African Journal for Infertility and Assisted Conception最新文献_第3页

Evaluation of the infertile male 不育雄性的评估

African Journal for Infertility and Assisted Conception Pub Date : 2016-07-01 DOI: 10.4103/ajiac.ajiac_7_17

H. Sulayman, N. Ameh, A. Adesiyun, S. Avidime, F. Bakari, A. Muhammed

引用次数: 0

Managing ovarian hyperstimulation syndrome:Prevention is better 管理卵巢过度刺激综合征:预防为佳

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_8_17

B. Ola

引用次数: 0

The pattern of male infertility in Kumasi, Ghana 加纳库马西男性不育的模式

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_3_18

C. Gyasi-Sarpong, Patrick Manu Maison, A. Koranteng

{"title":"The pattern of male infertility in Kumasi, Ghana","authors":"C. Gyasi-Sarpong, Patrick Manu Maison, A. Koranteng","doi":"10.4103/ajiac.ajiac_3_18","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_3_18","url":null,"abstract":"Background: Male factor infertility is a global health issue that requires further studies to understand its magnitude, especially in developing countries, where the woman is usually blamed for the couple's infertility. Objectives: This study aimed to determine the patterns of male infertility in a teaching hospital in Ghana. Methodology: This was a prospective study of 110 male patients who presented with infertility at the urology outpatient clinic of the Komfo Anokye Teaching Hospital, Kumasi, Ghana, from January 1, 2014, to December 31, 2017. Results: One hundred and ten men reported for the treatment of infertility over the study period. The mean age was 38.5 ± 7.4 years. The majority (58.2%) had primary infertility while the remaining 41.8% had secondary infertility. Four (3.6%) of the men had unilateral or bilateral cryptorchidism while 41 (38.7%) of those with both testes resident in the scrotum had small-sized testes. Varicoceles were present in 24 (22.6%) men, 58.3% of whom had primary infertility while the remaining 41.7% had secondary infertility. Thirty-eight (34.5%) of patients had low semen volume was seen in 38 (34.5%) patients. Azoospermia was seen in 28 (25.5%) patients with 30 (27.3%) patients having no motile spermatozoa. Conclusion: Male infertility in Ghana should receive more recognition, and male participation in reproductive health programs should be encouraged.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124464359","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: 4

Assisted reproduction technology: Comparison of anesthetic techniques for oocyte retrieval in a tertiary health facility in Ilorin, Nigeria 辅助生殖技术:尼日利亚伊洛林一家三级卫生设施中取卵所用麻醉技术的比较

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_1_18

L. Omokanye, A. Olatinwo, L. Saadu, S. Biliaminu, K. Durowade, A. Panti, Ganiyu Salaudeen

{"title":"Assisted reproduction technology: Comparison of anesthetic techniques for oocyte retrieval in a tertiary health facility in Ilorin, Nigeria","authors":"L. Omokanye, A. Olatinwo, L. Saadu, S. Biliaminu, K. Durowade, A. Panti, Ganiyu Salaudeen","doi":"10.4103/ajiac.ajiac_1_18","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_1_18","url":null,"abstract":"Background: Transvaginal ultrasound-guided oocyte retrieval (TUGOR) technique is minimally invasive and requires shorter time compared to previous techniques. Yet, it is a potentially stressful and painful procedure and thus requires some form of analgesia with or without sedation. The effects of various anesthetic techniques used for TUGOR on reproductive outcomes remain controversial. Aims and Objectives: This study aimed at comparing the efficacy of paracervical block (PCB) and conscious sedation for pain relief and pregnancy outcomes during TUGOR. Materials and Methods: This is a cross-sectional comparative study of 137 eligible clients that underwent assisted reproduction program in our facility. All clients were treated with antagonist protocol for controlled ovarian hyperstimulation. The choice of analgesia for TUGOR was influenced by clients' and/or clinicians' preference. PCB and conscious sedation were administered for TUGOR in 66 and 71 clients, respectively. Pain was assessed using a 10-cm Visual Analog Scale (VAS), while clients' overall satisfaction was rated using Likert scoring system. Results: There was no statistically significant difference in the clinical pregnancy, miscarriage, and live birth rates between the two groups. The mean VAS 10-point scores at 1, 6, and 24 h postretrieval and on the day of embryo transfer were significantly higher for paracervical group. The mean Likert score for conscious sedation group was significantly higher than that of paracervical group. Conclusion: Conscious sedation is superior to PCB as anesthetic/analgesic agent for pain relief and clients' satisfaction for TUGOR. However, a multimodal approach to anesthesia/analgesia for TUGOR is suggested to further improve overall clients' satisfaction.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125140671","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

Awareness and willingness to adopt among infertile women seen at a tertiary hospital in Northern Nigeria 在尼日利亚北部的一家三级医院看到不孕妇女对收养的认识和意愿

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_6_18

Amina Mohammed-Durosinlorun, J. Adze, S. Bature, A. Abubakar, C. Mohammed, M. Taingson, L. Airede

{"title":"Awareness and willingness to adopt among infertile women seen at a tertiary hospital in Northern Nigeria","authors":"Amina Mohammed-Durosinlorun, J. Adze, S. Bature, A. Abubakar, C. Mohammed, M. Taingson, L. Airede","doi":"10.4103/ajiac.ajiac_6_18","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_6_18","url":null,"abstract":"Introduction: Infertility is associated with adverse psychosocial effects and adoption provides a simple and affordable option for managing infertile couples, but are Nigerian women aware or willing to adopt? Methodology: This was a cross-sectional study. Interviewer-administered pretested questionnaires were given to a total of 236 consenting clients seen at their first visit to the gynecology clinic with complaints of inability to conceive, between the period of July 2016 to March 2018. Data on sociodemographics, gynecological, and infertility history was analyzed using the Statistical Package for the Social Sciences computer software version 22. Descriptive analysis was done using frequencies and percentages. Chi-square (and fishers test where relevant) was used as a test of association. Significance level was established at P < 0.05. Results: Majority of clients were aged between 20 and 29 years (44.5%), educated up to secondary level or above (80.9%), Muslims (65%), homemakers, and 59.3% had previous pregnancies. Most were aware about adoption (85.2%), but only 38.1% would consider adoption in the future. Respondents and husbands age, education, religion, respondents and husband's occupation, and knowing someone who had adopted in the past was significantly associated awareness of adoption. However, only order of marriage was significantly associated with willingness to adopt children in the future. Conclusion: Despite high levels of awareness, adoption is underutilized as most women have hope of having their own children or husbands may object. Couple counseling and community education are important for any change.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116793875","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: 3

AFRH Conference 2016 Abstracts AFRH会议2016摘要

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/2468-8452.215112

引用次数: 0

Outcome of in vitro fertilization procedure at a private fertility center in Nnewi, South-East Nigeria 尼日利亚东南部Nnewi一家私人生育中心体外受精程序的结果

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/2468-8452.189960

J. Ikechebelu, G. Eleje, K. Ibadin, N. Joe-ikechebelu, Kester Nwaefulu, S. Okwelogu

{"title":"Outcome of in vitro fertilization procedure at a private fertility center in Nnewi, South-East Nigeria","authors":"J. Ikechebelu, G. Eleje, K. Ibadin, N. Joe-ikechebelu, Kester Nwaefulu, S. Okwelogu","doi":"10.4103/2468-8452.189960","DOIUrl":"https://doi.org/10.4103/2468-8452.189960","url":null,"abstract":"Background: Infertility has grown to be a major health and social challenge in our environment that a childless marriage is regarded as a failed marriage. Couples are therefore ready to do all within their power to achieve pregnancy and have a baby of their own. This is the yawning gap assisted reproductive technology is fulfilling. Objective: To determine the outcome of in vitro fertilization (IVF) procedures 2 years after the commencement of the IVF program in a private hospital setting in Nnewi, Nigeria. Methods: From October 1, 2010 to September 30, 2012, 115 couples had conventional IVF procedures in batches of 10-15 couples. The outcome measures were clinical pregnancy rate, miscarriage rate, live birth rate, and sex ratio following one or two cycles of treatment. The results were analyzed using Epi info software 2013 version 7.0. Results: The mean age of the participants was 43.7 ± 3.5 years. The maximum number of embryos transferred per woman was four and minimum was one. The rates of clinical pregnancy, live births and multiple pregnancies were 30%, 18.3%, and 6.0%, respectively. Of the 31 women who conceived, 21 (67.7%) delivered live infants and 10 (32.3%) aborted in the first trimester. There was no case of ectopic pregnancy. The male:female sex ratio was 2:1. The mean endometrial thickness at embryo transfer (ET) was 8.9 ± 2.3 mm. Conclusion: The success rate of IVF-ET was good even in low resource settings and optimal endometrial thickness prior to ET may be one of the key success factors. The preponderance of male sex infants in our IVF births is acceptable to the couples who ordinarily have a preference for male infant.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123770585","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: 4

AFRH Conference 2017 Abstracts AFRH会议2017摘要

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/2468-8452.241012

引用次数: 0

A successful gestational surrogacy in Southeast Nigeria 尼日利亚东南部成功代孕

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_10_17

J. Ikechebelu, K. Ibadin, N. Joe-ikechebelu, L. Nwajiaku, Kester Nwaefulu, S. Okwelogu

引用次数: 0

Prognostic factors and pregnancy outcome in superovulated intrauterine insemination cycles in North Indian women 北印度妇女超排卵宫内人工授精周期的预后因素和妊娠结局

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_7_18

R. Sachan, M. Patel, Meenakshi Singh, Pushplata Sachan

{"title":"Prognostic factors and pregnancy outcome in superovulated intrauterine insemination cycles in North Indian women","authors":"R. Sachan, M. Patel, Meenakshi Singh, Pushplata Sachan","doi":"10.4103/ajiac.ajiac_7_18","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_7_18","url":null,"abstract":"Background: Controlled ovarian hyperstimulation (COH) with intrauterine inseminations (IUI) is a commonly used method to treat infertile couples. This study aimed to evaluate prognostic factors responsible for successful pregnancy outcome in COH and IUI cycles. Materials and Methods: A cross-sectional study was carried out over a period of 1 year. A total of 130 women who visited the department of obstetrics and gynecology for the treatment of infertility were included in the study. Ninety-eight women were enrolled for this study, and proper screening protocol was followed. The outcome of COH-IUI cycles was assessed by evaluating many parameters such as age, duration of infertility, body mass index (BMI), etiology of infertility, endometrial thickness, and number of dominant follicles. Results: The mean age of pregnant women (25.40 ± 3.52 years) was significantly lower compared to nonpregnant women (28.01 ± 3.21 years) (P < 0.005). The mean BMI of pregnant women was 23.00 ± 2.41 kg/m2 whereas the mean BMI of nonpregnant group was 25.12 ± 3.32 kg/m2. This difference was statistically significant. Among pregnant women, 86.7% had bilateral patent fallopian tube and 88% in nonpregnant group had bilateral patent fallopian tube. In not getting pregnant group, the most common cause of infertility was unexplained in 80.7%, anovulatory cycles in 9.6%, and male factor infertility in 9.6%, whereas in pregnant group unexplained causes were found in 93.3% and male factor in 6.7%. No significant difference was observed between the two groups in terms of bilateral fallopian tube patency, antral follicular count, and endometrial thickness on the day of ovulation. There was no difference in pregnancy rates using either double IUI or single IUI. In our study, woman's age, BMI, and single dominant follicle were the main prognostic factors for successful outcome. Conclusions: In our study, woman's age, BMI, and single dominant follicle were the main prognostic factors for successful outcome.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115283476","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