African Journal for Infertility and Assisted Conception最新文献_第4页

Mayer–Rokitansky–Küster–Hauser syndrome: A case report mayer - rokitansky - k<s:1> ster - hauser综合征1例报告

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_10_22

Alen Kinyina, Daud Phillipo, Sarah Chamos, HusseinR Moremi, Samson Justine

引用次数: 0

Reproductive hormonal profile patterns among male partners of infertile couples at the University of Ilorin teaching hospital 伊洛林大学教学医院不育夫妇男性伴侣的生殖激素特征模式

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_2_18

Waliu Oladosu, S. Biliaminu, I. Abdulazeez, G. Aliyu, A. Adelekan, A. Okesina

{"title":"Reproductive hormonal profile patterns among male partners of infertile couples at the University of Ilorin teaching hospital","authors":"Waliu Oladosu, S. Biliaminu, I. Abdulazeez, G. Aliyu, A. Adelekan, A. Okesina","doi":"10.4103/ajiac.ajiac_2_18","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_2_18","url":null,"abstract":"Background: Seminal fluid analysis (SFA) is the most important investigation of the infertile males but limited in revealing the etiologies of the various spermatozoa abnormalities observed on microscopy. Increasing prevalence of male infertility and the challenges of diagnosis require biochemical investigations such as reproductive hormonal profile. Aims: The aim of this study is to determine the reproductive hormonal profile patterns among infertile males in Ilorin. Settings and Design: This was a descriptive, cross-sectional study. Materials and Methods: A total of 130 male partners of infertile couples served as subjects and 50 fertile males as controls. Serum reproductive hormonal assay was done using ELISA method. Statistical Analysis Used: Statistical Package for the Social Sciences (SPSS) version 20.0 (SPSS Inc., Chicago, IL, USA) was used. Normally distributed data were expressed as mean ± standard deviation. Results: The mean age of the subjects who were majorly civil servants was 38.6 ± 6.6 years. The prevalence of reproductive endocrinopathies in this study was 46.9%. Mean serum concentrations of follicle-stimulating hormone, luteinizing hormone, and prolactin were elevated in our subjects than control. Mean serum testosterone concentration was significantly lower in our infertile subjects. Patterns of hormonal profile abnormalities among our subjects were 2 (1.5%) with hypogonadotropic hypogonadism, 15 (11.5%) with hypergonadotropic hypogonadism, 23 (17.7%) with hypergonadotropic normogonadism, 21 (16.2%) with normogonadotropic hypogonadism, and 69 (53.1%) with normogonadotropic normogonadism. This showed 59 (45.4%) subjects with primary testicular failure/resistance and 2 (1.5%) with secondary testicular failure. Twenty (15.4%) of the subjects had hyperprolactinemia. Conclusions: Reproductive hormonal profiling of male partners of infertile couples is an important adjuvant to SFA, in diagnosis and monitoring responses to treatment.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"5 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":"128818421","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

Partial hydatidiform molar gestation following assisted conception 辅助受孕后的部分葡萄胎妊娠

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_6_16

J. Ekweani, A. Oguntayo, A. D. Kolawole, M. Zayyan

{"title":"Partial hydatidiform molar gestation following assisted conception","authors":"J. Ekweani, A. Oguntayo, A. D. Kolawole, M. Zayyan","doi":"10.4103/ajiac.ajiac_6_16","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_6_16","url":null,"abstract":"Molar gestation, with its attendant risk to progress to frank choriocarcinoma, has been reported in the literature. It can follow both spontaneous and assisted conceptions. With the growing popularity of assisted conception techniques for the management of infertility in our setting, it is important to bring to the fore that similar complications could occur and hence should inform the counseling of patients before and during such procedures. We present a 39-year-old nullipara who had in vitro fertilization and frozen embryo transfer. Eight weeks later, she was diagnosed with missed abortion and had manual vacuum aspiration at a private hospital in Zaria. Histopathological examination revealed partial hydatidiform mole, and she was subsequently managed at a tertiary health center in Zaria with six cycles of methotrexate chemotherapy because she was low risk based on the International Federation of Gynecologists and Obstetricians criteria. She was monitored with monthly serum beta-human chorionic gonadotropin (β-HCG) and was placed on combined oral contraceptive pills. The serum β-HCG levels fell to almost undetectable levels and remained so after four cycles of the chemotherapy regimen. Molar pregnancy can follow assisted conception in our environment. This underscores the importance of pretransfer cytogenetic and histopathological assessment of any specimens aspirated following every incomplete/missed abortion. This case also brings to the fore the importance of referral of similar cases to higher levels of care for expert/multidisciplinary management.","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":"130356026","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

President message 总统的消息

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/2468-8452.189957

F. Iketubosin

引用次数: 0

Ovarian hyperstimulation syndrome with Schistosomiasis: A case report 卵巢过度刺激综合征伴血吸虫病1例

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/2468-8452.189961

T. Odeku, Stephen Hati, Mopelola Oluwolade, Ibrahim Wada

引用次数: 5

Short-term outcome of unaided versus microsurgical inguinal varicocelectomy among infertile men with varicocele 腹股沟精索静脉曲张切除术对不育男性精索静脉曲张的短期疗效

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_2_19

M. Muhammad, A. Muhammed, A. Bello, A. Lawal, A. Mudi, A. Sudi, N. Oyelowo, M. Tolani, B. Hamza, F. Lovely, H. Maitama

{"title":"Short-term outcome of unaided versus microsurgical inguinal varicocelectomy among infertile men with varicocele","authors":"M. Muhammad, A. Muhammed, A. Bello, A. Lawal, A. Mudi, A. Sudi, N. Oyelowo, M. Tolani, B. Hamza, F. Lovely, H. Maitama","doi":"10.4103/ajiac.ajiac_2_19","DOIUrl":"https://doi.org/10.4103/ajiac.ajiac_2_19","url":null,"abstract":"Objective: The objective was to determine the short-term outcome of unaided and microsurgical varicocelectomy on semen parameters and conception after 6 months in patients with infertility and varicocele. Patients and Methods: This was a randomized, prospective, interventional study that was conducted on men with infertility and varicocele. Patients were randomized into two groups. Patients in Group A underwent open inguinal varicocelectomy, whereas patients in Group B had the same surgery with microsurgical technique using ×3.5 magnification loupes. All the patients had preoperative seminal fluid analysis (SFA) performed on two occasions, a scrotal Doppler ultrasound and a postoperative SFA at 3 months and 6 months posttreatment. The data obtained were analyzed using the Statistical Package for the Social Sciences (SPSS) software package version 23.0, and the level of significance was taken as 0.05. Results: Thirty patients participated in the study, 14 in Group A and 16 in Group B. The mean age in Groups A and B was 40.07 ± 7.7 and 39.44 ± 7.3 years, respectively. About 85.7% of patients in Group A had bilateral varicocele, whereas 14.3% had left-sided varicocele. In Group B, 75% had bilateral, whereas 25% were on the left side. There was a statistically significant improvement in sperm count, motility, and morphology in both the unaided and the microsurgical groups; however, there was no significant difference in the improvement of seminal parameters between the two groups except the morphology. The pregnancy rate was 14.3% in Group A and 25% in Group B. Overall pregnancy rate in this study is 20% after 6 months. Conclusion: Varicocelectomy leads to significant improvement in sperm parameters; however, there is no significant difference in outcome between unaided and microsurgical varicocelectomy.","PeriodicalId":348163,"journal":{"name":"African Journal for Infertility and Assisted Conception","volume":"282 1 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":"125301019","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: 1

A new dawn: AJIAC is growing slowly but surely 新的曙光:阿航正在缓慢而坚定地成长

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_3_19

P. Fiebai

引用次数: 0

Assisted reproduction technology in Nigeria: Challenges and the way forward 尼日利亚的辅助生殖技术:挑战和前进的道路

African Journal for Infertility and Assisted Conception Pub Date : 1900-01-01 DOI: 10.4103/ajiac.ajiac_1_19

L. Omokanye, A. Olatinwo, Ganiyu Salaudeen, K. Durowade, A. Panti, R. Balogun

引用次数: 4