• Title/Summary/Keyword: reproductive factor

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Adverse pregnancy outcomes with assisted reproductive technology in non-obese women with polycystic ovary syndrome: a case-control study

  • Han, Ae-Ra;Kim, Hye-Ok;Cha, Sun-Wha;Park, Chan-Woo;Kim, Jin-Yeong;Yang, Kwang-Moon;Song, In-Ok;Koong, Mi-Kyoung;Kan, Inn-Soo
    • Clinical and Experimental Reproductive Medicine
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    • v.38 no.2
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    • pp.103-108
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    • 2011
  • Objective: To investigate adverse pregnancy outcomes in non-obese women with polycystic ovary syndrome (PCOS) compared with obese-PCOS and control groups. Methods: Women with PCOS who underwent assisted reproductive technology (ART) from August, 2003 to December, 2007, were considered. A total of 336 women with PCOS were included in the study group and 1,003 infertile women who had tubal factor as an indication for ART were collected as controls. They were divided into four groups: a non-obese PCOS group, obese-PCOS group, non-obese tubal factor group, and obese tubal factor group, with obesity defined by a body mass index over 25 kg/$m^2$, and reviewed focusing on the basal characteristics, ART outcomes, and adverse pregnancy outcomes. Results: There was no difference among the groups' the clinical pregnancy rate or live birth rate. Regarding adverse pregnancy outcomes, the miscarriage rate, multiple pregnancy rate, and prevalence of preterm delivery and pregnancy induced hypertension were not different among the four groups. The incidence of small for gestational age infant was higher in the PCOS groups than the tubal factor groups ($p$ <0.02). On the other hand, the morbidity of gestational diabetes mellitus (GDM) was not high in the non-obese PCOS group but was in the obese groups. And in the obese PCOS group, the newborns were heavier than in the other groups ($p$ <0.02). Conclusion: Non-obese PCOS presents many differences compared with obese PCOS, not only in the IVF-parameters but also in the morbidity of adverse pregnancy outcomes, especially in GDM and fetal macrosomia.

Pioglitazone treatment decreases follicular fluid levels of tumor necrosis factor-${\alpha}$ and interleukin-6 in patients with polycystic ovary syndrome

  • Kim, Chung-Hoon;Ahn, Jun-Woo;You, Rae-Mi;Kim, Sung-Hoon;Chae, Hee-Dong;Kang, Byung-Moon
    • Clinical and Experimental Reproductive Medicine
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    • v.38 no.2
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    • pp.98-102
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    • 2011
  • Objective: To investigate the effects of pioglitazone on controlled ovarian stimulation (COS), IVF outcomes, and follicular fluid (FF) cytokine concentrations in patients with polycystic ovary syndrome (PCOS). Methods: Eighty-six infertile patients with PCOS resistant to clomiphene citrate were randomized to receive pioglitazone (30 mg/day) or placebo on the starting day of oral contraceptive (OC) pretreatment, followed by an IVF protocol using a GnRH antagonist. Pioglitazone or placebo was administered once daily from the starting day of OC to the day of hCG injection. Results: Total dose and days of recombinant follicle-stimulating hormone administered, and the numbers of retrieved and mature oocytes, were significantly lower in the pioglitazone group than in the control group. FF tumor necrosis factor-${\alpha}$ (TNF-${\alpha}$) and interleukin-6 (IL-6) concentrations at oocyte retrieval were also significantly lower in the pioglitazone group. The clinical pregnancy rate was higher and the incidence of severe ovarian hyperstimulation syndrome was lower in the pioglitazone group, but the differences were not statistically significant. Conclusion: Pioglitazone reduces FF TNF-${\alpha}$ and IL-6 levels, and may improve ovarian response to COS in patients with PCOS.

Development of a Scale to Measure Reproductive Health Promoting Behavior of Undergraduates (대학생의 생식건강증진행위 측정도구 개발)

  • Jo, Ho Yoon;Kim, Young Hae;Son, Hyun Mi
    • Korean Journal of Health Education and Promotion
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    • v.31 no.5
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    • pp.29-43
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    • 2014
  • Objectives: This study was to develop a reliable and valid instrument measuring the reproductive health promoting behavior of undergraduates. Methods: The initial questionnaires were made of 106 items from four domains through literature review. All questionnaire items were revised by an expert group and a pilot test. Data were collected using the revised initial questionnaire of men's 58 items and female's 64 items from 634 male and 685 female undergraduate students. The collected questionnaires were analyzed by factor analysis using varimax rotation to evaluate the construct validity. Results: According to the gender, two measurement were invented and analysed separately. Four common factors consisting of 'safe sex', 'sexual responsibility', 'genital health management' and 'STD prevention' were discovered in both groups. The 'genital hygiene' factor was added as a female factor. Male students' scale was made up 4 factors 16 items and female students' scale was made up 5 factors 18 items. Cronbach's alpha for male scale was estimated to be .892 and female scale to be .882. Conclusions: This scale will make it possible to measure the level of reproductive health among Korean university students. This scale may be useful for developing effective methods of education as well as policy programs for improving the reproductive health of Korean university students.

Variation in Reproductive Efficiency of Indonesian Native Cows

  • Paputungan, Umar
    • Asian-Australasian Journal of Animal Sciences
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    • v.10 no.2
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    • pp.240-244
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    • 1997
  • This study was conducted in North Sulawesi, Indonesia to identify the factors affecting reproductive efficiency and to determine the contribution of each factor in reproductive efficiency of Indonesian native cows. Records of reproductive efficiency, body size (hip height, body weight, body length, heart girth) as well as age on one hundred and sixty seven Indonesian native cows (seventy six cows of the Bali breed and ninety one cows of the synthetic breed from unknown proportion of th Madura, the Sumba and the Ongole breeds) of 58 farmers were available in this research. The data were analyzed by covariance analysis using SAS package including reproductive efficiency as a dependent variable and breed, body size (hip height, body weight, body length, heart girth) and age of cows as independent variables. The contribution of each independent factor to dependent variable was estimated as the percentage of the sum of square in the corrected total sum of squares. The results showed that body weight and body size of cows would be considered as th most important factors affecting reproductive efficiency of Indonesian native cows. Therefore, the reproductive efficiency could be increased by 1) using cows that reached a target weight of at least 250 kg, 2) using cows with relatively well developed height at hip of at least 117 cm, heart girth of at least 150 cm, and body length of at least 125 cm, 3) keeping breeding cows that reach a target age of 24 months old with the maximum interval between postpartum and next breeding season of 90 days for each year, and 4) using good nutritional feeding to reach the optimum weight and body condition.

Adipose tissue-derived mesenchymal stem cells reduce endometriosis cellular proliferation through their anti-inflammatory effects

  • Meligy, Fatma Y.;Elgamal, Dalia A.;Abdelzaher, Lobna A.;Khashbah, Maha Y.;El-Mokhtar, Mohamed A.;Sayed, Ayat A.;Refaiy, Abeer M.;Othman, Essam R.
    • Clinical and Experimental Reproductive Medicine
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    • v.48 no.4
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    • pp.322-336
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    • 2021
  • Objective: Endometriosis is a chronic debilitating inflammatory condition characterized by the presence of endometrial tissues outside the uterine cavity. Pelvic soreness and infertility are the usual association. Due to the poor effectiveness of the hormone therapy and the high incidence of recurrence following surgical excision, there is no single effective option for management of endometriosis. Mesenchymal stem cells (MSCs) are multipotent stromal cells studied for their broad immunoregulatory and anti-inflammatory properties; however, their efficiency in endometriosis cases is still a controversial issue. Our study aim was to evaluate whether adipose tissue-derived MSCs (AD-MSCs) could help with endometriosis through their studied anti-inflammatory role. Methods: Female Wistar rats weighting 180 to 250 g were randomly divided into two groups: group 1, endometriosis group; established by transplanting autologous uterine tissue into rats' peritoneal cavities and group 2, stem cell treated group; treated with AD-MSCs on the 5th day after induction of endometriosis. The proliferative activity of the endometriosis lesions was evaluated through Ki67 staining. Quantitative estimation of interferon γ, tumor necrosis factor-α, interleukin (IL)-6, IL-1β, IL-10, and transforming growth factor β expression, as well as immunohistochemical detection of CD68 positive macrophages, were used to assess the inflammatory status. Results: The size and proliferative activity of endometriosis lesions were significantly reduced in the stem cell treated group. Stem cells efficiently mitigated endometriosis associated chronic inflammatory reactions estimated through reduction of CD68 positive macrophages and the expression of the proinflammatory cytokines. Conclusion: Stem cell therapy can be considered a novel remedy in endometriosis possibly through its anti-inflammatory and antiproliferative properties.

Preliminary evaluation of some aspects of the ecology (growth pattern, condition factor and reproductive biology) of African pike, Hepsetus odoe (Bloch 1794), in Lake Eleiyele, Ibadan, Nigeria

  • Ogunola, Oluniyi Solomon;Onada, Olawale Ahmed;Falaye, Augustine Eyiwunmi
    • Fisheries and Aquatic Sciences
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    • v.21 no.3
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    • pp.12.1-12.15
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    • 2018
  • A preliminary investigation of length-weight relationship, condition factor and reproductive ecology of African pike fish, Hepsetus odoe, was conducted between June to August 2010 in Lake Eleiyele. A total of 90 samples of the fish species were caught by fishermen using gill nets. The results obtained showed that fish species had isometric growth pattern (contrary to negative allometry expected) with the growth exponent, b value of 2.64, that is not statistically different from 3 and with high statistical power of 0.866 when tested. The mean condition factor, K, was found to be 2.6, indicating that the fish species were in good condition in the study area. For reproductive biology, mean fecundity and gonadosomatic index were found to be 1349 eggs and 3.53% respectively. This study was necessary to fill the knowledge gap and provide information for management and conservation of the investigated species in the lake system. This study recommended that further research needs to be conducted because the sampling was carried out in the rainy season period and within a quarter of a year.