• 제목/요약/키워드: Reproductive Management

검색결과 341건 처리시간 0.02초

The likelihood of achieving pregnancy through timed coitus in young infertile women with decreased ovarian reserve

  • Koo, Hwa Seon;Song, In Ok;Cha, Sun Hwa;Park, Chan Woo;Kim, Hye Ok
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제45권1호
    • /
    • pp.31-37
    • /
    • 2018
  • Objective: To evaluate the pregnancy rate and time to pregnancy after timed coitus with or without superovulation in infertile young women younger than 35 years old with low serum $anti-M{\ddot{u}}llerian$ hormone (AMH) levels ( < 25th percentile). Methods: A total of 202 patients younger than 35 years old were recruited retrospectively between 2010 and 2012. Ninety-eight women had normal serum AMH levels (25-75th percentile), 75 women had low serum AMH levels (5th ${\leq}$ & < 25th percentile) and 29 women had very low serum AMH levels ( < 5th percentile), according to reference values for their age group. Results: The clinical pregnancy rate was positively associated with AMH levels, but this trend did not reach statistical significance (43.9% vs. 41.3% vs. 27.6% in the normal, low, and very low AMH groups, respectively). The time to pregnancy was longer in the very low AMH group than in the normal AMH group ($13.1{\pm}10.9months$ vs. $6.9{\pm}6.1months$, p= 0.030). The cumulative live birth rate over 18 months was lower in the very low AMH group than in the normal AMH group, with marginal significance (20.0% vs. 55.9%, p= 0.051). The duration of infertility was negatively correlated with achieving pregnancy (odds ratio, 0.953; 95% confidence interval, 0.914-0.994; p= 0.026). Conclusion: Conservative management, such as timed coitus with or without superovulation, should be considered in young patients who have low ovarian reserve without any infertility factors. However, for women with a long duration of infertility or very low serum AMH levels, active infertility treatment should be considered.

Beneficial effects of oral antioxidant supplementation on semen quality parameters, reproductive hormones, and sperm DNA integrity in men with idiopathic oligoasthenoteratozoospermia

  • Chaymae Rochdi;Meriem Ouadrhiri;Larbi Allai;Ibtissam Bellajdel;Samira Mamri;Hafsa Taheri;Hanane Saadi;Ahmed Mimouni;Mohammed Choukri
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제51권2호
    • /
    • pp.135-141
    • /
    • 2024
  • Objective: Recently, oral antioxidants in combined forms have been used to treat men with idiopathic infertility. This study aimed to evaluate the effects of treatment with vitamin C, vitamin E, selenium, zinc, arginine, L-carnitine, and coenzyme Q10 on sperm quality parameters, DNA integrity, reproductive hormones, and pregnancy rates in men with infertility and idiopathic oligoasthenoteratozoospermia (OAT). Methods: A prospective study was conducted on 420 men with infertility and idiopathic OAT who took an oral supplement of antioxidant SP-Power tablets twice daily for 6 months. Semen quality, reproductive hormones, and the DNA fragmentation index (DFI) were evaluated at baseline and at 3 and 6 months after supplementation, using the World Health Organization 2021 guidelines. Results: No significant difference was observed in volume or the percentage of typical morphology during treatment. A significant improvement in sperm concentration was observed after supplementation (8.67±1.41, 12.17±1.91, and 19.01±0.86 at baseline, 3, and 6 months respectively, p<0.01). The total motility, progressive motility, and total motile sperm count also increased significantly (p<0.01), whereas the DFI decreased after 6 months. There was an increase in normal FSH levels and testosterone levels after 6 months of supplementation of antioxidant SP-Power but these differences were not statistically significant (p=not significant and p=0.06, respectively). Conclusion: Supplementation with SP-Power tablets improved sperm quality parameters, sperm DFI, some reproductive hormones, and pregnancy rates in men with infertility and idiopathic OAT, which could be attributed to the supplement's synergistic antioxidant action. Further studies are needed to determine the effects of supplementation on oxidative stress markers.

불임 또는 습관성 유산 환자에서 중격자궁의 치료가 임신에 미치는 영향 (Effects of Hysteroscopic Septotomy on Pregnancy in Patients with History of Infertility or Recurrent Spontaneous Abortion)

  • 구화선;차선화;양광문;배주연;안현숙;한애라;박찬우;강인수;궁미경;이경상
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제37권4호
    • /
    • pp.361-368
    • /
    • 2010
  • 목적: 중격자궁은 흔하게 보고되는 선천성 자궁기형 중 하나이며 여성의 생식능력에 미치는 영향에 대해 아직 이견이 많고, 따라서 치료의 필요성에 대해서도 아직 정립되지 않았다. 본 연구에서는 중격자궁의 존재 및 치료 여부가 생식수행에 미치는 영향에 대해 알아보고자 하였다. 연구방법: 2008년 1월부터 2009년 12월까지 불임 또는 습관성 유산을 주소로 제일병원 산부인과를 방문하여 자궁난관 조영술을 시행한 총 2,838명의 환자들 중 중격자궁이 진단된 44명의 환자들을 대상으로 하였으며, 이 중 27명은 자궁경 하 자궁중격 절제술을 시행 받았으며, 17명은 진단 후 추가적인 치료를 받지 않았다. 대조군은 동일 기간 내에 자궁기형이 진단되지 않은 환자 42명을 나이를 고려 후 무작위 선정하였다. 연구 대상군의 임신율, 자연유산율, 그리고 생존분만율 등에 대한 의무기록을 후향적으로 분석하였으며, 대상군들의 평균 추적 관찰 기간은 진단 후 21.8개월 이었다. 결과: 추적 관찰 기간 중 자궁경 하 질식 자궁중격 절제술을 시행 받은 환자 (n=27)의 55.6% (15/27)가 임신에 성공한 반면 치료를 받지 않은 환자 (n=17)의 약 23.5% (4/17)만이 임신에 성공하여 치료받은 군에서 통계적으로 의미있는 높은 수치를 보였다 (p<0.05). 한편 생존분만율은 치료를 받은 환자군 및 자궁기형이 진단되지 않은 불임 또는 습관성 유산 환자 (대조군, n=42)에서 각각 75%와 84.6%를 보인 반면 치료 받지 않은 군에서는 50% (2/4)를 보여 치료 받지 않은 중격자궁 환자에서 낮은 경향을 보이지만 통계학적 의미는 없었다. 결론: 중격자궁이 생식수행에 미치는 영향은 자연유산 등 산과적 합병증 뿐 아니라 오히려 임신력의 저하에 더 큰 악영항을 미칠 수 있으며 불임 환자에서 중격자궁의 존재 시 적극적인 치료가 임신성공률의 향상에 도움이 될 것으로 생각 되지만 보다 명확한 결론을 위해 규모가 크고 관찰 기간이 긴 대단위 연구가 필요 할 것으로 생각된다.

기상환경과 병해충 발생 및 그 대책 (Meteorological Condition and Pest Management)

  • 현재선
    • 한국작물학회지
    • /
    • 제27권4호
    • /
    • pp.361-370
    • /
    • 1982
  • The effects of climatic factors on organisms lire variable and complex, and it, however, can be interpreted in terms of those on the distribution and those on the population densities. The distribution of an organism may largely be determined by the temperatures, except some temporal organisms which are depended on the air mass movements. Population density of an organism is determined by various climatic factors, such as previous winter temperature, temperature of growing season and rainfall. The start of growing season of the rice plants has been shifted to earlier since last decade in Korea. This may mean that the overall climatic condition during the growing season might be considerably different from those in past years, and such a difference in climatic conditions might have close relation with the recent status of the diseases and insect pests through direct effects on the physiology and population dynamics of the organisms, as well as through on the biotic associations of the pest organisms. The white back planthopper and brown planthopper have become the key insect pests in Korea in recent years. They are migratory and have high reproductive pontentials and more generations than average residential insects. The synchronization of the migrants and physiological condition of the rice plants seems to be the important factors in relation to the recent outbreaks of these insects; the high reproductive rate can be obtained with the growth stage of rice being 30-50 days after transplanting. The modication of the microclimate associated with high plant density and some other introduced new cultural techniques also have some relation with the outbreak. The key diseases of the rice are the blast disease, sheath blight and the bacterial leaf blight. For the rice blast, the seedling blast and leaf blast during the early growing season and the neck blast, have become more serious, the former may be related to hotbed nursery and the later may be related to the high humidity in early August, and synchronization of the heading time which has been shifted to early part from middle or late part of August. In general, for the rice diseases, the development of the new races have been the most serious which are largely resulted from the introduction of the new varieties, but it also seems to be related with the prolonged periods of the favorable condition associated with the shifted growing seasons. In general, the diseases and insect pest problems have become much more variable and complex, and control measures should be based on the thorough knowledge of the ecology of the pest organisms, that is, effects of various environmental factors on the disease cycle; spore release, spore deposition, infection, colonization and sporulation of the disease organisms, and those on the development, reproductive potentials, dispersal, age specific responses of the insects. The well organized real-time pest management systems, such as alfalfa weevil management system developed at the Purdue University in U.S., is the prime importance for the implementation of the pest management principles.

  • PDF

Laparoscopic management of early primary peritoneal pregnancy: a case report

  • Koo, Hwa-Seon;Bae, Ju-Youn;Kang, Inn-Soo;Koong, Mi-Kyoung;Kim, Hye-Ok;Cha, Sun-Hwa;Choi, Min-Hye;Kim, Ji-Young;Yang, Kwang-Moon
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제38권2호
    • /
    • pp.109-114
    • /
    • 2011
  • Peritoneal pregnancy is an implantation in the peritoneal cavity exclusive of tubal, ovarian, or intra-ligamentary implantations. This is a rare obstetric complication with high maternal mortality and even higher perinatal mortality, and secondary type was most common. Risk factors for peritoneal pregnancy are previous history of extrauterine pregnancy or tubal surgery pelvic post-inflammatory status or presence of an intrauterine device. As it is a life-threatening condition, expectant management carries a risk of sudden life-threatening intra-abdominal bleeding and a generally poor fetal prognosis. So, when it is recognized, immediate termination of pregnancy is usually recommended. Early diagnosis of peritoneal pregnancy is difficult, but is important by their life threatening progress course to patients. Recently, we experienced primary peritoneal pregnancy which meets both the original and modified criteria. In this paper, we reported the case of early diagnosed and successfully treated peritoneal pregnancy despite of their diagnosis was incidentally.

Beso (Varicorhinus beso Rüppell, 1836) biological parameters to establish management measures in the Geray Reservoir (Ethiopia)

  • Yirga Enawgaw;Asnaku Bazezew;Ayalew Sisay;Solomon Wagaw;Assefa Wosnie
    • Fisheries and Aquatic Sciences
    • /
    • 제27권4호
    • /
    • pp.231-239
    • /
    • 2024
  • Geray Reservoir is home to some fish species including Varicorhinus beso, Cyprinus carpio, Carasius carasius, Oreochromis niloticus, and Tilapia randelli. The V. beso is among the top fish-farming species for the reservoir. However, this data on total fish catch showed that the fish population is declining as a result of overexploitation of the stock. The purpose of this study was to set some management measures for the Geray reservoir using some biometric data on the most commonly caught fish-V. beso. A total of 170 fish samples (102 females and 68 males) ranging from 21 to 40.2 cm in total length (TL) and 94.6 to 618.4 g in total weight (TW) were gathered between October 2022 and May 2022 using a cast net with a mesh size of 6 cm. Nonetheless, it is thought that the sampling period is sufficient because the fish were spawning more during the month when the data was collected because of the high concentration of nutrients during that time. The overall male-to-female sex ratio in the population was 1:1.5, which differed considerably from the real ratio of 1:1 (x2 = 6.8; p < 0.01). V. beso in the Geray reservoir exhibited virtually an isometric growth (b = 3) considering the length-weight relationships of males (TW = 0.0122TL2.993) and females (TW = 0.0114TL3.0139). The V. beso had an absolute fecundity (AF) of 2,190 to 11,265 eggs. AF was significantly correlated with TL, TW, and gonad weight (p < 0.01). V. beso's reproductive season peaked between November and May, with the gonadosomatic index ranging from 0.02 to 20.12 for females and 0.03 to 5.67 for males. The average V. beso condition factors for both sexes were higher than 1, indicating that the fish in the reservoir had properly developed, which may be the result of favorable habitat conditions.

Can Reproductive Characteristics Predict Bladder Cancer in Women with Haematuria?

  • Yavuzcan, Ali;Caglar, Mete;Kayikci, Muhammet Ali;Basaran, Ekrem;Tekin, Ali;Ozdemir, Enver;Dilbaz, Serdar;Ustun, Yusuf;Cam, Haydar Kamil
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권9호
    • /
    • pp.5107-5110
    • /
    • 2013
  • Background: Among women with haematuria, defining individuals under high risk for bladder cancer based on reproductive factors prior to cystoscopy would be of great benefit in the management of this condition. The aim of this study was to compare age and reproductive factors such as menopausal status, parity, age at first delivery and age at the last delivery between women who have haematuria with or without bladder cancer. Materials and Methods: A total of 463 patients underwent diagnostic cystoscopy in D$\ddot{u}$zce University Faculty of Medicine between 1 June 2008 and 1 June 2013. Female patients who presented with persistent microscopic or macroscopic haematuria and underwent standard evaluation for haematuria including urinalysis, urine culture, urine cytology, urinary tract imaging with excretory urography or computerized tomography with contrast enhancement and endoscopic evaluation of the urethra and bladder were included in this study. Exclusion criteria were tobacco use and high risk occupations for bladder cancer such as textile, dry cleaning, painting and etc. Forteen women had hematuria due to benign conditions, and 18 due to bladder cancer. Data were retrospectively retrieved from the medical records of Duzce University Hospital. Results: Patients with haematuria due to benign reasons did not significantly differ from patients who were found to have bladder cancer in terms of age (p=0.28), menopausal status (p=0.29), mean parity (p=0.38), being nulliparous (p=0.57), parity ${\geq}3$ (p=0.22), age ${\leq}18$ years at first delivery (p=1.00), age ${\geq}30$ years at last delivery (p=0.26), age ${\geq}35$ years at last delivery (p=0.23) and percentage of the patients with advanced age (${\geq}65$ years) (p=0.18). Conclusions: It is difficult to predict a high risk for developing bladder cancer in women with haematuria based solely on reproductive factors.

한우의 신속한 증식을 위한 번식기술 개발에 관한 연구 II. 조기 임신 진단법 및 번식장애 분포에 관한 연구 (Studies on Development of Breeding Technique to Increase HanWoo(Bos taurus coreanae) : II. Early Pregnancy Diagnosis Incidence of Reproductive Disorders)

  • 장구;손창호;이은송;류일선;이강남;이동원;오명환;오성종;정근기;최상용;노규진;김상철;이병천;황우석
    • 한국수정란이식학회지
    • /
    • 제16권1호
    • /
    • pp.7-14
    • /
    • 2001
  • The aims of these study were to diagnose early pregnancy and reproductive disorders by using progesterone concentration and ultrasonography. The measurement of blood progesterone (P$_4$) concentration was conducted to diagnose pregnancy and to detect corpus luteum (CL) or evaluate disorder of CLs. As a result, the incidence rates of reproductive disorders were as follows : SH and EED (41.9%), inacitve ovaries (32.6%), follicullar cyst (9.3%), PCL (7.0%), endometritis (4.7%), pyometra (2.3%) and luteal cyst (2.3%). 61 Cows having P$_4$concentration 1.0 ng/ml(at the insemination) were increased to 1.0 ng/ml $\geq$ 6day after insemination. 50 cows among 61 cows were diagnosed pregnant. 8 cows among 13 HanWoos having P$_4$concentration 1.0 ng/ml at the insemination and 1.0 ng/mnl 6 day after insemination had non-ovulatory estrus and the others had P$_4$concentration 1.0 ng/ml at the insemination and 1.0 ng/ml $\geq$ 6 day after insemination, which was the error of estrus detection. All 13 cows were diagnosed non-pregnant. 47 cows diagnosed pregnant after insemination of P$_4$concentration 3.0 ng/ml were examined by ultrasonography at 30 day post-insemination. As a result, 41 cows were diagnosed pregnant (87.2%) but 14 cows having P$_4$concentration 3.0 ng/ml at 21 day after insemination was diagnosed to non-pregnancy. Calving intervals by surveying 100 cows were as follows 11~12 months (20%), 12~13 months (36%), 13~14 months (19%), 14 months $\geq$ (25%), respectively. In conclusion, hormone and ultrasonography help to detect reproductive disorders exactly and diagnose early pregnancy. This study suggest that diagnosis of early pregnancy and reproductive disorder by blood P$_4$concentration and ultrasonography improve reproduction management of HanWoo.

  • PDF

Gomphina (Macridiscus) veneriformis (Lamark, 1818) (Bivalvia: Veneridae) in the East Sea of Korea

  • Kim, Yong Ho;Kim, Sung Han;Chung, Ee-Yung;Lee, Chang-Hoon;Kwak, Cheol Woo
    • 한국패류학회지
    • /
    • 제29권4호
    • /
    • pp.313-323
    • /
    • 2013
  • Gonad development, the reproductive cycle, first sexual maturty and size at 50% of group sexual maturity (the biological minimum size) of Gomphina (Macridiscus) veneriformis were investigated for clams collected from the coastal waters of Donghae City, the East Sea of Korea by histological, and morphometric analysis. Monthly variations of the gonad index showed a pattern similar to that of the reproductive cycle. The reproductive cycle with the gonad developmental stages in female and male G. (M.) veneriformis can be classified into five successive stages: early active stage (December to March), late active stage (March to June), ripe stage (June to July), partially spawned stage (June to August), and spent / inactive stage (September to December). The spawning period continued from June to August, with a peak between July and August when the seawater temperature exceeds $20^{\circ}C$. The percentages of first sexual maturities of female and male clams ranging from 25.1 to 30.0 mm were 56.3% in females and 61.1% in males, and for clams over 30.1 mm shell length, it was 100%. Shell lengths at 50% of group sexual maturity (biological minimum size, $RM_{50}$) were 27.71 mm in females and 26.31 mm in males. Because harvesting clams < 26.31 mm in shell length could potentially cause a drastic reduction in recruitment, a measure indicating a prohibitory fishing size should be taken for adequate fisheries management.

Sex ratios and spatial structure of the dioecious tree Torreya nucifera in Jeju Island, Korea

  • Kang, Hye-Soon;Shin, Soo-Kyung
    • Journal of Ecology and Environment
    • /
    • 제35권2호
    • /
    • pp.111-122
    • /
    • 2012
  • The sex ratio and spatial structure of different sexes are major components that affect the reproductive success and population persistence of dioecious plants. The differential reproductive costs between male and female plants are often believed to cause a biased sex ratio and spatial segregation of the sexes through slower growth and/or lower female survivorship. In this study, we examined the sex ratio and spatial structure of one population of $Torreya$ $nucifera$ trees in Jeju Island, Korea. We also tested the effects of the current tending actions in relation to tree vitality. At the population level, the sex ratio of the 2,861 trees was significantly biased toward males; however, it also showed considerable variation among different diameter at breast height classes and across habitats according to terrain level (from upper to lower). In 1999, before tree management (tending) began, among the ecological traits examined, only climber coverage correlated with tree vitality. Intensive tending such as climber removal since 1999 clearly enhanced the vitality of the majority of trees, but its effects were more conspicuous in medium-sized trees than in small ones, in upper terrain trees than those in other terrains, and in females than in males. Both male tree domination in small and large trees and tending effects on females are likely to reflect the effects of female reproductive costs regarding growth and/or survivorship. Spatial segregation between males and females was not observed in $T.$ $nucifera$. Habitat heterogeneity created by the forest's rocky ground and its implications regarding sex ratios and spatial structure require further studies.