• Clinical and Experimental Reproductive Medicine
• /
• v.44 no.4
• /
• pp.187-192
• /
• 2017

Although the survival rate of hematologic malignancies in young patients is very high, cytotoxic therapies such as chemotherapy and total body irradiation therapy can significantly reduce a patient's reproductive capacity and cause irreversible infertility. Early ovarian failure also commonly occurs following additional cancer treatment, bone marrow transplantation, or autologous transplantation. Because the risk of early ovarian failure depends on the patient's circumstances, patients with a hematologic malignancy must consult health professionals regarding fertility preservation before undergoing treatments that can potentially damage their ovaries. While it is widely known that early menopause commonly occurs following breast cancer treatment, there is a lack of reliable study results regarding fertility preservation during hematologic malignancy treatment. Therefore, an in-depth discussion between patients and health professionals about the pros and cons of the various options for fertility preservation is necessary. In this study, we review germ cell toxicity, which occurs during the treatment of hematologic malignancies, and propose guidelines for fertility preservation in younger patients with hematologic malignancies.

• Child Health Nursing Research
• /
• v.26 no.3
• /
• pp.329-337
• /
• 2020

Purpose: This study investigated intentions and attitudes towards future parenthood and awareness of fertility among university students in South Korea. Methods: The participants comprised 166 female and male undergraduate students enrolled at five universities. A cross-sectional survey was conducted from May to July 2019 using the Korean version of the Fertility Awareness Questionnaire and Attitudes of Parenthood. The data were analyzed using descriptive statistics based on participants' general characteristics, the χ² test to identify differences in intentions, and the t-test to evaluate attitudes towards parenthood and awareness of fertility in female and male students. Results: Both female and male students desired to have two children, but they lacked awareness about fertility. The possibility of combining work and having children, along with the availability of childcare resources, impacted the desire for parenthood. Male students tended to consider parenthood as less impactful on their lives and careers than female students. Social structures might also impact the decision to have children. Conclusion: It is important to provide health education emphasizing fertility awareness and parenthood in young adulthood so participants can consider these facts in advance. In addition, the government should provide resources for couples making parenthood decisions.

• Journal of the Korean Society of Tobacco Science
• /
• v.21 no.1
• /
• pp.36-48
• /
• 1999

Field test was conducted in Chungbuk province to evaluate the soil fertility using landscape and soil attributes by application of geographic information system(GIS) in 48 tobacco fields during 2 years(1996 ; 23 fields, 1997 ; 25 fields). The soil fertility factors and fertilizer effects were estimated by twenty five independent variables including 13 chemical properties and 12 GIS databases. Twenty five independent variables were classified by two groups, 15 quantitative indexes and 10 qualitative indexes and were analyzed by multiple linear regression (MLR) of SAS, REG and GLM models. The estimation model for evaluation of soil fertility and fertilizer effect was made by giving the estimate coefficient for each quantitative index and for each group of qualitative index significantly selected by MLR. Estimation for soil fertility factors and fertilizer effects by independent variables was better by MLR than single regression showing gradually improvement by adding chemical properties, quantitative indexes and qualitative indexes of GIS. Consequently, it is assumed that this approach by MLR with quantitative and qualitative indexes was available as an evaluation model of soil fertility and recommendation of optimum fertilization for tobacco field.

• Clinical and Experimental Reproductive Medicine
• /
• v.48 no.1
• /
• pp.1-10
• /
• 2021

In Korean women, a westernized lifestyle is associated with an increased risk of breast cancer. Fertility preservation has become an increasingly important issue for women with breast cancer, in accordance with substantial improvements in survival rate after cancer treatment. The methods of controlled ovarian hyperstimulation (COH) for fertility preservation in breast cancer patients have been modified to include aromatase inhibitors to reduce the potential harm associated with increased estradiol levels. Random-start COH and dual ovarian stimulation are feasible options to reduce the total duration of fertility preservation treatment and to efficiently collect oocytes or embryos. Using a gonadotropin-releasing hormone agonist as a trigger may improve cycle outcomes in breast cancer patients undergoing COH for fertility preservation. In young breast cancer patients with BRCA mutations, especially BRCA1 mutations, the possibility of diminished ovarian reserve may be considered, although further studies are necessary. Herein, we review the current literature on the practical issues surrounding COH for fertility preservation in women with breast cancer.

• International Journal of Industrial Entomology and Biomaterials
• /
• v.19 no.2
• /
• pp.215-219
• /
• 2009

The effect of mating duration and multiple use of male on fecundity and fertility was investigated in the hybrids of Silkworm, Bombyx mori L. One hour to five hours of mating duration did not affect egg laying (fecundity) significantly, while fertilization affected significantly. Below 50% fertility was noticed when mating duration was reduced to below two hours. Similarly multiple use of male caused significant reduction in fertility but not fecundity. Till fourth mating no significant reduction in fertility was observed, thereafter fertility reduced considerably.

• 대한생식의학회:학술대회논문집
• /
• 2007.11a
• /
• pp.123-123
• /
• 2007

• Clinical and Experimental Reproductive Medicine
• /
• v.41 no.3
• /
• pp.137-139
• /
• 2014

The effect of artificial oocyte activation (AOA) with a calcium ionophore on intracytoplasmic morphologically selected sperm injection (IMSI) was examined in patients with histories of repeated failed implantation attempts. Four singleton pregnancies and one twin pregnancy were obtained after embryos transfer (5/14, 35.7%). Therefore, AOA combined with IMSI can be considered an option for cycles with a fertilization defect and recurrent implantation failures.

• 대한생식의학회:학술대회논문집
• /
• 2006.06a
• /
• pp.153.2-153.2
• /
• 2006

• Clinical and Experimental Reproductive Medicine
• /
• v.48 no.1
• /
• pp.11-26
• /
• 2021

Advances in anticancer treatments have resulted in increasing survival rates among cancer patients. Accordingly, the quality of life after treatment, particularly the preservation of fertility, has gradually emerged as an essential consideration. Cryopreservation of embryos or unfertilized oocytes has been considered as the standard method of fertility preservation among young women facing gonadotoxic chemotherapy. Other methods, including ovarian suppression and ovarian tissue cryopreservation, have been considered experimental. Recent large-scale randomized controlled trials have demonstrated that temporary ovarian suppression using gonadotropin-releasing hormone agonists (GnRHa) during chemotherapy is beneficial for preventing chemotherapy-induced premature ovarian insufficiency in breast cancer patients. It should also be emphasized that GnRHa use during chemotherapy does not replace established fertility preservation methods. All young women facing gonadotoxic chemotherapy should be counseled about and offered various options for fertility preservation, including both GnRHa use and cryopreservation of embryos, oocytes, and/or ovarian tissue.

• 대한생식의학회:학술대회논문집
• /
• 2006.11a
• /
• pp.126.2-127
• /
• 2006