• 대한한방소아과학회지
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• 제30권4호
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• pp.60-65
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• 2016

Objectives The purpose of this study is to emphasize the importance of preventing precocious puberty. This study assessed current number of the patients with early puberty and their medical expenses from 2010 to 2015. Methods Using the data from Korean Statistical Information Service and Heathcare Bigdata Hub, number of patients diagnosed with precocious puberty by gender, age, and year from 2010 to 2015 were reviewed. Also, annual medical insurance expenses and the incidence of leuprorelin use were reviewed. Results Number of the patients with precocious puberty has increased from 29,251 in 2010 to 75,945 in 2015. Total medical insurance expenses have increased from 25,716,431 won in 2010 to 56,367,981 won in 2015. The use of lueprorelin also has increased annually from 11,097,590,000 won in 2010 to 21,617,585,000 won in 2015. Conclusions As a result, the patients diagnosed with precocious puberty are increasing in number, and their medical costs have been rising as well. It may be necessary to control the environmental causes of precocious puberty to reduce not only the physical and psychosocial health problems, but also the social costs.

• 한국발생생물학회지:발생과생식
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• 제16권4호
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• pp.271-277
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• 2012

The effects of ovulation induction in ussurian bullhead, Leiocassis ussuriensis, were investigated by treating ussurian bullhead with hCG, LHRHa, GnRHa, ovaprim, and pimozide. hCG was injected to ussurian bullhead at 0.75% NaCl, 5,000, 10,000, 20,000, and 30,000 IU, respectively. The ovulation inducement rates were 100% in 20,000 and 30,000 IU. Fertilization rates were 82.7% and 79.8%. Hatching rates were 59.4% and 57.2%. Ovulation time was between 16-19 hr The concentrations of LHRHa injected were 0.75 NaCl, 50, 100, 200, 300, and $300{\mu}g/kg$. The ovulation inducement rates were 100% in 300 and $400{\mu}g/kg$. Fertilization and hatching rates were 84.9% and 68.4% at $200{\mu}g/kg$. The times to ovulation were between 23 hr and 34 hr. Ovaprim of 0.75% NaCl, 1.0, 1.5, 2.0, 2.5 and 3.0 ml/kg were injected to the abdominal cavity. The ovulation inducement rate was highest at 2.0 and 3.0 ml/kg to 92% and ovulation time was between 27-38 hr. LHRHa concentrations of 0.75% NaCl, 50, 100, 200, 300 and $400{\mu}g$ were injected with pimozide ($1,000{\mu}g$). Ovulation inducement rate was 100% from 200 to 400 IU with pimozide. Ovulation time was 22-36 h. Fertilization and hatching rates were 88.9% and 70.4% in $200{\mu}g/kg$ with pimozide.

• Clinical and Experimental Reproductive Medicine
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• 제21권1호
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• pp.13-20
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• 1994

Status of endometrium is a very important factor which influences the implantation of fertilized embryos. In this study, we evaluated the possibility that the endometrial depth and pattern assessed by vaginal sonography on the day of human chorionic gonadotropin (HCG) injection in in vitro fertilization (IVF) cycles could be used to predict the IVF outcome. A total of 112 cycles using gonadotropin releasing hormone agonist (GnRHa) for ovulation induction were evaluated. We classified all patients into group A(<9mm) or group B(${\geq}$ 9mm) according to endometrial depth, and into group l(hyperechogenic), group 2(isoechogenic) or group 3(hypoechogenic and triple line) according to endometrial pattern. The other classification was made considering both endometrial depth and pattern. There was no significant correlation between serum estradiol level and endometrial sonographic findings(depth and pattern)(p>0.05). The pregnancy rate of group A(31.3%) did not differ significantly from that of group B(43.7%), but no pregnancies were found in any patients with endometrial depth less than 6mm. The pregnancy rate was 40%, 35.7%, and 44.6 % for group 1, gorup 2, and group 3, respectively, but there was no statistically significant difference between these groups(p>0.05). In combined classification, there was a trend of higher pregnancy rate in case of endometrial depth greater than 9mm and hypoechogenic triple line pattern, but there was no statistically significant differences between these groups(p>0.05). The conclusion from the present data is that endometrial ultrasonography on the day of hCG administration had no predictive value for conception in IVF cycles.

• 대한한방소아과학회지
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• 제31권1호
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• pp.63-73
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• 2017

Objectives The purpose of this study is to analyze recent clinical studies on treatment for precocious puberty. Methods 28 clinical studies from January 2009 to December 2016 about precocious puberty from the China Academic Journal (CAJ), China National Knowledge Infrastructure (CNKI), were selected and reviewed: 22 case control studies and 6 case series. Results The main traditional Chinese medicine (TCM) treatment was the herbal decoctions and granules. The frequently used herbs were root of Bupleurum falcatum (柴胡), fruit of Prunella vulgaris var. aleutica (夏枯草), root stem of Anemarrhena asphodeloides (知母), dried fungus nucleus of Poria cocos (茯苓), Rehmannia glutinosa var. purpurea (生地黃), peony Paeonia suffruticosa Andrews (牧丹皮), bark of Phellodendron amurense (黃柏), roots of a plant Paeoniae lactiflora (白芍藥). On the other hand, the main western medicine (WM) for precocious puberty was Gonadotropin-releasing hormone agonist (GnRHa). Total effective rate of the TCM group was 62.96-100%, that of the WM group was 36.6-93.3% and that of the TCM-WM group was 77.8-93.75%. Conclusions Traditional Chinese medicine has been shown as an effective treatment for precocious puberty. These research results can be utilized in other clinical studies and in treatment of precocious puberty.

• Clinical and Experimental Reproductive Medicine
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• 제21권2호
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• pp.137-147
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• 1994

Controlled ovarian hyperstimulation(COH) for in vitro fertilization and embryo transfer(IVFET) often results in the production of more embryos than can be efficaciously transferred at one time. However, embryo cryopreservation provides a mechanism by which additional embryos can be stored for later thawing and transfer. From November, 1990 to October, 1992, we completed 42 transfer cycles of cryopreserved pronucleus(PN) l-cell embryos using the fixed protocol of hormonal replacement therapy in a physiological manner regardless of individual ovarian function. Artificial endometrial stimulation was performed with only exogenous estradiol and progesterone(E-P) in 36 transfer cycles (Group I) and with gonadotropin-releasing hormone agonist(GnRHa) and exogenous estradiol and progesterone(GEEP) in 6 transfer cycles(Group II ). The results were as follows. 1. The Survival rate of total cryopreserved-thawed embryos was 64.9%(198/305): 64.9% (172/265) in Group I and 65.0% (26/40) in Group II. 2. Total 168 embryos were transferred with an average of 4.7 per ET in Group I and total 26 embryos were transferred with an average of 4.3 per ET in Group II. 3. The pregnancy rate(PR) per cryopreserved-thawed ET and the implantation rate was 33.3 %(14/42) and 6.7%(13/194), respectively. The PRs per cryopreserved-thawed ET were 30.6% (11/36) in Group I and 50.0% (3/6) in Group II without significant difference. 4. The take home baby rate was 11.1%(4/36) in Group I and 33.3% (2/6) in Group II.

• Clinical and Experimental Reproductive Medicine
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• 제22권2호
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• pp.203-210
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• 1995

Many oocytes fail to fertilize and cleave in vitro and many embryos transferred back to uterus fail to implant or maintain implantation. Chromosomal abnormalities in the male and female gametes may contribute to this loss. The higher incidence of meiotic chromosomal abnormalities bas been found in oocytes than in sperm. The wide range of incidence of chromosomal abnormalities in unfertilized oocytes has been reported in human IVF program (26-63%). However, factors affecting chromosomal abnormalities are not well understood. The present study has been conducted to investigate effects of the method for ovarian hyperstimulation, women's age, and the number of oocytes retrieved per patients on the incidence of numerical chromosomal abnormalities. Five hundred eighty four unfertilized metaphase II oocytes were subjected to chromosomal analysis. Included unfertilized oocytes were from 220 patients (mean $age=32.7{\pm}3.0$) and three hundred thirty oocytes were legible for analysis. Two hundred fourty five oocytes out of 330 (73.3%) were normal, while 38 (11.5%) were hyperploidy, 35 (10.6%) were hypoploidy, and 12 (3.6%) were diploidy. Significant difference in chromosomal abnormalities was not found between two patient groups stimulated by follicular stimulating hormone/human menopausal gonadotrophin (FSH/HMG) (25.9%) and gonadotrophin-releasing hormone agonist/follicular stimulating hormone/human menopausal gonadotrophin (GnRHa/FSH/HMG) (28%). There was a tendency of increasing chromosomal abnormalities in unfertilized oocytes from older patients (<30 yrs: 20.3%, 30-34yrs: 26.9%, >34 yrs: 35.3%). The number of oocytes retrieved per patient had no effect the incidence of chromosomal abnormalities (1-5: 31. 4%, 6-10: 29.8%, 11-15: 28.6%, > 15: 16.5%). These results from the present study suggest that the chromosomal abnormalities observed in the unfertilized oocytes has not affected by the stimulation methods, patient's age, and the number of oocytes retrieved per patients.

• 대한약리학회지
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• 제29권2호
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• pp.225-235
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• 1993

난소호르몬에 의하여 황체형성호르몬(luteinizing hormone; LH) subunit의 유전자 발현이 어떻게 조절되는가를 조사하기 위하여 성숙한 흰쥐에서 난소를 제거하거나 또한 난소호르몬을 재 투여한 후 ${\alpha}$ 및 $LH{\beta}$ subunit mRNA의 수준을 조사하여 다음과 같은 결과를 얻었다. 1. 난소를 제거한 후 시간이 경과함에 따라 혈중 LH 농도 및 뇌하수체 LH 함량이 급격히 증가하였다. 또한 난소제거 후 14일 후부터 ${\alpha}$ subunit mRNA 수준이 증가하기 시작하였으며, $LH{\beta}$ subunit mRNA 수준은 난소제거 후 1일부터 증가하기 시작하여 혈중 LH 농도와 같은 양상으로 증가하였다. 2. 난소제거 후 21일 경과후에 난소호르몬을 투여하였을때 난소제거로 증가된 혈중 LH 농도와 ${\alpha}$ 및 $LH{\beta}$ subunit mRNA 수준이 감소하였다. Estradiol을 1일간 투여하였을때 부터 혈중 LH 농도 및 ${\alpha}$와 $LH{\beta}$ subunit mRNA 수준이 감소하였으며, progesterone을 4일간 처리하였을때에 혈중 LH농도가 감소하였다. 3. Estrogen 길항제인 LY117018를 estradiol과 동시에 처리하거나, progesterone 길항제인 RU 456을 progesterone과 동시에 처리하였을때 estradiol과 porgesterone에 의하여 감소되었던 혈중 LH 농도 및 ${\alpha}$와 $LH{\beta}$ subunit mRNA 수준이 유의하게 회복되었다. 이상의 결과로 보아 LH 분비에 있어서 $LH{\beta}$ subunit mRHA 수준의 변화가 속도결정단계 (rate limiting step)인 것으로 보이며, 난소홀몬은 ${\alpha}$ 및 $LH{\beta}$ subunit mRNA 수준을 조절하므로써 pretranslation 단계에서 LH 생합성을 조절하는 것으로 생각된다.

• 한국발생생물학회지:발생과생식
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• 제16권2호
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• pp.137-143
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• 2012

본 연구에서는 각각의 호르몬 처리에 따른 배란유도 효과를 알아보고자 하였다. LHRHa 호르몬을 종어 암컷에 2회 투여 시 50과 100 ${\mu}g/kg$ 농도에서 100%의 배란율을 보여 가장 높았으며, LHRHa를 1차 처리한 후, 인간 태반성 성선자극호르몬인 HCG를 2차 처리하였을 때, 500 IU에서는 배란이 이루어지지 않았으며, 2,000 IU를 주사한 암컷에서 72%의 높은 배란율을 보였다. HCG만 처리했을 시 500~25,000 IU까지 각각 10, 17, 50, 50 및 50%의 배란율을 보였다. Ovaprim 처리에 따른 배란율은 2.5 mL/kg을 주사한 실험구에서 50%의 배란율을 보여 가장 높았다. LHRHa와 pimozide를 혼합하여 처리하였을 때 LHRHa의 농도가 10, 200 및 300일 때 87%의 가장 높은 배란율을 보였다. LHRHa 호르몬을 종어 암컷에 2회 투여 시 모든 농도에서 배란시간은 28~44시간까지 소요되었으며, LHRHa를 1차 처리한 후, 인간 태반성 성선자극호르몬인 HCG를 2차 처리하였을 때, 배란시간은 4,000 IU를 주사한 암컷에서 28~34시간으로 가장 짧았다. HCG를 처리하였을 때, 25,000 IU를 주사한 암컷에서 66~72시간이 소요되었고, LHRHa와 HCG를 2차 처리한 실험구에 비해 배란시간이 길었다. Ovaprim을 처리한 실험구에서는 2.5 mL/kg을 투여 시 66~72시간으로 배란시간이 가장 짧았으며, LHRHa와 pimozide (1,000 ${\mu}g/kg$)를 혼합처리시, 300 ${\mu}g/kg$과 400 ${\mu}g/kg$에서 각각 62~70시간과 66~70시간으로 소요시간이 가장 짧았으며, 50 ${\mu}g/kg$에서 80~86시간으로 소요시간이 가장 길었다. LHRHa 호르몬을 종어 암컷에 2회 투여 시 50 ${\mu}g/kg$의 농도에서 수정률 68.4%와 부화율 58.4%로 100, 150 및 200 ${\mu}g/kg$ 농도의 수정률과 부화율보다 높았다. LHRHa 50 ${\mu}g/kg$을 주사하고, 24시간 후, HCG 처리했을 때, 수정률과 부화율도 각각 35.2와 24.2%로 가장 높았으며, HCG의 처리 후, 수정률과 부화율은 15,000 IU에서 55.2와 46.6%로 가장 높았다. Ovaprim 0.5 mL/kg의 농도를 주사한 실험구에서 2.5 mL/kg을 주사한 실험구에서 56.8과 30.8%의 수정률과 부화율을 보였으며, LHRHa와 pimozide를 혼합하여 처리하였을 때 50 ${\mu}g/kg$의 농도에서 수정률과 부화율이 각각 38.6 및 25.3%로 가장 낮았고 200 ${\mu}g/kg$의 농도에서 62.4와 70.3%로 가장 높았다.