The Egyptian Journal of Fertility and Sterility最新文献_第2页

Inhibin A may be the Black Horse for Determination of the Optimal Triggering Time and Decision-making for Oocyte Retrieval 抑制素A可能是确定卵母细胞回收最佳触发时间和决策的黑马

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-09-01 DOI: 10.21608/egyfs.2023.320852

yousef Abdel Zaher, Omnia Habashy, Hamasat Alnoury, Wagdy Amer

{"title":"Inhibin A may be the Black Horse for Determination of the Optimal Triggering Time and Decision-making for Oocyte Retrieval","authors":"yousef Abdel Zaher, Omnia Habashy, Hamasat Alnoury, Wagdy Amer","doi":"10.21608/egyfs.2023.320852","DOIUrl":"https://doi.org/10.21608/egyfs.2023.320852","url":null,"abstract":"Objectives: Assessment of the applicability of estimated serum inhibin A (INHA) and/or INHB versus estradiol (E2) levels to determine the triggering time during controlled ovarian stimulation (COS) that might allow the retrieval of the optimal number of oocytes. Patients: 196 infertile women assigned to receive COS for ELISA estimation of serum levels of E2 and INHs on day-2 of the cycle and on the day of retrieval depending on having serum E2 levels >2000 pg/ml and the optimal The study outcome is the blinded distinguishing ability of estimated serum levels of E2 and INHs between cases that might have <11, 11-13, and 14-15 mature follicles on transvaginal ultrasonography (TUV) imaging on the day of triggering. Results: Serum E2 levels at the time of triggering (>2000 differentiation between patients according to the number of mature follicles compared to serum E2 and INHB differentiating patients had <11 or >14 mature follicles, while E2 and INHB failed for this respect. Statistical for canceling depending on the maturation of a low number of follicles after COS and for the presence of 14-15 mature follicles and deciding triggering and oocyte retrieval. Conclusion: Estimation of serum E2 is an unreliable marker for differentiating women according to several","PeriodicalId":481729,"journal":{"name":"The Egyptian Journal of Fertility and Sterility","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135690964","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

Fetal middle cerebral artery Doppler in post term pregnancy: a predicting factor for induction of labor outcome 妊娠后期胎儿大脑中动脉多普勒:引产结局的预测因素

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-09-01 DOI: 10.21608/egyfs.2023.320842

Doaa Belal, Maged Al Mohammady, Somaya Mohamed, Mostafa Mahmoud

{"title":"Fetal middle cerebral artery Doppler in post term pregnancy: a predicting factor for induction of labor outcome","authors":"Doaa Belal, Maged Al Mohammady, Somaya Mohamed, Mostafa Mahmoud","doi":"10.21608/egyfs.2023.320842","DOIUrl":"https://doi.org/10.21608/egyfs.2023.320842","url":null,"abstract":"Background: Post term pregnancy necessates IOL to avoid the potential hazards on fetal and maternal outcome. Several factors affect the process of IOL, and there is often great uncertainty regarding its success. Late in pregnancy, vasodilatation of fetal brain vessels occurs as a physiological preparation for the onset of labor. MCA-PI decreases in turn as a preliminary fetal mechanism for adaptation to labor. Objective: We assumed that evaluating MCA-PI prior to to IOL. Methodology: A prospective cohort study, which included 150 post term patients (41-42 weeks), who were admitted to Kasr Al-Ainy Hospital for IOL. Prior to induction, we performed U/S to record MCA-PI, together with CL and EFW. Patients were given 25Mcg misoprostol vaginal tab/6 hours, maximum for 24 hours. Responders phase of labor, by the onset of active uterine contractions. Patients who needed CS before the onset of active labor were excluded. Results: A total of 150 patients were included in the study. 133 cases (88.7%) entered the active phase of labor, while 17 (11.3%) cases failed to enter in the active phase. Both groups were comparable in the parity and BMI. (group 1; 1.29± 0.11) compared to the non-responders (group 2;1.67± 0.13). The mean CL was 25.28± 4.25 & 33.43± 4.8 in groups 1&2 respectively. The mean EFW was 3375.47± 178 & 3722.65± 116.33 in groups 1 & 2 respectively. ROC analysis examined the ability of these parameters in predicting the response to IOL. The cutoff 94.12% , 83.46% for MCA-PI, 26.6, 94.1%, 60% for CL, and, 3555, 94%,83.5% for EFW. WE further included all","PeriodicalId":481729,"journal":{"name":"The Egyptian Journal of Fertility and Sterility","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135688616","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

Effect of antioxidants as adjuvant therapy to clomiphene citrate in controlled ovarian stimulation: a comparative study 抗氧化剂辅助治疗枸橼酸克罗米芬对卵巢刺激的对照研究

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-07-01 DOI: 10.21608/egyfs.2023.317673

Alaa Mohamed, Maher Elgaly, Ashraf Ghanem, Mohamed ElTotongy

{"title":"Effect of antioxidants as adjuvant therapy to clomiphene citrate in controlled ovarian stimulation: a comparative study","authors":"Alaa Mohamed, Maher Elgaly, Ashraf Ghanem, Mohamed ElTotongy","doi":"10.21608/egyfs.2023.317673","DOIUrl":"https://doi.org/10.21608/egyfs.2023.317673","url":null,"abstract":"Aim of the work: This work aims to evaluate the value of adding L-carnitine to clomiphene citrate in ovulatory dysfunction according to ovulation and pregnancy rate. Patient and method: This study was conducted at the obstetric and gynaecology clinic, Mansoura University Hospital, from May 2021 to August 2022. The study included 186 participants presenting with infertility; Participants were allocated into two groups. Group A: received clomiphene citrate(100mg) plus L-carnitine (2gm). Group B: received clomiphene citrate (100mg) alone. Patients were allocated to groups by case order. The outcomes include ovulation, estradiol level, endometrial thickness, and pregnancy rate. Results: dominant follicle size, endometrial thickness, serum E2 and earlier day of HCG injection (P < 0.001) compared to group B. regarding the response to induction in both them regarding ovulation rate, pregnancy rate and early miscarriage rate (P = 0.071,0.336,0.502 respectively). Regarding the induction in Poly Cystic Ovary Syndrome (PCOS) patients in both groups, the patients with PCO in group (A) had an earlier day of HCG injection (P = 0.035). PCO patients in both groups regarding other variants. Conclusion: L-carnitine as an adjuvant therapy to clomiphene citrate in the controlled ovarian stimulation was associated with higher follicle number, better endometrial thickness, and earlier days of HCG injection in PCO patients.","PeriodicalId":481729,"journal":{"name":"The Egyptian Journal of Fertility and Sterility","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135807119","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

The prevalence of Gestational Diabetes Mellitus among pregnant women with varied hemoglobin concentrations and in relation to the use of Iron Supplemental Therapy 妊娠期糖尿病在不同血红蛋白浓度的孕妇中的患病率与铁补充治疗的使用有关

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-07-01 DOI: 10.21608/egyfs.2023.317675

Amr Sharafeldeen

{"title":"The prevalence of Gestational Diabetes Mellitus among pregnant women with varied hemoglobin concentrations and in relation to the use of Iron Supplemental Therapy","authors":"Amr Sharafeldeen","doi":"10.21608/egyfs.2023.317675","DOIUrl":"https://doi.org/10.21608/egyfs.2023.317675","url":null,"abstract":"Objectives: To determine the prevalence of gestational diabetes mellitus (GDM) among pregnant women with varied hemoglobin concentrations (HC). Patients & Methods: 847 newly pregnant women underwent estimation of HC, evaluation of insulin resistance (IR) using the homeostasis model assessment of IR (HOMA-IR) score and glucose tolerance using 75-oral glucose tolerance test (OGTT) at the 6th, 13th, 24th, and 36th gestational week (GW). Women were categorized according to the 6th GW HC into Low (<11 g/dl), Normal (11-<13 g/dl), and High HC (>13 g/dl). Women who had LHC received iron supplemental therapy (IST) till HC was adjusted, and IST was stopped. The study outcome is the incidence of IR and/or GDM among the studied women, and the predictability of the 6th GW HC for the oncoming development of IR and/or GDM. Results: This is a cross-sectional study conducted at a University Hospital in the time period from January 2017 to June 2018, with the aim to evaluate cases presenting Results: At the 6th GW the frequency of LHC, NHC, and HHC was 22%, 64%, and 14%, respectively. During pregnancy, the frequency of NHC women decreased, while that of HHC women increased. The frequency IR and HOMA-IR score progressively increased during frequency and score among HHC women. At the 24th and the 36th GW, 75 and 71 women developed GDM with LHC and NHC women and in LHC","PeriodicalId":481729,"journal":{"name":"The Egyptian Journal of Fertility and Sterility","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135807127","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

The value of Middle cerebral and umbilical arteries Doppler indices in pregestational diabetic versus normal pregnancies in prediction of adverse neonatal outcome 妊娠期糖尿病与正常妊娠的大脑中动脉和脐动脉多普勒指数在预测新生儿不良结局中的价值

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-07-01 DOI: 10.21608/egyfs.2023.317681

Mona Sediek, Mariam Dawoud, Rasha El Komy, Moutaz El-Sherbini, Basma Abd El Azeem, Asmaa Ogila, Abd El Rahman Abd El Razek, Mahmoud Abd El Hameed

{"title":"The value of Middle cerebral and umbilical arteries Doppler indices in pregestational diabetic versus normal pregnancies in prediction of adverse neonatal outcome","authors":"Mona Sediek, Mariam Dawoud, Rasha El Komy, Moutaz El-Sherbini, Basma Abd El Azeem, Asmaa Ogila, Abd El Rahman Abd El Razek, Mahmoud Abd El Hameed","doi":"10.21608/egyfs.2023.317681","DOIUrl":"https://doi.org/10.21608/egyfs.2023.317681","url":null,"abstract":"Objectives: To study the impact of pregestational DM on fetal middle cerebral (MCA) and umbilical arteries (UA) Doppler indices and hence, evaluating their diagnostic performance as predictors for adverse neonatal outcome. Methods: The study included 2 equal groups of 60 patients each, thus making up a total of 120 patients; control group of healthy pregnant women and study group included pregnant patients known to have pregestational diabetes. The study group was furtherly subdivided into two equal subgroups of 30 patients each. This sub HbA1C levels namely; controlled diabetics MCA Doppler indices (resistance index and pulsatility index) and Cerebroplacental Doppler ratio were measured for each patient. Neonatal outcome was assessed and recorded following delivery. The following parameters were assessed: neonatal blood sugar, 1min and 5min Apgar score and admission to neonatal intensive care unit. Results: umbilical artery Doppler in the prediction of adverse neonatal outcomes among diabetic patients were 25% and 88.89%, respectively, middle cerebral artery Doppler were 20.83% and 91.67%, respectively. The resistance index and pulsatility index of MCA and UA the neonatal outcomes (Pearson’s r ranged -0.07 to 0.13, p > 0.05). Conclusion: maternal DM is not associated indices of placental or fetal circulation. In addition, both UA and MCA had low sensitivity in the prediction of adverse neonatal outcome.","PeriodicalId":481729,"journal":{"name":"The Egyptian Journal of Fertility and Sterility","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135807117","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

Perforated Intrauterine Contraceptive Device: Single Institution Experience 穿孔宫内节育器:单一机构经验

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-07-01 DOI: 10.21608/egyfs.2023.317674

Amr Wahba, Doaa Belal, Reham Fouad

{"title":"Perforated Intrauterine Contraceptive Device: Single Institution Experience","authors":"Amr Wahba, Doaa Belal, Reham Fouad","doi":"10.21608/egyfs.2023.317674","DOIUrl":"https://doi.org/10.21608/egyfs.2023.317674","url":null,"abstract":"Background: Intrauterine contraceptive device (IUCD) is the most commonly used contraceptive method, especially in developing countries given its cost-effectiveness. However, its use is not without complications, the most important of which is uterine perforation. Objective: To evaluate the clinical presentation, management and outcome of women with perforating IUCDs referred to a single tertiary centre, especially with a nationwide campaign to increase the utilization of contraceptive methods. Methodology: This is a cross-sectional study conducted at a University Hospital in the time period from January 2017 to June 2018, with the aim to evaluate cases presenting Results: We managed 32 women with perforated IUCD. All had copper IUCD. The most common presentation was pelvic pain (43.75%), however, 37.5% were asymptomatic. Ultrasound was valuable in the evaluation of surgical risk in most cases. Extraction of IUCD using minimal invasive approach was possible in 90.6 % of cases. Conclusion: The least invasive approach for extraction of perforated IUCD should always be considered as it allows an enhanced recovery. Ultrasound is an essential tool in the preoperative evaluation and can guide the surgical approach to be used.","PeriodicalId":481729,"journal":{"name":"The Egyptian Journal of Fertility and Sterility","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135807118","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

Studying the Reproductive Performance among Women with Congenital Uterine Anomalies. An observational descriptive study at Mansoura University Hospitals 先天性子宫畸形妇女生殖功能的研究。曼苏拉大学医院的观察性描述性研究

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-07-01 DOI: 10.21608/egyfs.2023.317683

Rania Ala-Honi,, Kamal Anwar, Nermeen Shams El-din, Ahmed Ragab

引用次数: 0

The value of sliding sign in evaluation of intra-abdominal adhesions in pregnant women undergoing elective cesarean section 滑动征象在择期剖宫产术中评价腹内粘连的价值

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-07-01 DOI: 10.21608/egyfs.2023.317678

Doaa Belal, Mohamed Albokl, Ahmed Hassan, Nada Kamal

{"title":"The value of sliding sign in evaluation of intra-abdominal adhesions in pregnant women undergoing elective cesarean section","authors":"Doaa Belal, Mohamed Albokl, Ahmed Hassan, Nada Kamal","doi":"10.21608/egyfs.2023.317678","DOIUrl":"https://doi.org/10.21608/egyfs.2023.317678","url":null,"abstract":"Background: Incident of adhesions is a common and serious post-operative complication. Pre-operative prediction of adhesions is essential to help the surgical team in better counseling and preparation. Yet, the pre-operative assessment of adhesions is lacking. The free mobility of the underlying viscera, hence; can predict the presence or absence of adhesions. Objective: To study the accuracy of U/S sliding sign in pre-operative prediction of adhesions, in pregnant patients prior to CS procedure in general, and to re-adjust this data among different BMI classes in particular. Methodology: A prospective, double-blinded study that included 235 pregnant patients at term, who were candidates for elective CS at Kasr Al-Ainy Hospital, Cairo University. We documented the type of previous surgery done. A single sonographer recorded the sliding sign pre-operatively. The surgeons reported the degree of adhesions quantitatively, according to a scoring system. Moreover, we documented the operative delivery time (time from skin incision to time of fetal delivery), and the incidence of visceral injury. Data was further re-analyzed in reference to each BMI class individually. Results: : A total number of 235 pregnant women were recruited, with a mean age; 30 years, and mean BMI; 29kg/m2. The prevalence of adhesions was 48.51% (19.15% mild, and 29.36% marked adhesions). 0.85% of the cases had visceral injury. The prevalence of adhesions increased with the increase in number of previous CS; 22.8%, 34.2%, and 43% in cases with previous one, two, three or more CS respectively. 68.51% (n=161) of the recruited patients had positive sliding sign, while 31.49 % (n=74) had negative sliding sign. Positive sliding sign or mild","PeriodicalId":481729,"journal":{"name":"The Egyptian Journal of Fertility and Sterility","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135807122","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

Effects of adding oestradiol supplementation in luteal phase in patients undergoing ICSI long agonist fresh embryo transfer cycles 黄体期补充雌二醇对ICSI长激动剂新鲜胚胎移植周期患者的影响

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-07-01 DOI: 10.21608/egyfs.2023.317680

Nihal El Demiry, Mariam Dawoud, Fouad Hemila, Sherine GadAllah, Fady Galal

引用次数: 0

Oxytocin versus carbetocin for prevention of postpartum hemorrhage in high risk cases: Randomized controlled trial 催产素与催产素预防高危病例产后出血:随机对照试验

The Egyptian Journal of Fertility and Sterility Pub Date : 2023-07-01 DOI: 10.21608/egyfs.2023.317677

Ayatallah Elgohary, Abdelhady Zayed, Ehsan Refaie, Nermeen Shams-Eldin

引用次数: 0