Search Results
Results 301 - 350 of 1036
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Costello Michael F - - 2004
The present paper reports a single department's retrospective case series of all clomiphene citrate (CC) combined with intrauterine insemination (IUI) treatment cycles for ovulatory infertility performed during 2002. Thirty-eight couples with unexplained, endometriosis, male or unilateral tubal factor infertility had undergone 71 cycles of CC and IUI. The clinical and ...
Cheewadhanaraks Sopon - - 2004
OBJECTIVE: To study the prognosis for conception subsequent to a second conservative laparotomy for infertile patients with moderate and severe endometriosis, compared with the reproductive outcome of one cycle of in vitro fertilization and embryo transfer (IVF-ET). MATERIAL AND METHOD: From January 1990 to February 2000, 190 infertile patients had ...
Jannini Emmanuele A - - 2004
With the assumption that infertility and related diagnostic and therapeutic processes are stressful, an uncontrolled pilot study was designed to evaluate the effect of sildenafil citrate on sexual compliance and reproductive outcome. A group of sexually healthy men were studied after the administration of 50 mg sildenafil before semen collection ...
Cleemann L - - 2004
Laparoscopic ovarian drilling (LOD) is used as a first line of treatment, as a second line of treatment after patients have proved resistant to clomiphene or as a third line of treatment after failed ovulation induction with gonadotropins. We present the postoperative pregnancy rates of 57 women to evaluate a ...
Pook M - - 2004
BACKGROUND: Previous research has suggested an interaction between distress and male fertility. The present longitudinal study sought to deliver evidence for a negative impact of distress due to infertility on sperm concentration. METHODS: The sample consisted of 120 patients who twice visited an andrological clinic on their own initiative for ...
Facchinetti F - - 2004
A higher cardiovascular vulnerability to stress is associated with a lower pregnancy rate during in vitro fertilization and embryo transfer (IVF-ET) program. The present study was carried out to assess whether cognitive-behavioral treatment (CBT) program attenuates autonomic and neuroendocrine response to a stressful task in infertile women waiting for IVF-ET. ...
Biacchiardi Chiara Perono - - 2004
OBJECTIVE: To compare the results of fallopian tube sperm perfusion (FSP) versus standard intrauterine insemination (IUI) in patients with unexplained infertility undergoing controlled ovarian hyperstimulation (COH). DESIGN: Randomized, prospective, cross-over study. SETTING: Reproductive medicine unit of a university hospital. PATIENT(S): Fifty-six couples with unexplained infertility. INTERVENTION(S): COH was induced by ...
Bates M - - 2004
BACKGROUND: The aim of the study was to record the incidence of treatment for infertility prior to development of gestational trophoblastic disease (GTD). METHODS AND RESULTS: A retrospective analysis was undertaken of 231 consecutive women receiving chemotherapy for persistent GTD at Weston Park Hospital, Sheffield, from 1991 to 2001. Three ...
Child Tim J - - 2004
BACKGROUND: It is apparent that many fertility patients consider multiple birth an ideal treatment outcome. We wished to evaluate the desire for multiple birth among patients, and the effect of patient demographics and recognition of the increased fetal risks of multiple pregnancy on this desire. METHODS: This was a prospective ...
Silver Richard I - - 2004
The multifactorial etiology of hypospadias is becoming more clearly defined with ongoing investigation. Endogenous endocrine abnormalities identified so far include testosterone biosynthesis defects, 5alpha-reductase type 2 mutations, and androgen receptor mutations (the rarest cause, even in cases of severe hypospadias). Other significant risk factors include IVF (because of progesterone administration ...
Sills E S - - 2004
The medical and psychological treatment for a 37-year-old Caucasian G6 P1051 woman who presented for evaluation of secondary infertility and recurrent pregnancy loss is described. Although one living child had been conceived without medical assistance, that delivery preceded the present evaluation by ten years and involved a different partner. With ...
Buck Germaine M - - 2004
The determinants of successful human reproduction and development may act as early as periconceptionally, underscoring the need to capture exposures during these critical windows when assessing potential toxicants. To identify such toxicants, couples must be studied longitudinally prior to conception without regard to a couple's ability to ascertain a clinically ...
Kashima K - - 2004
OBJECTIVES: This study was designed to examine the prevalence of endometriosis among female siblings of patients with endometriosis in Japan. METHODS: A total of 339 patients with endometriosis were questioned about endometriosis in their sisters. The control group consisted of 284 Japanese healthy fertile women with no history of endometriosis. ...
Calhaz-Jorge C - - 2004
PURPOSE: Endometriosis is a clinically very heterogeneous disorder and its implications on the resolution of infertility are not clear. METHODS: Clinical data of 783 consecutive infertile couples were retrospectively analyzed in three groups: A--with minimal/mild endometriosis: B--with moderate/severe endometriosis; C--without endometriosis. Subgroups of groups A and C with unexplained infertility ...
Dadkhah F - - 2004
PURPOSE: Our aims were to determine the relation of semen parameters in processed and unprocessed semen samples with pregnancy rate in intrauterine insemination (IUI) in the treatment of male factor infertility. MATERIALS AND METHODS: In a quasi experimental study, 412 couples with male factor infertility were studied. To treat male ...
Wurn Belinda F - - 2004
Infertility and pregnancy. To assess the effectiveness of site-specific manual soft tissue therapy in (1) facilitating natural fertility and (2) improving in vitro fertilization (IVF) pregnancy rates in women with histories indicating abdominopelvic adhesion formation. Pursuant to 2 promising pilot studies, 53 infertile, premenopausal patients received a 10- to 20-hour ...
Cantineau A E P - - 2004
Controlled ovarian hyperstimulation (COH) together with intrauterine insemination (IUI) is commonly offered to couples with infertility factors not involving the fallopian tubes. Intrauterine insemination gained its popularity because it is simple, non-invasive and cost-effective technique. Another simple non invasive method was introduced called fallopian tube sperm perfusion (FSP). This technique ...
Boivin J - - 2003
Counselling has been strongly recommended by numerous governmental, medical and community associations to help infertile people. The purpose of this review was to determine whether psychosocial interventions improved well-being and pregnancy rates, and to identify the kinds of interventions that were most effective. A systematic search identified all published and ...
Wischmann Tewes H - - 2003
The hypothesis of this review is that the role of psychological factors as the sole cause of infertility is generally overrated. A review is given of studies concerning the influence of psychological factors on the development of infertility. A prevalence of psychogenic infertility of 10-15 per cent must be discussed ...
Elsheikh A - - 2003
The classic concept of endometriosis as a cause of infertility is challenged. Traditionally, both surgical and medical therapy have focused on alleviation of symptoms, prevention of disease progression, and promotion of fertility. In spite of significant developments in medical and surgical approaches, the optimal therapy for treating endometriosis-associated infertility has ...
Basso Olga - - 2003
BACKGROUND: More than 10% of babies are born to couples taking >1 year to conceive (a common definition of infertility). Some evidence indicates that such pregnancies are at increased risk of preterm delivery and other adverse birth outcomes, but the problem has rarely been addressed in large, longitudinal studies enrolling ...
Brady Martha - - 2003
The problems and risks of unprotected sex, unintended pregnancy and sexually transmitted infections are inextricably linked. In this context, the critical yet overlooked problem of infertility also needs to be addressed. Dual protection means concurrent protection against unintended pregnancy and STI/HIV. This paper argues for a more comprehensive notion of ...
Campo Sebastiano - - 2003
OBJECTIVES: To analyze the reproductive outcome before and after myomectomy in patients with subserous or intramural myomas, and to assess the factors influencing pregnancy rate after myomectomy. STUDY DESIGN: Out of 128 patients submitted to myomectomy, we considered eligible for this study only the 41 patients wishing to conceive after ...
Kupka Markus S - - 2003
OBJECTIVE: In this study, we sought to evaluate characteristics of couples with spontaneous conceptions after treatment with assisted reproductive technologies (ART). STUDY DESIGN: Data from 254 couples who underwent 1127 therapy cycles between November 1987 and February 1997, were analyzed. Chi-Square (chi(2)) test and Student's t-test were used. P<0.05 was ...
Pandian Zabeena - - 2003
BACKGROUND: IVF is an accepted treatment for unexplained infertility. The objective of this review was to determine whether, for unexplained infertility, IVF improves the probability of live birth compared with: (i) expectant management; (ii) clomiphene citrate (CC); (iii) intrauterine insemination (IUI); (iv) IUI with controlled ovarian stimulation; and (v) gamete ...
Vilos G A - - 2003
The purpose of this review is to summarize the available evidence on the effects of uterine fibroids on fertility, infertility and pregnancy outcomes, and the effects of parity on fibroids. Fibroids, found in approximately 4% of pregnant women, are associated with an increased risk of pregnancy complications. However, prophylactic myomectomy ...
Blickstein I - - 2003
OBJECTIVES: To outline maternal and perinatal consequences of iatrogenic pregnancies. METHODS: Review of recently published literature. RESULTS: The problems of iatrogenic pregnancies derive from major changes in the lifestyle of women during the second half of the 20th century, whereby the age at which childbirth is desired has advanced. At ...
Hjelmstedt A - - 2003
The aim of this longitudinal study was to compare couples who had conceived by in-vitro fertilization (IVF) with couples who had conceived naturally, regarding patterns of emotional response to different stages of pregnancy and to compare their expectations of and attitudes to pregnancy, parenthood and children. Fifty-seven IVF women and ...
Andrews Mason - - 2003
Infertile couples who have failed to achieve pregnancy now have new options that have become available in the last two decades. The costs are generally large and frequently not covered by insurance. Risks include multiple pregnancy and hyperstimulation syndrome. Evidence concerning results of several treatment options is presented. The large ...
Homburg Roy - - 2003
The recent questioning of the validity of evidence used by the Royal College of Obstetricians and Gynaecologists in recommending ovarian stimulation with intrauterine insemination (IUI) as an effective treatment for couples with unexplained infertility, has re-ignited the debate on what the initial treatment for idiopathic infertility should be. The current ...
Hamilton Judith - - 2003
To assess whether women can be assigned to intrauterine insemination (IUI) treatment on the basis of fallopian tubal patency, diagnosed by Hysterosalpingo Contrast Sonography (Hy Co Sy). Case controlled, clinical study. Tertiary referral center. The cases were consecutive, infertile women who underwent Hy Co Sy and IUI. The control group ...
Peters Kathleen - - 2003
Literature concerning in-vitro fertilisation largely consists of quantitative studies that address the physiolological aspects of infertility and assisted reproductive treatment. The purpose of this study was to explore the lived experience of women who accessed IVF programmes and who were not successful in achieving a full-term pregnancy, using a hermeneutic ...
Kurabayashi Takumi - - 2003
OBJECTIVE: To analyze retrospectively the frequency, long-term prognosis and pregnancy rate in infertile women diagnosed with endometrial hyperplasia or carcinoma by endometrial biopsy. STUDY DESIGN: From 1989 to 2000, endometrial biopsies were performed on 2,573 patients to investigate the cause of infertility. The main outcome measures were frequency, long-term prognosis ...
Steger Klaus - - 2003
Infertile men exhibit an aberrant protamine-1 (Prm1) to protamine-2 (Prm2) ratio at both the mRNA and protein level. We therefore investigated whether male infertility could be related to the amount of Prm1 and Prm2 mRNA by applying real time quantitative PCR following RNA extraction from routinely Bouin-fixed and paraffin-embedded testicular ...
Evers Johannes L H - - 2003
BACKGROUND: Varicocele repair is a widely used treatment for subfertility. Our aim was to identify and combine the results from randomised controlled trials published to ascertain whether the pregnancy rates after varicocele repair are higher than those with no treatment. METHODS: We did a systematic review of seven studies identified ...
Bhattacharya Siladitya - - 2003
Subfertility affects one in seven couples in the western world. Although the availability of assisted reproduction has changed the outlook for many childless couples, the procedures themselves have far-reaching implications in terms of invasiveness, acceptability and cost. There is now greater awareness that effective care involves using treatments that combine ...
Roth Diana - - 2003
OBJECTIVE: The study was undertaken to ascertain whether body mass index (BMI) affects first-trimester pregnancy outcome in patients with infertility. STUDY DESIGN: Records of 494 patients with a singleton gestation after treatment for infertility at a single academic center were retrospectively reviewed. Patients were classified with regard to BMI and ...
Awartani Khalid - - 2003
OBJECTIVE: To determine the effect of microsurgical resection and tubocornual anastomosis (TCA) of nonocclusive salpingitis isthmica nodosa (SIN) on fertility and risk for ectopic pregnancy (EP). DESIGN: Prospective cohort. SETTING: University-affiliated tertiary fertility clinic. PATIENT(S): Infertile women with hysterosalpingography evidence of SIN in patent fallopian tubes. INTERVENTION(S): Microsurgical resection and ...
Pasqualotto Fábio Firmbach - - 2003
Evidence suggests that human semen quality may have been deteriorating in recent years. Most of the evidence is retrospective, based on analysis of data sets collected for other purposes. Measures of male infertility are needed if we want to monitor the biological capacity for males to reproduce over time or ...
Cantineau A E P - - 2003
This paper is based on a Cochrane review published in The Cochrane Library, issue 1, 2003 (see www.update- software.com) with permission from The Cochrane Collaboration and Update Software. Cochrane reviews are regularly updated as new information becomes available and in response to comments and criticisms, and The Cochrane Library should ...
Bedaiwy Mohamed A - - 2003
The purpose of this study was to determine whether 2 new semen quality (SQ) scores could predict pregnancy in patients undergoing intrauterine insemination (IUI) for male-factor infertility and whether an overall score could help in counseling these couples with assisted reproductive technique (ART) options. Ninety-three couples with male-factor infertility were ...
Adamson G David - - 2003
Common causes of subfertility include ovulatory disorders, tubal disease, peritoneal adhesions, endometriosis, uterine abnormalities, abnormalities of sperm and advancing female age. Infertility is unexplained after thorough evaluation in about 5-10% of cases. Significant caveats must be attached to the interpretation of available data regarding infertility treatments. Successful ovulation induction in ...
Matsubayashi Hidehiko - - 2003
A healthy woman, married at age 45, hoped to have their child without delay. She and her husband subsequently decided to pursue in-vitro-fertilization and embryo transfer (IVF-ET). In the succeeding year, ET was performed twice from four oocyte retrieval attempts, which represented six ovarian stimulation cycles. Pregnancy was not achieved. ...
Ahmad Norhayati Haji - - 2003
The field of assisted reproduction is one of the fastest growing areas in medicine. The development of new and sophisticated techniques all aim to give reproductive technologies and scientists a better understanding of reproductive biology. The development of new techniques may also be able to improve the chances of an ...
Check Jerome H - - 2003
OBJECTIVE: To determine whether the failure to develop a homogeneous hyperechogenic pattern in the midluteal phase is associated with decreased fecundity in infertile women who are not receiving follicle-maturing drugs. DESIGN: Observational study. SETTING: Outpatient infertility clinic of a University Medical Center. PATIENT(S): Two hundred ninety-six infertile women (> or ...
Hjelmstedt Anna - - 2003
BACKGROUND: Little is known as to whether negative experiences associated with infertility and IVF treatment persist after successful treatment. The aim of the study was to compare couples who have conceived after IVF and couples who have conceived naturally regarding personality factors and emotional responses to pregnancy. METHODS: Fifty-seven women ...
Johnston Abigail C - - 2003
OBJECTIVE: To determine the fertility potential of women with congenital ampullary atresia of the fallopian tube. DESIGN: Case report and review of literature. SETTING: University-affiliated tertiary care infertility clinic. PATIENT(S): Six infertile women with congenital ampullary atresia of the oviduct. INTERVENTION(S): Salpingostomy and fimbrial approximation. MAIN OUTCOME MEASURE(S): Pregnancy. RESULT(S): ...
Joffe Michael - - 2003
In the epidemiologic study of reproductive capacity, the assessment of fecundity as a functional measure is complementary to approaches that focus on biomedical mechanisms and/or that use biomarkers such as semen quality. More research is needed on time trends, spatial patterns, and particular groups, especially those exposed to potentially toxic ...
Tanahatoe Sandra J - - 2003
Diagnostic laparoscopy is normally the standard procedure performed as the final test in the infertility work up before progressing to infertility treatment. Recently, there has been a growing tendency to bypass diagnostic laparoscopy after a normal hysterosalpingogram and instead to start direct infertility treatment [intrauterine insemination (IUI) or IVF] for ...
Kortelahti Minna - - 2003
BACKGROUND: Immunological deficiencies, altered angiogenic activity, infiltrative potential and growth factors are plausible factors behind endometriosis. The aim of this study was to determine whether endometriosis interferes with the course or outcome of pregnancy. STUDY DESIGN: In this matched case-control study, we analyzed obstetric outcome among 137 women with endometriosis ...
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