scholarly journals Triplet Delivery following Unilateral Twin Salpingocyesis

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Johnson O. Komolafe ◽  
Rasaq A. Akindele ◽  
Adeniyi O. Fasanu ◽  
Callistus A. Akinleye ◽  
Taiwo O. Akinbile ◽  
...  
Keyword(s):  
Embryo Transfer ◽  
Uterine Cavity ◽  
Male Factor Infertility ◽  
Male Factor ◽  
Primary Infertility ◽  
The Right

We present the case of a 36-year-old woman with primary infertility of six-year duration who had IVF/ICSI on account of male factor infertility. Transvaginal scanning done on the 30th day following embryo transfer revealed an empty uterine cavity with two gestational sacs containing active fetal echoes in the right adnexum. Patient reluctantly had right salpingectomy via open laparatomy. The patient had repeat embryo transfer eleven months afterwards that culminated in the delivery of living twins with a fetal papyraceous.

scholarly journals Varicocele surgery or embolization: Which is better?

2013 ◽  
Vol 6 (4) ◽  
pp. 266 ◽  
Author(s):  
Darby Cassidy ◽  
Keith Jarvi ◽  
Ethan Grober ◽  
Kirk Lo
Keyword(s):  
Failure Rate ◽  
Attractive Alternative ◽  
Published Data ◽  
Technical Failure ◽  
Failure Rates ◽  
Male Factor Infertility ◽  
Male Factor ◽  
Gonadal Vein ◽  
Microsurgical Approach ◽  
The Right

Introduction: Varicocele remains the most commonly identifiedcorrectable cause of male factor infertility. Surgical correction isthe most commonly performed technique to treat varicoceles with a technical failure rate of less than 5%. An attractive alternative to surgery is the selective catheterization and embolization of the gonadal vein. This data are limited by small series.Methods: We reviewed a total of 158 patients. These patientsunderwent embolization for clinical varicoceles and male factorinfertility between 2004 and 2008. Of these, 56% underwentattempted bilateral embolization, 43% unilateral left-sided embolization and 1.3% unilateral right-sided embolization.Results: Of these patients who underwent attempted bilateralembolization, 19.3% did not experience a successful obliterationof the right gonadal vein and 2.3% (2/88) experienced a failure rate in the embolization of the left gonadal vein. Of the 2 attempts at unilateral right-sided embolization, there were no failures. Of the 68 unilateral left-sided embolization attempts, there was a 4.4% failure rate. Of all of the right-sided embolization attempts, 18.9% failed, while 3.2% of the left-sided attempts failed.Conclusion: This review represents the largest contemporary series of varicocele embolization outcomes currently in the literature. Our 19.3% technical failure rate for bilateral varicocele embolization is higher than the current published rate of 13% and is largely related to failure to successfully occlude the right gonadal vein. This supports our belief that bilateral varicoceles are best managed with a primary microsurgical approach, where technical failure rates are expected to be less than 5% based on published data. Men withunilateral left-sided varicoceles should be offered both options as they have similar failure rates, but with embolization offering some clear advantages to the patient.

scholarly journals Evaluation of cases of infertility by diagnostic laparoscopy

2017 ◽  
Vol 6 (3) ◽  
pp. 924
Author(s):  
Sachin Wankhede ◽  
Sarika Thakare ◽  
Nivedita Goverdhan ◽  
Santosh Shahane
Keyword(s):  
Diagnostic Laparoscopy ◽  
Male Factor Infertility ◽  
Polycystic Ovaries ◽  
Male Factor ◽  
Secondary Infertility ◽  
Primary Infertility ◽  
Therapeutic Benefits ◽  
Obstetrics And Gynaecology ◽  
Uterine Anomalies ◽  
Tubal Disease

Background: Infertility affects nearly 10-15% of couples and is an important part of clinical practice. Leading causes of infertility include tubal disease, ovulatory disorders, uterine or cervical factors, endometriosis and male factor infertility. The objective of the study was to find out different causes of female infertility with diagnostic laparoscopy.Methods: This was a descriptive study conducted from February 2012 to November 2013. 115 patients with infertility attending the infertility clinic in OPD of Obstetrics and Gynaecology were evaluated clinically with detailed history. The necessary investigations were carried out and the laparoscopic findings were documented.Results: There were 91 cases (79.13%) with primary infertility and 24 (20.87%) with secondary infertility. Laparoscopy revealed normal findings in 14 cases (15.38%) of primary infertility and 1 case (4.17%) of secondary infertility. Pelvic abnormality was found in 100 cases (86.95%). Tubal block was the most common pathology found in 36 cases (31.30%) followed by polycystic ovaries in 32 (27.83%) and adhesions in 24 (20.87%). Uterine anomalies were found in 3 cases (3.30%).Conclusions: Diagnostic laparoscopy is a valuable technique and a mandatory investigation, which, though invasive, is more convenient and more precise for the diagnosis of infertility. Because of its potential diagnostic as well as therapeutic benefits, all patients with infertility should undergo diagnostic laparoscopy as part of their primary workup of infertility.

Biological factors affecting subzonal sperm microinjection results

1994 ◽  
Vol 6 (1) ◽  
pp. 63
Author(s):  
L Gianaroli ◽  
MC Magli ◽  
AP Ferraretti ◽  
D Fortini ◽  
E Feliciani ◽  
...  
Keyword(s):  
Embryo Transfer ◽  
Embryo Development ◽  
Fertilization Rate ◽  
Early Embryo ◽  
Male Factor Infertility ◽  
Biological Factors ◽  
Male Factor ◽  
Cleavage Rate ◽  
Early Embryo Development ◽  
Factors Affecting

One hundred and sixteen couples with severe male factor infertility underwent 139 subzonal sperm microinjection cycles. In total, 1343 oocytes were microinjected, resulting in a fertilization rate of 24%, followed by a cleavage rate of 65%. In 26% of the zygotes, fertilization was delayed and embryos derived from these zygotes demonstrated a poor capacity for further growth and implantation. In 102 of 139 cycles (73%) embryo transfer was performed, resulting in 9 pregnancies. This study followed the fate of injected oocytes and early embryo development to investigate biological factors that influence the results of subzonal injection.

scholarly journals P-049. ICSI followed by tubal pronuclear stage embryo transfer for the treatment of severe male factor infertility

1997 ◽  
Vol 12 (Suppl_2) ◽  
pp. 143-143
Author(s):  
M.M. El-Sheikh ◽  
H. Yousef ◽  
S. Al-Hasani ◽  
M. Hussein ◽  
A. Sheikh ◽  
...  
Keyword(s):  
Embryo Transfer ◽  
Male Factor Infertility ◽  
Male Factor ◽  
Stage Embryo

scholarly journals P-117. Comparison of the outcome of IVF and embryo transfer for tubal factor infertility with that of ICSI for male factor infertility

1997 ◽  
Vol 12 (Suppl_2) ◽  
pp. 176-176
Author(s):  
K. Kallianidis ◽  
D. Loutradis ◽  
P. Drakakis ◽  
R. Bletsa ◽  
S. Michalas ◽  
...  
Keyword(s):  
Embryo Transfer ◽  
Male Factor Infertility ◽  
Male Factor ◽  
Tubal Factor Infertility ◽  
Tubal Factor

Injection of multiple sperm into the perivitelline space as a treatment of male infertility

1994 ◽  
Vol 6 (1) ◽  
pp. 51 ◽  
Author(s):  
C O'Neill ◽  
JP Ryan ◽  
JW Catt ◽  
IL Pike ◽  
UB Krzyminska
Keyword(s):  
Embryo Transfer ◽  
Fertilization Rate ◽  
Development Rate ◽  
Male Factor Infertility ◽  
Multiple Injection ◽  
Perivitelline Space ◽  
Male Factor ◽  
Factors Affecting ◽  
The Relationship ◽  
Normal Fertilization

This paper reports the outcome of 274 treatment cycles using multiple injection of sperm into the perivitelline space as a treatment of male factor infertility. A total of 170 couples underwent this form of treatment; 59.1% of cycles had at least one oocyte normally fertilized with an overall normal fertilization rate of 17.2%. The development rate of normally fertilized embryos was high (98.5%) and resulted in a pregnancy rate (positive human chorionic gonadotrophin 18 days after embryo transfer) of 21.4% per embryo transfer procedure (a maximum of 3 embryos were transferred per procedure). The relationship between the number of sperm injected and the fertilization rate and other factors affecting the outcome are discussed.

scholarly journals The Potential Use of Intrauterine Insemination as a Basic Option for Infertility: A Review for Technology-Limited Medical Settings

2009 ◽  
Vol 2009 ◽  
pp. 1-11 ◽  
Author(s):  
Abdelrahman M. Abdelkader ◽  
John Yeh
Keyword(s):  
Intrauterine Insemination ◽  
Uterine Cavity ◽  
Infertility Treatment ◽  
Semen Parameters ◽  
Male Factor Infertility ◽  
Review Of Literature ◽  
First Line ◽  
Male Factor ◽  
Medical Settings ◽  
Potential Use

Objective. There is an asymmetric allocation of technology and other resources for infertility services. Intrauterine insemination (IUI) is a process of placing washed spermatozoa transcervically into the uterine cavity for treatment of infertility. This is a review of literature for the potential use of IUI as a basic infertility treatment in technology-limited settings.Study design. Review of articles on treatment of infertility using IUI.Results. Aspects regarding the use of IUI are reviewed, including ovarian stimulation, semen parameters associated with good outcomes, methods of sperm preparation, timing of IUI, and number of inseminations. Implications of the finding in light of the needs of low-technology medical settings are summarized.Conclusion. The reviewed evidence suggests that IUI is less expensive, less invasive, and comparably effective for selected patients as a first-line treatment for couples with unexplained or male factor infertility. Those couples may be offered three to six IUI cycles in technology-limited settings.

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