International Journal of Infertility & Fetal Medicine

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2016 | September-December | Volume 7 | Issue 3

EDITORIAL

Editorial

[Year:2016] [Month:September-December] [Volume:7] [Number:3] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijifm-7-3-iv  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

DB Usha Rajinikanthan, Thankam Varma

Comparison of in vitro Fertilization/Intracytoplasmic Sperm Injection Outcomes in Patients receiving Recombinant Human Luteinizing Hormone vs Human Menopausal Gonadotropin Supplementation

[Year:2016] [Month:September-December] [Volume:7] [Number:3] [Pages:5] [Pages No:77 - 81]

PDF  |  DOI: 10.5005/jp-journals-10016-1133  |  Open Access |  How to cite  | 

Abstract

Objectives

To compare the outcome of recombinant human luteinizing hormone (rh-LH) and human menopausal gonadotropin (hMG) supplementation in women undergoing in vitro fertilization/ intracytoplasmic sperm injection (IVF/ICSI) with recombinant follicle stimulating hormone (FSH) in the long gonadotropinreleasing hormone (GnRH) agonist stimulation protocol.

Materials and methods

It was a retrospective analysis of the case records of 90 consecutive women who underwent nondonor IVF/ICSI cycle with long GnRH agonist. All women received recombinant FSH on day 2/3 of the programming cycle. When the level of LH was < 0.5 mIU/mL during any phase of stimulation, then addition of LH either as rh-LH or hMG is given along with recombinant FSH.

Results

The number of oocytes collected, the number of oocytes in metaphase II (MII), and fertilization rate were similar in both groups. In addition, the mean number of embryos produced per cycle and the mean number of frozen embryos per cycle were similar in both groups. The cost of gonadotropin is similar in both groups. The ongoing pregnancy rate at 12 weeks was 20.4% after rh-FSH + hMG and 29.2% after rh-FSH + rh-LH (p-value = 0.092).

Conclusion

Supplementing recombinant FSH with recombinant LH (rh-LH) when compared with hMG does not show statistically significant increase in pregnancy rates. However, this study was a pilot venture to introduce the rh-LH into our practice and further randomized study is required to substantiate its use in assistive reproductive technology.

How to cite this article

Usha Rajinikanthan DB, Balasubramanyam S, Varma T. Comparison of in vitro Fertilization/Intracytoplasmic Sperm Injection Outcomes in Patients receiving Recombinant Luteinizing Hormone vs Human Menopausal Gonadotropin Supplementation. Int J Infertil Fetal Med 2016; 7(3):77-81.

RESEARCH ARTICLE

Ruaa E Alabd, Kefah H Abdulmajeed, Hayder G Oufi

Diet and Women Fertility: A Descriptive Cross-sectional Study

[Year:2016] [Month:September-December] [Volume:7] [Number:3] [Pages:7] [Pages No:82 - 88]

PDF  |  DOI: 10.5005/jp-journals-10016-1134  |  Open Access |  How to cite  | 

Abstract

Aims

This work was designed to assess the role of diet and dietary habits on women fertility.

Materials and methods

This study was carried out in seven different centers and hospitals in Baghdad in the period between January and September 2014. Participants were 400 adult women selected conveniently; their age ranged from 17 to 47 years and they were divided into two groups. Group I included 300 fertile women and group II included 100 infertile women. A specific questionnaire had been designed and used for data collection

Results

It was found that there was a significant difference in weight and body mass index (BMI) between the infertile group and control group. The mean of weights was 73.07 vs 69.06 kg for infertile and the control group respectively, while the mean BMI was 28.83 vs 26.70 for the infertile group and the control group respectively. Moreover, the infertile women consumed more of carbonated beverages, tea, chicken, and fish than the control group, while they consumed less milk and red meat than the control group. Also, the infertile group consumed less corn oil and olive oil than the control group (5 and 0% vs 21 and 2%) respectively, while they used to consume more solid fat and combined fat than the control group (2 and 6% vs 0 and 2.7%) respectively.

Conclusion

Although treatment options for infertility are available, their high cost and frequency of adverse events have motivated the identification of dietary factors related to infertility. The current study identified diet as one of the modifiable risk factors that potentially impacts fertility in the selected groups; hence, it is important to focus more on the role of diet in women fertility and increase the awareness of women to it, along with suggesting more educational programs at the primary health care level.

How to cite this article

Alabd RE, Abdulmajeed KH, Oufi HG. Diet and Women Fertility: A Descriptive Cross-sectional Study. Int J Infertil Fetal Med 2016;7(3):82-88.

RESEARCH ARTICLE

Pratap Kumar, Praveena Joglekar Pai, G Pallavi, Arun G Maiya, Preetha Ramachandra

Bioelectric Impedance Analysis of Visceral Fat in Women with Polycystic Ovarian Syndrome and the Effect of Exercise: A Pilot Study

[Year:2016] [Month:September-December] [Volume:7] [Number:3] [Pages:5] [Pages No:89 - 93]

PDF  |  DOI: 10.5005/jp-journals-10016-1135  |  Open Access |  How to cite  | 

Abstract

Aims

To determine the body fat distribution in 30 women with polycystic ovarian syndrome (PCOS) using bioelectric impedance analysis (BIA) and assess the effect of a 2-month structured exercise on body fat, menstrual function and fertility outcomes.

Materials and methods

Thirty women with PCOS underwent assessment of body composition with BIA. Their body mass index (BMI), total body fat (TBF), visceral fat (VF) and subcutaneous fat were analyzed. Two-month structured exercises were advised based on individual exercise tolerance. The postexercise parameters were reassessed. Outcome measures studied were improvement in BMI, TBF, VF, subcutaneous fat, menstrual functions, and fertility outcomes.

Results

A significant reduction in BMI, VF and subcutaneous fat was found in these women after exercise. Results were further analyzed after dividing them into three groups based on their BMI (normal, overweight, and obese). There was a significant reduction in all parameters (BMI, TBF, visceral and subcutaneous fat) in the overweight group. In the obese group, there was a significant drop in BMI and VF and to a lesser extent in the TBF. In women with normal BMI, a significant drop was noted in TBF only. On follow-up, five women reported regularization of their menstrual cycles and four others managed to conceive

Conclusion

Total body fat and VF can be cost-effectively measured by a simple tool called BIA. Tailor-made exercises based on individual tolerance are effective in improving these parameters even when done over a short duration. These improvements do positively impact the menstrual dysfunctions and subfertility.

Clinical significance

These findings will help in better management of women with PCOS and ensure optimal improvement in menstrual dysfunction and fertility outcomes

How to cite this article

Pallavi G, Pai P, Kumar P, Maiya AG, Ramachandra P. Bioelectric Impedance Analysis of Visceral Fat in Women with Polycystic Ovarian Syndrome and the Effect of Exercise: A Pilot Study. Int J Infertil Fetal Med 2016;7(3):89-93.

REVIEW ARTICLE

KP Suresh, Sri Yasaswini, K Reshma

Application of Randomization Techniques for an Unbiased Assessment of Outcome in Clinical Studies

[Year:2016] [Month:September-December] [Volume:7] [Number:3] [Pages:5] [Pages No:94 - 98]

PDF  |  DOI: 10.5005/jp-journals-10016-1136  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Suresh KP, Yasaswini S, Reshma K. Application of Randomization Techniques for an Unbiased Assessment of Outcome in Clinical Studies. Int J Infertil Fetal Med 2016;7(3):94-98.

CASE REPORT

Pratap Kumar, Shalini S Nayak, Akhila Vasudeva, Girisha M Katta

Congenital High Airway Obstruction Syndrome presenting as Nonimmune Hydrops in a 19-week Fetus

[Year:2016] [Month:September-December] [Volume:7] [Number:3] [Pages:4] [Pages No:99 - 102]

PDF  |  DOI: 10.5005/jp-journals-10016-1137  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mundkur A, Nayak SS, Vasudeva A, Katta GM, Kumar P. Congenital High Airway Obstruction Syndrome presenting as Nonimmune Hydrops in a 19-week Fetus. Int J Infertil Fetal Med 2016;7(3):99-102.

CASE REPORT

Nimisha N Srivastava, Tulsi Bhatia, Jayshree Narshetty

Acardiac Twin: A Rare Case Report

[Year:2016] [Month:September-December] [Volume:7] [Number:3] [Pages:2] [Pages No:103 - 104]

PDF  |  DOI: 10.5005/jp-journals-10016-1138  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Srivastava NN, Bhatia T, Narshetty J, Kumar S. Acardiac Twin: A Rare Case Report. Int J Infertil Fetal Med 2016;7(3):103-104.

Book Review

Hema Purandarey, Raju R Sahetya

Principles and Practice of Fetal Medicine

[Year:2016] [Month:September-December] [Volume:7] [Number:3] [Pages:1] [Pages No:105 - 105]

PDF  |  DOI: 10.5005/ijifm-7-3-105  |  Open Access |  How to cite  | 

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