Clinical reproduction and fertility最新文献_第10页

Factors influencing the success of microsurgical tuboplasty for sterilization reversal. 影响显微外科输卵管成形术成功的因素。

Clinical reproduction and fertility Pub Date : 1985-03-01 DOI: 10.1097/00006254-198601000-00023

P. Paterson

引用次数: 16

Human artificial insemination by donor and the Australian community. 人类人工授精由捐助者和澳大利亚社会。

Clinical reproduction and fertility Pub Date : 1985-03-01

G Rawson

{"title":"Human artificial insemination by donor and the Australian community.","authors":"G Rawson","doi":"","DOIUrl":"","url":null,"abstract":"Findings from a national sample of 989 persons and an 'Opinion Leader' survey of 279 executive and ordinary members of 40 organizations identified as having an interest in AID showed that Australians overall approved of the procedure for helping infertile married couples, only 17% of the national sample unequivocally disapproving. Key variables in determining opinions on AID included age, education, country of origin, family status, religion and exposure to infertility. However only 15% of national respondents accepted that AID should be made available to any unmarried women on request although opinions were more evenly spread on its provision to unmarried women in a long-term relationship with a man. Over one-third of 'Opinion Leaders' believed that children should never be told of their AID conception, 13% that they should be given identifying and one third non-identifying information on the donor. A majority believed that AID should be directly carried out or supervised by doctors in hospital clinics. There was strong opposition to business or voluntary organization involvement. Suggestions for changes in the law, while emphasizing protection of donors, recipients, children, persons who ran AID programs and control over futuristic research activities, often showed a misunderstanding of the legal process. The major reasons for exclusion of donors were genetic defects and medical problems although many behavioural characteristics were mentioned. Views on recipients' rights to choose the sex of the AID child were marginally against the proposition.","PeriodicalId":10478,"journal":{"name":"Clinical reproduction and fertility","volume":"3 1","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15091084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A comparison of the actual and expected pain response following insertion of an intrauterine contraceptive device. 插入宫内节育器后实际和预期疼痛反应的比较。

Clinical reproduction and fertility Pub Date : 1985-03-01

N D Goldstuck, M L Matthews

引用次数: 0

Plasma concentrations of pituitary and testicular hormones of fertile and infertile men. 可育和不育男性垂体和睾丸激素的血浆浓度。

Clinical reproduction and fertility Pub Date : 1985-03-01

R Stanwell-Smith, S G Thompson, A P Haines, S L Jeffcoate, W F Hendry

{"title":"Plasma concentrations of pituitary and testicular hormones of fertile and infertile men.","authors":"R Stanwell-Smith, S G Thompson, A P Haines, S L Jeffcoate, W F Hendry","doi":"","DOIUrl":"","url":null,"abstract":"The serum concentrations of prolactin (PRL), follicle stimulating hormone (FSH) and luteinizing hormone (LH) and the plasma concentrations of testosterone, 5-alpha-dihydrotestosterone (DHT) and oestradiol were measured in 80 infertile men and 38 men of known fertility. The infertile men had a lower mean concentration of prolactin and a higher mean concentration of FSH than the fertile controls. The mean FSH was particularly high in infertile men without antisperm antibodies but with oligospermia (sperm density up to 20 million/ml), who also had a higher mean serum LH level than the fertile controls. Both FSH and LH showed an inverse relationship with sperm density. There were no significant differences in plasma testosterone, DHT or oestradiol between fertile and infertile men. In both the fertile and infertile groups strong positive associations were found between the concentrations of FSH and LH, and between testosterone and DHT. Weaker relationships were found between DHT and oestradiol, and between testosterone and PRL. In the fertile men, positive associations were also found between LH and testosterone, and between oestradiol and both FSH and LH. Testosterone and oestradiol were associated only in infertile men. The relevance of these findings to the aetiology of male infertility is discussed.","PeriodicalId":10478,"journal":{"name":"Clinical reproduction and fertility","volume":"3 1","pages":"37-48"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15037483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Late infertile days in early postpartum cycles. 产后周期早期的晚期不孕症。

Clinical reproduction and fertility Pub Date : 1985-03-01

L I Hatherley

引用次数: 0

Obstructive azoospermia: a study of 102 patients. 梗阻性无精子症102例研究

Clinical reproduction and fertility Pub Date : 1985-03-01

A M Jequier

引用次数: 0

Factors influencing the success of microsurgical tuboplasty for sterilization reversal. 影响显微外科输卵管成形术成功的因素。

Clinical reproduction and fertility Pub Date : 1985-03-01

P J Paterson

引用次数: 0

Oestrogen measurement to predict multiple pregnancy from gonadotrophin therapy in amenorrhoea. 雌激素测定预测闭经患者促性腺激素治疗后多胎妊娠。

Clinical reproduction and fertility Pub Date : 1985-03-01

M G Hull, D R Bromham, P E Savage, A O Hughes

{"title":"Oestrogen measurement to predict multiple pregnancy from gonadotrophin therapy in amenorrhoea.","authors":"M G Hull, D R Bromham, P E Savage, A O Hughes","doi":"","DOIUrl":"","url":null,"abstract":"Twenty-four hour urinary oestrogen results obtained in 20 amenorrhoeic patients undergoing human menopausal gonadotrophin (hMG) therapy have been analysed in detail in an attempt to improve their value in predicting multiple conception. Of 96 treatment cycles 88 were acceptably stimulated including 76 presumed ovulatory (midluteal serum progesterone concentration greater than or equal to 30 nmol/l). Conception occurred in 27 (26% of all, 33% of ovulatory cycles), of which 10 were multiple (37%). The chance of conception or multiple conception could not be related to luteal progesterone or preovulatory peak urinary oestrogen levels (at least within the clinically imposed limits of the oestrogen values). Discriminant analysis applied to all oestrogen results in individual cycles failed to predict conception, but in the conception cycles was 86% successful in predicting a single or multiple conception. Multiple conceptions were associated with an earlier but slower rise in oestrogen excretion during the last 5 days of hMG therapy, although the starting and final oestrogen levels were approximately the same. Unfortunately, the differences were small and as conception cycles were in the minority and could not be distinguished from non-conception cycles the oestrogen results could not be used reliably in practice to predict multiple pregnancy.","PeriodicalId":10478,"journal":{"name":"Clinical reproduction and fertility","volume":"3 1","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"1985-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"15037484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Attitudes and opinions of donors on an artificial insemination by donor (AID) programme. 献血者对人工授精方案的态度和意见。

Clinical reproduction and fertility Pub Date : 1983-12-01

R Rowland

{"title":"Attitudes and opinions of donors on an artificial insemination by donor (AID) programme.","authors":"R Rowland","doi":"","DOIUrl":"","url":null,"abstract":"The attitudes and opinions of AID donors have been neglected in the research on AID. The general community and medical attitude is that donors are a reluctant and secretive group, who wish all information about themselves to be destroyed. This paper presents data from a study of 67 donors at the Queen Victoria Hospital, Melbourne. Through questionnaires and structured interviews, donors were asked questions concerning: their reasons for donating; their attitudes to the infertile couple who receive their sperm; their attitudes to the selection of couples; the revelation of information about themselves; and the possibility of meeting their AID offspring. The data reveal that some stereotypes about the donors are not valid; they do not donate primarily for monetary reasons and they are not only medical students. Furthermore, the majority of this group would not object if information about them, apart from their name, were given to the couple for the child, and over half would not mind meeting the child at the age of 18 years. It is clear from this study that before any legislation is created, donors' viewpoints should be considered. It is not impossible that a system could be designed to accommodate all the varied needs of couples, donors, and AID offspring.","PeriodicalId":10478,"journal":{"name":"Clinical reproduction and fertility","volume":"2 4","pages":"249-59"},"PeriodicalIF":0.0,"publicationDate":"1983-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17741466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Natural history of patients with hyperprolactinaemia. 高泌乳素血症患者的自然病史。

Clinical reproduction and fertility Pub Date : 1983-12-01

R J Pepperell, C Martinez, A Dickinson

{"title":"Natural history of patients with hyperprolactinaemia.","authors":"R J Pepperell, C Martinez, A Dickinson","doi":"","DOIUrl":"","url":null,"abstract":"One hundred and nineteen women with sustained hyperprolactinaemia were followed for a mean duration of 5.5 years. Where pregnancy was desired, treatment with bromocriptine (+/- clomiphene) was effective in 86% of subjects. Following cessation of bromocriptine therapy one third of subjects whose initial serum prolactin (PRL) level was less than 4 times normal had a 'spontaneous' resolution of their hyperprolactinaemia and resumed cyclical menstrual activity and fertility. Subjects with higher PRL levels or those not treated with bromocriptine, did not show this beneficial effect. Pituitary or hypothalamic tumours were identified in 11% of subjects at the time of presentation and developed in a further 15.1% during follow-up. Most of these tumours were small, occurred more commonly when the PRL level was greater than 4 times normal, and were less likely to develop when treatment with bromocriptine had been administered. Bromocriptine therapy can thus be justified in hyperprolactinaemic subjects to reduce troublesome galactorrhoea, achieve pregnancy, improve the chance of a 'spontaneous' return of menstruation and fertility, control or reduce tumour growth where a pituitary tumour has been identified, and reduce the risk of tumour development in patients with normal plain X-rays of the pituitary fossa at the time of presentation.","PeriodicalId":10478,"journal":{"name":"Clinical reproduction and fertility","volume":"2 4","pages":"237-47"},"PeriodicalIF":0.0,"publicationDate":"1983-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17733756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0