Journal of Human Reproductive Science
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   2010| September-December  | Volume 3 | Issue 3  
    Online since December 23, 2010

 
 
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CASE REPORTS
Maturation arrest of human oocytes at germinal vesicle stage
Zhi Qin Chen, Teng Xiao Ming, Hans Ingolf Nielsen
September-December 2010, 3(3):153-157
DOI:10.4103/0974-1208.74161  PMID:21234179
Maturation arrest of human oocytes may occur at various stages of the cell cycle. A total failure of human oocytes to complete meiosis is rarely observed during assisted conception cycles. We describe here a case of infertile couples for whom all oocytes repeatedly failed to mature at germinal vesicle (GV) stage during in vitro fertilization/Intra cytoplasmic sperm injection (IVF/ICSI). The patient underwent controlled ovarian stimulation followed by oocyte retrieval and IVF/ICSI. The oocytes were stripped off cumulus cells prior to the ICSI procedure and their maturity status was defined. The oocyte maturation was repeatedly arrested at the GV. Oocyte maturation arrest may be the cause of infertility in this couple. The recognition of oocyte maturation arrest as a specific medical condition may contribute to the characterization of the currently known as "oocyte factor." The cellular and genetic mechanisms causing oocyte maturation arrest should be the subject for further investigation.
  6,898 278 4
ORIGINAL ARTICLES
Predictive factors for pregnancy after intrauterine insemination: A prospective study of factors affecting outcome
Mohan S Kamath, Priya Bhave, TK Aleyamma, Raju Nair, A Chandy, Ann M Mangalaraj, K Muthukumar, Korula George
September-December 2010, 3(3):129-134
DOI:10.4103/0974-1208.74154  PMID:21234173
Objective : To determine the predictive factors for pregnancy after controlled ovarian hyperstimulation (COH)/intrauterine insemination (IUI). Design : Prospective observational study. Setting : University-level tertiary care center. Patients and Methods : 366 patients undergoing 480 stimulated IUI cycles between November 2007 and December 2008. Interventions : Ovarian stimulation with gonadotrophins was initiated and a single IUI was performed 36 h after triggering ovulation. Main Outcome Measures : The primary outcome measures were clinical pregnancy and live birth rates. Predictive factors evaluated were female age, duration of infertility, indication for IUI, number of preovulatory follicles, luteinizing hormone level on day of trigger and postwash total motile fraction (TMF). Results : The overall clinical pregnancy rate and live birth rate were 8.75% and 5.83%, respectively. Among the predictive factors evaluated, the duration of infertility (5.36 vs. 6.71 years, P = 0.032) and the TMF (between 10 and 20 million, P = 0.002) significantly influenced the clinical pregnancy rate. Conclusion : Our results indicate that COH/IUI is not an effective option in couples with infertility due to a male factor. Prolonged duration of infertility is also associated with decreased success, and should be considered when planning treatment.
  5,958 409 13
Relationship between seminal plasma zinc and semen quality in a subfertile population
DMAB Dissanayake, PS Wijesinghe, WD Ratnasooriya, S Wimalasena
September-December 2010, 3(3):124-128
DOI:10.4103/0974-1208.74153  PMID:21234172
Rationale : Current knowledge on the relationship between seminal zinc levels and different parameters of human semen is inconsistent. Objectives : To assess the relationship between seminal plasma zinc and semen quality using two markers; zinc concentration (Zn-C) and total zinc per ejaculate (Zn-T). Design : The study was carried out as a cross-sectional study. Subjects and Methods : Semen parameters of 152 healthy men undergoing evaluation for subfertility were assessed. Seminal plasma zinc levels were determined using flame atomic absorption spectrometry. Zn-C, expressed as μg/mL, was multiplied by ejaculated volume to calculate Zn-T. Mann Whitney U test and Chi-square test were used to compare the zinc levels between different seminal groups when appropriate. Correlations were observed with Pearson's correlation of coefficient. Analysis was carried out using SPSS 10.0 for windows software. Results : Zn-C was low in 23 (15%) samples, while in 32 (21%) of the samples Zn-T was abnormal. The number of subnormal samples was high in the low-zinc groups compared with the normal-zinc groups, 15 vs. 8 (P > 0.05) for Zn-C and 28 vs. 4 (P < 0.001) for Zn-T. Zn-C was significantly high in the asthenozoospermics compared with the normal motile group; 138.11 μg/mL (83.92) vs. 110.69 11 μg/mL (54.59) (P < 0.05). Zn-T was significantly low in samples with hyperviscosity compared with samples with normal viscosity; 220.06 μg (144.09) vs. 336.34 μg (236.33) (P < 0.05). Conversely, Zn-T was high in samples with low viability compared with those with normal viability; 437.67 μg (283.88) vs. 305.15 μg (221.19) (P < 0.05). Weak correlations were found between Zn and some semen parameters. However, the correlation was negative between pH and Zn-C (r = -0.193, P < 0.05) as well as Zn-T (r = -0.280, P < 0.01). On the other hand, correlations were positive between Zn-T and sperm count (r = 0.211, P < 0.05). Conclusion : Count, motility, viability, pH and viscosity are affected by variations of seminal plasma zinc. Seminal plasma Zn-T is the better marker for assessing the relationship between zinc and semen quality.
  5,305 290 15
Effect of body mass index on in vitro fertilization outcomes in women
Anjali Sathya, Sathya Balasubramanyam, Shalu Gupta, Thankam Verma
September-December 2010, 3(3):135-138
PMID:21234174
Background :Obesity has become a major health problem across the world. In women, it is known to cause anovulation, subfecundity, increased risk of fetal anomalies and miscarriage rates. However, in women going for assisted reproduction the effects of obesity on egg quality, embryo quality, clinical pregnancy, live birth rates are controversial. Objectives :To assess the effect of women's body mass index (BMI) on the reproductive outcome of non donor In vitro fertilization (IVF)/Intracytoplasmic sperm injection (ICSI). The effects of BMI on their gonadotrophin levels (day 2 LH, FSH), gonadotrophin dose required for ovarian stimulation, endometrial thickness and oocyte/embryo quality were looked at, after correcting for age and poor ovarian reserve. Materials and Methods : Retrospective study of medical records of 308 women undergoing non donor IVF cycles in a University affiliated teaching hospital. They were classified into three groups: normal weight (BMI<25 kg/m 2 ), overweight (BMI>25 <30 kg/m 2 ) and obese (BMI>30 kg/m 2 ). All women underwent controlled ovarian hyper stimulation using long agonist protocol. Results : There were 88 (28.6%) in the normal weight group, 147 (47.7%) in the overweight and 73 (23.7%) in the obese group. All three groups were comparable with respect to age, duration of infertility, female and male causes of infertility. The three groups were similar with respect to day 2 LH/FSH levels, endometrial thickness and gonadotrophin requirements, oocyte quality, fertilization, cleavage rates, number of good quality embryos and clinical pregnancy rates. Conclusion :Increase in body mass index in women does not appear to have an adverse effect on IVF outcome. However, preconceptual counselling for obese women is a must as weight reduction helps in reducing pregnancy-related complications.
  4,335 300 8
Reproductive outcome of septate uterus following hysteroscopic septum resection
Priya Selvaraj, Kamala Selvaraj
September-December 2010, 3(3):143-145
DOI:10.4103/0974-1208.74157  PMID:21234176
Objective : To evaluate the reproductive outcome following hysteroscopic septum resection in patients with primary and secondary (recurrent pregnancy loss [RPL] and bad obstetric history [BOH]) infertility. Study Design : Retrospective study. Materials and Methods : Hysteroscopic septum resection was performed on 26 patients with a history of either recurrent pregnancy loss, BOH or infertility. The septum resection was performed using a bipolar versapoint system. Reproductive performance of these patients after septum resection was analyzed. The main outcome measures were clinical pregnancy and live birth rates. Results : Hysteroscopic septum resection was performed on seven patients with the history of secondary infertility. Post operatively, the pregnancy rate was 86% (n=6), and the live birth rate was 67% (n=4). After septum resection in 19 primary infertile patients, 6 (32%) patients conceived which resulted in live birth rates of 67% (n=4). Conclusion : Hysteroscopic septum resection using bipolar versapoint system is an effective and safe approach for the removal of septum. Hysteroscopic septum resection in women with septate uterus significantly improves the live birth rates and future fertility is not impaired.
  3,896 196 6
REVIEW ARTICLE
Fertility and age
Korula George, Mohan S Kamath
September-December 2010, 3(3):121-123
DOI:10.4103/0974-1208.74152  PMID:21234171
The changing social scenario together with economic growth and an increase in job opportunities has to a great extent reduced gender inequality and has resulted in more and more older women seeking help from infertility clinics. Fertility and aging have always been closely linked and the age of the female partner remains the single most important factor in predicting success with treatment. Although tests for the ovarian reserve are an important informative tool and are helpful in selecting treatment options, they are poor predictors of the outcome.
  3,681 300 7
LETTERS TO EDITOR
Management of polyorchidism: Surgery or conservative management?
Ahmet Bayraktar, Erkan Olcucuoglu, Ilyas Sahin, Yesim Bayraktar, Sedat Tastemur, Emin Sirin
September-December 2010, 3(3):162-163
DOI:10.4103/0974-1208.74166  PMID:21234184
  3,582 91 6
ORIGINAL ARTICLES
Effect of duration of fluoride exposure on the reproductive system in male rabbits
Naresh Kumar, Sushma Sood, B Arora, Manjeet Singh, Beena
September-December 2010, 3(3):148-152
DOI:10.4103/0974-1208.74159  PMID:21234178
Background and Objectives : Fluorosis has become an endemic problem worldwide. Fluoride has its effect on various organs, including the reproductive system, although there are controversial reports over it. Thus, the present study was designed to study the effect of sodium fluoride (NaF) exposure for different durations. Materials and Methods : 30 healthy rabbits were divided into three equal groups. Group I was fed on a standard diet for 30 days, Group II was fed on sodium fluoride (20 mg/kg body weight) for 30 days and Group III was fed on sodium fluoride (20 mg/kg body weight) for 60 days. Sperm count, motility, progressive motility and weight of testis and epididymis were measured and compared with the control group. Results : We observed that in the group exposed to NaF for 30 days (Group II), there was a significant decrease in all the parameters except the testicular weight and in the group on exposure of 60 days (Group III), there was a significant decrease in all the parameters when compared with the control group (Group I). On applying the Tukey post-hoc test between Groups II and III, we observed that there was a significant decrease in the sperm count while the other parameters showed a non-significant decrease. Testicular histology was confirmatory for the above findings. Conclusion : The present study demonstrates that fluoride hampers the reproductive functions of male rabbits and is proportional to the duration of fluoride exposure.
  3,259 135 2
Effect of metformin therapy on 2-h post-glucose insulin levels in patients of polycystic ovarian syndrome
Pikee Saxena, Anupam Prakash, Aruna Nigam
September-December 2010, 3(3):139-142
DOI:10.4103/0974-1208.74156  PMID:21234175
Aims : To evaluate if 2-h post glucose insulin level is an effective tool to monitor insulin resistance in response to metformin therapy, in infertile women with polycystic ovarian syndrome (PCOS). Settings and Design : This prospective observational study was carried out in a tertiary care infertility clinic. Materials and Methods : 40 women with PCOS were categorized as having insulin resistance if fasting or 2-h post glucose insulin levels were >25 or >41μU/ml respectively. Post glucose insulin was compared before and after six months of metformin therapy along with other clinical, hormonal and metabolic parameters by using McNemar and the Student's t-test. Results : Fasting insulin was elevated in 4 (10%) and post-load insulin in 34 (85%) patients; after metformin therapy respective values were 2 (5%) and 16 (40%). Metformin therapy reduced post glucose insulin levels (P<0.001), improved the regularity of periods (P<0.001) and resulted in reduction of LH levels (P<0.001), total testosterone (P<0.001) and mean Body mass index (BMI) (P=0.047). Metformin therapy did not alter waist-hip ratio and fasting insulin levels. Conclusion : 2-h post glucose insulin level is an effective tool to monitor insulin resistance in PCOS patients and improves significantly after metformin therapy, similar to improvements observed in clinical, hormonal and metabolic parameters.
  3,207 146 4
CASE REPORTS
A case of unilateral dysmenorrhea
Tulon Borah, Ananya Das, Subrat Panda, Santa Singh
September-December 2010, 3(3):158-159
DOI:10.4103/0974-1208.74162  PMID:21234180
Unilateral dysmenorrhea in an adolescent may be associated with uterine malformation. Relevant investigations in suspected cases and timely intervention can prevent future complications in such cases. Here, we present a case of unicornuate uterus with rudimentary horn in an adolescent complaining of unilateral dysmenorrhea.
  3,053 165 -
TRIBUTE
Nobel prize for scientist Professor Robert G Edwards
Kamini Rao
September-December 2010, 3(3):120-120
DOI:10.4103/0974-1208.74151  PMID:21234170
  2,374 149 -
LETTERS TO EDITOR
High-dose hook effect in prolactin macroadenomas: A diagnostic concern
Manika Agarwal, Ananya Das, A Santa Singh
September-December 2010, 3(3):160-161
DOI:10.4103/0974-1208.74164  PMID:21234181
  2,404 113 5
ORIGINAL ARTICLES
Potential protein post-translational modification in ERp57: A phenotype marker for male fertility
Viroj Wiwanitkit
September-December 2010, 3(3):146-147
DOI:10.4103/0974-1208.74158  PMID:21234177
Background : In protein expression, post-translational modification is an important process. It is also an important process in human reproductive science. ERp57 is a molecule that is mentioned for post-translational modification. ERp57 is a component of human sperm acrosome proteins. However, the data on post-translational modifications of ERp57 is limited. Aim: The aim of this work is to assess potential protein post-translational modifications in ERp57 protein. Settings and Design : A descriptive computational bioinformatics study. Materials and Methods : In this work, potential protein post-translational modifications in ERp57 protein were assessed via a standard bioinformatics technique. Statistical Analysis Used : Bioinformatics analysis. Results : There are three post-translational modifications within ERp57 from bioinformatics analysis. Conclusion : This new knowledge can be useful for better realization on molecular process of male infertility.
  2,292 83 1
LETTERS TO EDITOR
Hyperprolactinemia with normal serum prolactin: "Hook effect" a concern in laboratory medicine aspect
Viroj Wiwanitkit
September-December 2010, 3(3):160-160
DOI:10.4103/0974-1208.74163  PMID:21234182
  2,103 173 -
EDITORIAL
From the Editor's desk
Kamini Rao
September-December 2010, 3(3):119-119
DOI:10.4103/0974-1208.74150  PMID:21234169
  1,921 136 -
LETTERS TO EDITOR
Recent advances in physiological priming of spermatozoa
Satendra Singh
September-December 2010, 3(3):163-164
DOI:10.4103/0974-1208.74167  PMID:21234185
  1,566 102 -
Predictive value of human chorionic gonadotrophin in the outcome of early pregnancy achieved by assisted reproductive technology: A summative assessment
Viroj Wiwanitkit
September-December 2010, 3(3):161-161
DOI:10.4103/0974-1208.74165  PMID:21234183
  1,452 77 2
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