggravates the symptoms of vitamin E, C and D deficiency


Suppression of immunity, increases the risk of formation of oxalate kidney stones and the occurrence of “ascorbic” cystitis.


Causes intoxication, leads to an increased level of calcium in the blood of a newborn and hardening of bone tissues, calcium is also deposited in internal organs.



An overdose of vitamin B1 causes neurological and allergic disorders.Excess B2 leads to changes in the nervous and cardiovascular systems.



The toxic effect on the fetus, affects the absorption of zinc and can lead to its lack, which causes a delay in the development of the fetus, weight loss in newborns, can hide the signs of vitamin B12 deficiency and damage the nervous system.

In addition to vitamins, chemical elements also have a great influence on the reproductive function of women.Among them, the most significant during pregnancy are organogens, which form the basis of living systems (C, H, O, N, P, S), and largely determine the diversity of biomolecules.

The influence of biominerals on the developing fetus is especially noticeable. The lack of essential trace elements in the diet of pregnant women leads to significant disturbances in the development of the fetus and often to perinptal death.

Consequences of deficiency / lack of micronutrient intake in pregnant women



Cu, Zn

Spontaneous abortions, postpartum mortality in women, congenital malformations, fetal malnutrition, intrauterine growth retardation


Risk of perinatal mortality

Zn, Fe



Fetal deformities


Birth of premature babies


Fetal growth retardation, prematurity, premature birth, miscarriages, eclampsia, pathologically increased uterine tone

Summary.At the first (medical) stage of pregravid preparation, a married couple must deal with the diagnosis of the health index, without fail to reorganize the reproductive system and correct possible nutrientopathies. This will be the best prevention of the birth of a healthy child, a successful pregnancy and, not unimportantly, an easy postpartum period, when a young mother needs a lot of strength, health, good mood and there is no time for recovery and treatment of postpartum depression.He who is forewarned is armed.


1. Radzinsky V.E., S.M. Semyatov Reproductive health of women in the Moscow metropolis. Statistics. Problems. Prospects (analysis of medical and demographic indicators // Bulletin of the Peoples’ Friendship University of Russia . Series Medicine “. Obstetrics and gynecology . – 2005. – No. 4 (32). – C . 188– 198.

2.Cherednichenko T.S., Semyatov S.M. Pregnancy and childbirth in the conditions of the Moscow metropolis // Medico-ecological problems of reproductive health of workers: Abstracts. report International conf. December 9-10, 1998 – M., 2001. – P. 176.

3. Radzinsky V.E., Semyatov S.M., Goldina A.Ya., Plaksina ND, Dukhin A.O., Grigorieva N.Yu., Lobanova O.B. Reproductive health of adolescent girls in the Moscow metropolis // Mediko-ecological problems of reproductive health of workers: Abstracts. report International conf.December 9-10, 1998 – M., 2001. – P. 179

4. Radzinsky V.E., Bausheva I.L., Lobzhanidze E.K., Semyatov S.M., Orazmuradov A.A., Galina T.V., Gagaev Ch.G. Prediction, diagnosis and treatment of reproductive health disorders in adolescent girls exposed to psychoactive substances: Methodological recommendations . – M., Anacharsis, 2006 .– 35 p.

5. Semyatov SM Reproductive health of adolescent girls in the Moscow metropolis in modern socio-economic conditions.Abstract of the dissertation for the degree of Doctor of Medical Sciences. Moscow. 2009.

6. Makarov IO, Sheshukova NA, Ovsyannikova TV. Features of pregravid preparation in women with infectious genesis of miscarriage. Obstetrics, gynecology and reproduction. 2011; N1: c.5-7

7. Krel A.A. The concept of holistic therapy (based on the experience of 45 years of medical practice). The report at the conference “Philosophical problems of biology and medicine” was published in the collection: Philosophical problems of biology and medicine: Issue 1: In search of a new paradigm: collection.- M .: Printberry, 2007

8. Wilber, Ken. From Wikipedia, the free encyclopedia.


AND REGIONS OF THE CENTRAL FEDERAL DISTRICT FGU TsNIIOIZ Ministry of Health and Social Development of the Russian Federation, Moscow, Russia

10. Kuznetsova T.V. Medical and statistical analysis of the dynamics of reproductive outcomes in Russia for the period 1999-2008 .. 12/21/2009 FGU TsNIIOIZ Roszdrav, Moscow

11. E.M. Korenev, N.A. Karpenko, S. S. Rychkov. Metals as factors of hypofertility. 3/1 2010, pp. 5-10

12. Serov VN, Zharov EV, Rational vitamin therapy and prevention of microelementosis in pregnant women and postpartum women. NTSAGiP RAMS

iQ-center – the leading center for preparation for the Unified State Exam and OGE in St. Petersburg

St. Petersburg (St. Petersburg) is not only the Northern capital of Russia, but also the cultural center of our country. It is here that a huge number of prestigious higher educational institutions are located, where many people from other cities are striving to enter.Universities and academies are the path to the definition and study of the profession, future career growth. Among the variety of educational institutions, each applicant will have to choose their preferred options. But first, it is important to take care of the preparation for the exam and exam. You can use the services of one of the best training centers for the Unified State Examination in St. Petersburg, namely the “iQ-center”.

For each high school student there is a compulsory passing of uniform exams. This is a difficult stage in the life of every child and his parents.Everyone knows that only after successfully passing the USE and OGE, many doors will be open to the student – he will be able to enter the best university in Russia. The higher the score, the greater the choice of higher educational institutions for triumphant admission. But success depends on quality exam preparation.

Preparatory information materials are often difficult to understand. They have an impressive volume and take up all the free time of the child, who also needs to keep up with school. Confusion ensues and the situation in high school gets worse.When trying to cope on their own, many children have serious learning difficulties. To avoid such a situation, you should contact the “iQ-center” and get professional training for the Unified State Exam or OGE with the help of experienced tutors.

The Unified State Examination Center was founded in 2008 and for almost ten years its specialists have been promptly preparing schoolchildren for passing state exams. Initially, the “iQ-center” was one of the regional branches, but today federal centers are successfully operating in many Russian cities.

In our work, we use reliable, proprietary techniques, the effectiveness of which has been proven. For teaching, useful materials are selected that are valuable for students when passing exams. A qualified teaching staff is responsible for an accessible presentation. All tasks are formed on the basis of training materials of the Federal Institute for Pedagogical Measurements. To ensure the best possible results of preparation for the Unified State Exam and the OGE, we always involve real professionals in the pedagogical field.

How is the process of teaching the Unified State Examination Center organized in St. Petersburg

The learning process takes place in small groups. This aspect allows prospective applicants to better perceive and assimilate the presented data. Each tutor of the “iQ-center” can easily find a personal approach to the child and help him to effectively study the proposed material. Well-organized work of professionals is the guarantee of a guaranteed positive result for schoolchildren passing the exam and exam.

The modern “iQ-center” annually improves its performance indicators, progresses, which leads to an increase in the number of students from St. Petersburg who want to undergo quality training for the OGE and USE.Students and parents understand that at this stage it is extremely important to correctly perceive, study and process information that will be very useful in exams.

To build a successful career and gain independence, contact the best USE and OGE center in St. Petersburg!

“iQ-center” invites you to make the right choice and join the ranks of the lucky ones who have passed the exams!

General rules for preparing and operating a car in winter

General rules for the preparation and operation of the car in winter

Probably, every car enthusiast got into a situation when on one of the frosty days the car engine could not be started.In order to prevent the recurrence of such cases, it is necessary to know the “Code of rules of the motorist”.

Components of a successful engine start in cold weather.
It must be remembered that not only the battery affects the start of the engine, but also many factors, ranging from air humidity and ending with additives added in the manufacture of gasoline. Consider the main components of a successful engine start in cold weather.


Do not spare money when choosing a storage battery (joint stock bank), strive to purchase a battery that has high starting (starter) currents.

When installing a new battery under the hood, check the tightness of the adapters, clean oxides and dirt from the places where the ground wire is attached to the engine, clean the terminals and nipples.

After assembling the chain, lubricate the top of the pole terminals with any water-free grease. Monitor the alternator belt tension and battery charge voltage (using a voltmeter).

Important! Once a month in winter, or if you have not used the car for more than two weeks, check the voltage at the battery terminals with the load disconnected.If the open circuit voltage is below 12.6 V, it is advisable to recharge the battery.


You should not save on oil either. Oil is the “circulatory” system of a car. When buying oil, consult your dealer.

The first number with the letter W (Winter – winter) indicates that the oil belongs to the so-called winter, low-temperature viscosity class.

In winter, it is advisable to use 0W-40 or 5W-40 oil.

Spark plugs

Good plugs are the key to a successful engine start.Try to replace the candles by winter. For winter, take a hotter type of spark plug (consult your dealer), this will prevent them from becoming oily and prevent the formation of conductive carbon deposits during frequent cold engine starts.

Refuel in winter with gasoline with a higher octane number.

High voltage wiring.

To ensure the normal sparking process, there must be no current leakage through cracks in the insulation of the wiring or along its wet, misted surface.Current leaks lead to the fact that there is no more energy left for sparking.

How to start a car in winter.

Depress the clutch before starting the engine. After starting, release the pedal smoothly. Allow at least another minute to warm up the gearbox oil at neutral speed.
If the engine does not start within 10 seconds when cranking with the starter the first time, stop cranking. The pause before restarting must be at least 30 seconds.If it was not possible to start the car from the third time, you must stop trying and look for the reason because of which the engine does not want to work. Only after eliminating the malfunction, you should resume starting attempts, otherwise the battery will be discharged. If the scrolling rate is insufficient, the battery should be warmed up using available methods, and at the first opportunity, recharge it.
If your car has a fuel mixture enrichment regulator, do not enrich the mixture right away, but do it gradually while cranking the engine until it “grasps”.This also applies to the accelerator pedal.
There is a misconception that turning on the headlights before starting the engine has a beneficial effect on starting. If you have prepared the car for winter in advance, then you do not need this procedure, and a weakened battery will not save it, but will only aggravate the situation. The scarce energy will not be spent on starting the engine, but on lighting.
Drastic measures:

Warm accumulator from home, heated candles.
“Lighting up”.This must be done in compliance with the following safety requirements:
turn off the engine of the Donor car.
disconnect the “negative” standard wire from the “-” terminal of the discharged battery;
connect using one of the wires for “lighting” the terminals “+” of both batteries;
connect with the help of another wire for “lighting” the output – “Donor” with the “ground” (body or generator) of the car, the battery of which is discharged;
start the car engine with a discharged battery, set it to medium speed;
set the output to “-“; of the discharged battery the standard wire and disconnect the wire for “lighting” from the car on which this battery is installed.
start the battery, charging the battery
If the Donor’s car has an electronic engine management system, try to do both of these actions as synchronously as possible so as not to damage the controller.

It must be remembered that if the Donor’s battery is fully charged, its energy will be enough for 3-4 attempts to start the car engine with a discharged battery. With more attempts, it is possible that the Donor battery will not be able to start its own engine.

The owner of a car that has been “lit” should charge the battery with a charger at the earliest opportunity. in winter conditions, the generator will not be able to fully charge the battery and the problem with starting the engine may repeat itself.

3. After starting the engine, DO NOT turn on the stove or other electrical consumers immediately. Let the engine and belt drives warm up first.

What not to do in frost !!!

If the car is frozen, after standing in the cold for several days, then you should not try to start it with the help of a tug, especially if it is a car with an automatic transmission.

If the electrolyte in the battery has frozen, you should not start the car either by lighting it up or by towing it. You may start the engine, but you will cause irreparable damage to the battery, which is already very badly affected by “frostbite”. You can try to charge the battery only after complete defrosting in a warm room, when the electrolyte temperature rises above 15 ° C.

In the area of ​​the museum “Tavrichesk Chersonesos” preparations are underway for the organization of one-way traffic

The leadership of Sevastopol decided to make one-way traffic on Eroshenko Street – towards Chersonesos.Motorists living in the area were the first to notice the installation of new signs.

Having left for the place, ForPost made sure that signs temporarily covered with black film were placed along Eroshenko Street, which will further guide all transport going from the square of the 50th anniversary of the USSR, along Eroshenko Street to the monument to Prince Vladimir and further along Dmitry Street Ulyanov at the intersection with Yuri Gagarin Avenue.

Disturbing letters about the new organization of the movement were also received by the regional public organization “Road Control of Sevastopol”.The organization believes that the traffic situation after the opening of one-way traffic along Eroshenko in the area will worsen, since the intersection at the exit from Dmitry Ulyanov to Yuri Gagarin Avenue becomes very dangerous. If earlier drivers had an alternative to bypass this intersection, driving along Eroshenko Street to the square of the 50th anniversary of the USSR to turn left through the ring, now they will be deprived of this opportunity.

“Such rash decisions with an organization in this form do not in any way improve the capacity and safety of both drivers and pedestrians.At least, at the intersection of Dmitry Ulyanov Street and Yuri Gagarin Avenue, the issue of installing a traffic light will have to be considered, and this will further create conditions for congestion, which, with current traffic, may reach the Vosstanikh Square and further along the city center, since there is a traffic jam in the evening rush hours is being formed in the area of ​​the circus, ”said the head of the organization Maxim Mishin to ForPost.

In addition, according to him, there is still no pedestrian crossing on Dmitry Ulyanov Street near the school and kindergarten, which generally aggravates the situation.

In the government of Sevastopol, the decision to organize one-way traffic on Eroshenko Street is considered justified, but with one amendment. According to employees of the road management department of the government of Sevastopol, public figures sounded the alarm early, because at the exit from Dmitry Ulyanov Street to Yuri Gagarin Avenue, it is planned to install a sign prohibiting turning to the left.

“Now all transport there will only turn right and then go to the ring on the square of the 50th anniversary of the USSR and turn in the opposite direction there,” the department told ForPost.

According to officials, this is only the first step in organizing traffic in the area of ​​the state historical and archaeological museum-reserve “Chersonesus Taurichesky”, which is carried out as part of the order of the Prime Minister of the Russian Federation Dmitry Medvedev. How traffic will be organized on the square in front of the reserve, when an additional parking lot appears and an exit to the area of ​​the Anna Akhmatova public garden, the government is still silent.

Dmitry Osipenko

Photo of DK Sevastopol

diagnostics before conception in Izmailovo Eastern Administrative District of Moscow

Pregravid preparation (in Latin “gravida” is translated as “pregnant”) is the preparation of a woman for pregnancy.A similar service has long been provided in Western countries, where doctors have found an effective solution to problems associated with conception. It was from there that the concept of “pregravid preparation” was borrowed.

Recently, the puberty of girls has significantly accelerated. They began to have sexual intercourse early. Therefore, very often the first pregnancy is unwanted and very often ends in abortion. In addition, among young people it is widely believed that one should not rush to get married without gaining experience in intimate relationships.As a result, 25-30 year old women have a long list of sexual partners.

Therefore, it is not surprising that because of this lifestyle, a woman acquires many gynecological pathologies, among which endometritis, erosion, inflammation of the appendages, disruptions in the menstrual cycle, HPV infection, venereal diseases are most often diagnosed. Even one of the above diseases can cause infertility. The problem is significantly aggravated if several pathologies are combined, which is quite common.

The first stage of pre-conceptional preparation is planning activities and determining the time frame in which they need to be done. It is recommended to start preparation six months before the expected conception. But even if you consult a specialist a month before conception, you can prevent many complications that accompany pregnancy.

Diagnostics of both spouses

Both spouses need:

  1. Undergo a therapeutic examination.
  2. To hand over a general and biochemical blood test.
  3. Pass a general urine test.
  4. If you have any diseases of the internal organs, visit an appropriate specialist: cardiologist, ophthalmologist, endocrinologist, gastroenterologist, nephrologist, hepatologist, proctologist, neuropathologist, dentist.
  5. Determine the blood group and Rh factor.

With a positive rhesus, both spouses have no reason to worry. If a man’s Rh factor is positive and a woman’s is negative, then there is a risk of a Rh conflict.If a woman has previously undergone surgery, including an abortion, she has received a blood transfusion, or the pregnancy is not the first, then special antibodies may develop in her blood that pose a danger to the life of the baby. Therefore, before conception, you need to do an analysis to find out if these antibodies are in the body. Diagnostics will have to be done monthly throughout the gestation period, starting from the ninth week.

  1. Get genetic counseling.

A geneticist will determine the likelihood of having a child with hereditary pathology.The ideal option is to undergo a similar examination with all couples, but it will definitely be required if:

  • there are hereditary diseases and defects in the family that provoke abnormal intrauterine development;
  • the couple previously had a baby with genetic pathologies;
  • spouses are blood relatives;
  • For future parents, the sex of the child is of fundamental importance;
  • a man is over 50 years old, and a woman is over 35;
  • the woman has previously suffered a missed or frozen pregnancy, miscarriage or has given birth to a still child;
  • for a long time the woman was exposed to harmful factors (radioactive radiation, chemicals).
  1. Check for hepatitis, syphilis and HIV.
  2. Get tested for infections.

The main cause of most cases of miscarriage is bacterial and viral chronic infectious diseases that were not promptly detected and cured. Even if they do not directly affect the fetus, they can provoke chronic endometritis in women, and prostatitis in men. Also, infections can cause miscarriage and infertility, cause developmental pathologies and even fetal death.

To determine the presence of infections, swabs are taken from a woman from the cervical canal and vagina, and from a man from the urethra. Then the resulting material is subjected to microscopy and a polymerase chain reaction is carried out. As a result, it is possible to detect cytomegalovirus, mycoplasma, chlamydia, gonococcus, streptococcus, Trichomonas, chlamydia, ureaplasma, gardnerella, herpes virus, fungi.

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Diagnostics of a man

Men’s health is no less important than women’s health for the birth of a healthy baby.Therefore, the future father is recommended to undergo a thorough examination, which is carried out by a urologist or andrologist.

In addition to the above tests for infections, a man needs to do a spermogram – to conduct a sperm study, which will determine the ability to fertilize.

Often, chronic inflammation, adversely affecting reproductive health, does not declare itself, and the man does not even know about it. In addition, smoking, alcohol abuse, stressful situations, constant lack of sleep, a sedentary lifestyle, and venereal diseases negatively affect male fertility.

The normal temperature inside the scrotum containing the testicles should be a few degrees lower than the body temperature. With frequent hot baths, frequent visits to saunas and baths, the constant use of electric heating for the driver’s seat, wearing tight squeezing trousers, the temperature in the area where the pelvic organs are located rises, which deteriorates the quality of sperm. There is evidence that if a cold is accompanied by a high body temperature, then the quality of sperm decreases and returns to normal only after 3 months.

Diagnostics of a woman

Pregnancy for many women is a long-awaited happiness, but at the same time it puts a significant burden on the female body (even if it is young and healthy) and serves as a serious test for it. Studies have shown that full recovery occurs only a year after the birth of a child.

The organs of a pregnant woman function with a vengeance to support the mother-placenta-fetus system. Therefore, when planning a pregnancy, they not only diagnose the general and reproductive health of a woman, but also find out whether the body is ready for additional stress and whether it can create normal conditions so that pregnancy can develop normally.

Before conception, a woman must undergo instrumental and laboratory examinations:

  1. Examination by a gynecologist.
  2. Ultrasound examination of the uterus and its appendages to exclude the presence of endometritis, endometriosis, fibroids, cysts, to detect uterine abnormalities (hypoplasia, saddle, bicornuate, the presence of a septum in the cavity).
  3. Colposcopy to exclude diseases of the uterine cervix.
  4. Analysis for the presence in the body of antibodies to cytomegalovirus, herpes, toxoplasma, rubella, chlamydia.If there are no antibodies to rubella, then it is advisable to vaccinate at least 3 months before conception.
  5. Tests for hormones.

If the menstrual cycle is regular, the gynecological examination did not show any pathologies, and the pregnancy is the first, then this examination can be dispensed with. It is mandatory for women with an irregular menstrual cycle, suffering from hirsutism (excessive hair growth), having extra pounds, and also if previous pregnancies had an unfavorable outcome (miscarriage, miscarriage, stillbirth).

  1. Immunological study (it is carried out according to indications).
  2. Hemostasioramma – examine the blood counts and its coagulation ability.

Enhanced functioning of the blood coagulation system is observed in chronic infectious diseases, causing the death of the ovum and its rejection. The homeostasis system regulates blood flow to the fetus, provides it with oxygen and nutrition. Therefore, if any violations in the hemostasiogram are detected, they must be immediately corrected and constantly monitored during pregnancy.