MATSON DAVID RICHARDSON JEANNE - PDF document

MATSON, DAVID RICHARDSON, JEANNE the number transferred and the frequency multiple pregnancies. Centre and was based cycles in 73 couples without recognizable male factors. et al. antispermatozoal anti- male semen woman had patent and laparoscopy. Underlying tubal damage graded according American Fertil- negative postcoital tests women had this study clomiphene citrate (Clomid: Mer- Pharmaceuticals, Inc.), human Pergonal, Scrono) from day oestradioI-l7P, progesterone and was triggered collected approxi- technique employed culture medium medium (Quinn with 20% had been was a the dead gametes were thcy recovered from anaesthesia on normal activities, including work sexual relations. Pregnancies luteal phase eventually categorized to the criteria published a biochemical ovum (gestational sac at weeks without clear fetus miscarriage (fetal heart

movement) and weeks gestation). x2-test was applied statistical analysis four categories 24.2%' (50 into the tables showed in cycles were transferred nancies achieved in women whom ovulation was triggered surge was fewer oocytes were replaced the numbers reliable statistical Among the had four oocytes between those from (26B7; 29.9%) in Table Pregnancies Pregnancy rateicycle Previous tubal surgery American Fertility oocytes transferred oocytes transferred. 12 and 14 weeks gestation whom eight were detected were terminated selectively by sound-guided needling weeks (Mulcahy remaining triplet pregnancy whether further spontaneous ovulation occurred surgery for tubal disease particular risk. multiple pregnancies in to the number oocytes transferred shown in heart beats obstetric ultrasound mentioned above. multiple gesta- triplet pregnancies r

esulted from the nancies were diagnosed and three oocytes transferred. increases when embryos replaced present study has demonstrated when increasing four oocyte? replaced. This to that described recently multi-centre study and 41% were obtained from seen, and ation between rate and oocytes replaced at Prcgnancy rates after transfer oocytes according to the oocytes collected 9 10 5/18 5/11 3'9 361116 (25'0%) (28.6%) (46.7%) apparent from the present rates, when fewer oocytes when ovulation surge. This may transferred oocytes because surge by been found our IVF between oocytes collected or hCG injection (unpublished although this may oocytes (Trounson routinely practised, Pregnancy outcomc in patients prcgnaiicies diagnosed oocytes transferred pronuclear stage 1987) in wonien with surge requires problem, then their pre-incubation present stud

y has shown to the extent that docs not interest because demonstrated that progesterone concentrations early luteal phase associated with that the removes granulosa might suggest would help main- luteal phase progestcrone concentrations benefit. Whilst present serics does not did explore a modified achieve pregnancies either partner had antispermatozoal antibodies that the in couples may eventually is fully available (O'Neill Infertility treatment delayed ovulation from greater than that subfertile patients other treatments, with husband’s washed microsurgery (Yovich cases in this series occurred known non-occlusive tubal dis- eases but the rate not excessive women who previous reconstructive surgery should not treatment option conceive readily repair where at least one tube not useful since preg- nancies can achieved when the supernume

r- fertilize (Matson the groups tubal damage, factor) the and the equally indicated. However, cases with a severe male factor, antisper- matozoal antibodies history with thc PIVETMedical Centre, the irremediable tubal mobilized satisfac- the GIFT it can be argued fallopian tubes not need trcatrnents. But spontaneous rate patients on the observations). Clearly enhances fertility, case could be to three have conceived. the transfer those patients tests. This may well and requires not generated in this between the multiple pregnancics and (1986) who more triplet and cies when in this (Asch 1986) when should be the number ferred to also have multiple pregnancies. oocytes. Although remains unknown, sibilities include monozygotic twins critical review. Fertility Society Revised American Fertility Society classification Results from multi-centre stu

dies. on Fertility (1984) Pregnancy following gamete intrafallopian transfer gamete intra-fallopian transfer Early cxpcricnce Human prcg- nancy following oocyte and M. (1982) Academic Press Inc., London. histological study in women the preovulatory luteum function after endometrial maturation ovulation induction chorionic gonadotrophin vitro fertilization. new technique for Acla Eur M.. Bootsma, in-vitro fertiliza- a successful Mulcahy. M. termination in oocytes and sper- a bioassay derived platelet-activating factor pregnancy potential Royal College pregnancy rates ization with human tubal delayed insemination culture and transfer ganicte manipulation. in-vitro fertilization from males with severe oligospermic inrerdlity by in-vitro profiles in luteal phase serum progesterone pregnancy cycles. the treatment Richardson, P. pronuclear stage t