International Journal of Infertility & Fetal Medicine

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2016 | January-April | Volume 7 | Issue 1

RESEARCH ARTICLE

Ratna Chattopadhyay, Shanawaz Yasmin, BN Chakravarty

Effect of Continuous 6 Months Oral Antioxidant Combination with Universally recommended Dosage in Idiopathic Male Infertility

[Year:2016] [Month:January-April] [Volume:7] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijifm-7-1-iv  |  Open Access |  How to cite  | 

Abstract

Conclusion

This combined antioxidant therapy may improve sperm quality after continuous 6 months of treatment. However, further study is needed regarding this experiment for validating the trend.

How to cite this article

Chattopadhyay R, Yasmin S, Chakravarty BN. Effect of Continuous 6 Months Oral Antioxidant Combination with Universally recommended Dosage in Idiopathic Male Infertility. Int J Infertil Fetal Med 2016;7(1):1-6.

RESEARCH ARTICLE

Ratna Chattopadhyay, Shanawaz Yasmin, BN Chakravarty

Effect of Continuous 6 Months Oral Antioxidant Combination with Universally recommended Dosage in Idiopathic Male Infertility

[Year:2016] [Month:January-April] [Volume:7] [Number:1] [Pages:6] [Pages No:1 - 6]

PDF  |  DOI: 10.5005/jp-journals-10016-1118  |  Open Access |  How to cite  | 

Abstract

Conclusion

This combined antioxidant therapy may improve sperm quality after continuous 6 months of treatment. However, further study is needed regarding this experiment for validating the trend.

How to cite this article

Chattopadhyay R, Yasmin S, Chakravarty BN. Effect of Continuous 6 Months Oral Antioxidant Combination with Universally recommended Dosage in Idiopathic Male Infertility. Int J Infertil Fetal Med 2016;7(1):1-6.

RESEARCH ARTICLE

Chaitanya Nagori

Ultrasound-based Decision Making on Stimulation Protocol for Superovulated Intrauterine Insemination Cycles

[Year:2016] [Month:January-April] [Volume:7] [Number:1] [Pages:7] [Pages No:7 - 13]

PDF  |  DOI: 10.5005/jp-journals-10016-1119  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Panchal S, Nagori C. Ultrasound-based Decision Making on Stimulation Protocol for Superovulated Intrauterine Insemination Cycles. Int J Infertil Fetal Med 2016;7(1): 7-13.

RESEARCH ARTICLE

Pratap Kumar, MR Sandya

Size of Endometrioma and Number does Influence the Ovarian Reserve: A Prospective Observational Study

[Year:2016] [Month:January-April] [Volume:7] [Number:1] [Pages:5] [Pages No:14 - 18]

PDF  |  DOI: 10.5005/jp-journals-10016-1120  |  Open Access |  How to cite  | 

Abstract

Background

Endometriosis is one of the most commonly encountered benign problems in gynecology. Ultrasound and endocrine parameters have been widely accepted as markers of ovarian reserve. Anti-Mullerian hormone (AMH) in conjugation with antral follicle counts is now believed to be an excellent measure for detecting ovarian reserve. Surgical approach has a fundamental role in the management of endometriosis. The loss of normal follicles can be studied by histopathological assessment of the cyst wall. The postoperative decline in the ovarian reserve is believed to have a correlation with number of endometriomas and diameter of the cyst wall.

Objective

This prospective observational study was undertaken to evaluate the effect of laparoscopic cystectomy with respect to number and size of the cyst on ovarian reserve parameters.

Materials and methods

Fifty patients undergoing laparoscopic endometrioma cystectomy were analyzed. Cysts of <5cm and >5cm and the number of cysts were studied. Statistical analysis was done using Mauchly's test of sphericity. Anti-Mullerian hormone and antral follicle count were estimated prior to and 1 month after surgery. Pre- and postoperative values were compared and analyzed with respect to number and size of endometrioma.

Observation and results

There was an overall drop of AMH from 3.8 ± 3.01 to 2.67 ± 1.92 ng/ml (p < 0.001). The mean AMH in bilateral and unilateral endometrioma was 2.9 ± 1.7 and 3.9 ± 3.17 ng/ml respectively. Anti-Mullerian hormone dropped from 4.53 ± 3.4 to 3.19 ± 2.18 with <5 cm cyst compared with 2.4 ± 1.2 to 1.7 ± 0.85 with >5 cm cyst (p < 0.01). Overall drop in AFC was 5.17 ± 1.44 and 3.61 ± 1.61 pre- and postoperative respectively (p < 0.01). Mean drop in AFC was 2.2 and 1.2 in cyst <5 and > 5 cm respectively. Histopathological analysis showed loss of follicles in 25% of the cyst walls. This was correlating with the drop in both AMH and AFC postoperatively.

Conclusion

Size and number of cyst does affect ovarian reserve to the effect that smaller and bilateral cyst leads to a greater decline in the same.

How to cite this article

Sandya MR, Kumar P. Size of Endometrioma and Number does Influence the Ovarian Reserve: A Prospective Observational Study. Int J Infertil Fetal Med 2016;7(1):14-18.

RESEARCH ARTICLE

Ramesh Bettaiah, Shraddha Neminath Kurkuri, Prasanna Gandubariki

Pregnancy Rates and Outcomes after Laparoscopic Surgical Management of Endometriosis: A Retrospective Analytical Study

[Year:2016] [Month:January-April] [Volume:7] [Number:1] [Pages:4] [Pages No:19 - 22]

PDF  |  DOI: 10.5005/jp-journals-10016-1121  |  Open Access |  How to cite  | 

Abstract

Objective

The aim of this study was to evaluate the pregnancy rates and outcomes in the patients with endometriosis after laparoscopic surgical management.

Study design

This retrospective analytical study was done in patients diagnosed with endometriosis and who were managed by laparoscopic surgery at our hospital from January 2005 to December 2014. We evaluated pregnancy rates and outcomes in patients with endometriosis after laparoscopic surgical management.

Results

Out of total 140 eligible cases, 84 (60%) patients conceived and 56 (40%) did not conceive. Endometriosis was found to be in the minimal, mild, moderate, and severe stage in 19, 44, 57, and 20 patients respectively. In minimal, mild, moderate, and severe endometriosis, number of patients who conceived were 15 (78.95%), 27 (61.36%), 32 (56.14%), and 10 (50%) respectively. Out of 84 conceived patients, 39 (46.43%) conceived naturally, 25 (29.76%) conceived after controlled ovarian hyperstimulation (COH), intrauterine insemination (IUI), and 20 (23.81%) conceived after in vitro fertilization (IVF). There were 54 (64.29%) term pregnancies, 16 (19.05%) preterm pregnancies, and 14 (16.67%) were spontaneous miscarriages in total.

Conclusion

The pregnancy and live birth rates seem to be improved after laparoscopic surgical management of endometriosis. Reproductive outcome was closely associated with stage of endometriosis. A significant inverse correlation was observed between disease severity and spontaneous conception.

How to cite this article

Bettaiah R, Kurkuri SN, Gandubariki P. Pregnancy Rates and Outcomes after Laparoscopic Surgical Management of Endometriosis: A Retrospective Analytical Study. Int J Infertil Fetal Med 2016;7(1):19-22.

CASE REPORT

Vishnukanth Deene, Tulasigiriyappa Yashvant Mudaraddi, Shivani S Gaur

A Case Study on Vacuolated Oocytes Intracytoplasmic Sperm Injection and its Outcome

[Year:2016] [Month:January-April] [Volume:7] [Number:1] [Pages:4] [Pages No:23 - 26]

PDF  |  DOI: 10.5005/jp-journals-10016-1122  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Deene V, Mudaraddi TY, Gaur SS. A Case Study on Vacuolated Oocytes Intracytoplasmic Sperm Injection and its Outcome. Int J Infertil Fetal Med 2016;7(1): 23-26.

CASE REPORT

Cesarean Section Scar Defect: Emerging Cause of Menstrual Irregularities—Case Series and Review of Literature

[Year:2016] [Month:January-April] [Volume:7] [Number:1] [Pages:5] [Pages No:27 - 31]

PDF  |  DOI: 10.5005/jp-journals-10016-1123  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Pai AH, Kodandapani S. Cesarean Section Scar Defect: Emerging Cause of Menstrual Irregularities—Case Series and Review of Literature. Int J Infertil Fetal Med 2016;7(1):27-31.

CASE REPORT

Thankam Rama Varma

Recurrent Empty Follicle Syndrome: A Rare Entity

[Year:2016] [Month:January-April] [Volume:7] [Number:1] [Pages:5] [Pages No:32 - 36]

PDF  |  DOI: 10.5005/jp-journals-10016-1124  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Punhani R, Shankar K, Varma TR. Recurrent Empty Follicle Syndrome: a Rare Entity. Int J Infertil Fetal Med 2016;7(1):32-36.

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