• Title/Summary/Keyword: Infertile

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Clinical Evaluation of Intrauterine Insemination with Washed Sperm in Infertile Patients (불임환자의 세척정자에 의한 자궁내 인공수정의 임상적 평가)

  • Lee, S.H.;Yoon, Y.W.;Lee, B.Y.;Lee, B.S.;Park, K.H.;Hwang, D.H.
    • Clinical and Experimental Reproductive Medicine
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    • v.19 no.1
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    • pp.65-69
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    • 1992
  • The sucess of intrauterine inseminations with washed human spermatozoa was evaluated in 92 patients. In according to indication of insemination, intrauterine inseminations of women with hostile cervical mucus yield a 35.3% and 12.8% with male factors and 27.3% with unexplained infertility. In ovulation induction group with variable agents including clomiphen, human menopausal gonadotropin (HMG) and GnRH analog, the pregnancy rate was 27.8% (22/79) and in natural cycle group, 15.4% (2/13). The fetal loss rate in insemination group was 12.5% (3/24). Multiple pregnancies were 7 cases and ovulation induction were performed in 6 cases among them. Intrauterine insemination with washed human spermatozoa therefore represents an effective and safe procedure selected infertile couples.

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Studies on the Occurrence of Reproductive Disorder and Hematological Values of Dairy Cattle being raised in Kangweon District II. Hematology of Infertile Holstein Cows (강원지방유우의 번식장해 발생실태 및 혈액학치에 관한 조사연구 II. 번식장해유우의 혈액학치에 관하여)

  • 고광두;김정익;김현기
    • Korean Journal of Animal Reproduction
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    • v.12 no.3
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    • pp.156-161
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    • 1988
  • Holstein cows being raised in the Kangweon district were examined on the values of hematology in infertile cows. The results obtained were as follows; 1. Erythrocyte count was 6.23$\pm$1.49$\times$106/㎣ 2. Hemoglobin was 10.6$\pm$2.00g/100ml 3. Hematocrit was 29.68$\pm$3.27ml/100ml 4. Mean corpuscular volume was 49.4$\pm$12.1$\mu$3 5. Mean corpuscular hemoglobin was 17.3$\pm$3.73pg 6. Mean corpuscular hemoglobin concentration was 35.7$\pm$6.37% 7. Thrombocytes were 324.06$\pm$88.11$\times$103/㎣ 8. Total leukocytes was 8.70$\pm$2.23$\times$103/㎣ 9. Neutrophils, lymphocytes, monicytes, eosiniohils and basophis were 34.44$\pm$6.39, 53.82$\pm$5.84, 2.17$\pm$2.18, 9.10$\pm$3.85 and 0.50$\pm$1.80%, respectively.

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Analysis of Human Spermatozoal Fertilizing Ability Using Zona -free Hamster Oocyte (투명대 제거 햄스터난자를 이용한 인간정자 침투능에 관한 연구)

  • Kim, J.M.;Suh, B.H.;Lee, J.H.;Chung, K.S.
    • Clinical and Experimental Reproductive Medicine
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    • v.16 no.1
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    • pp.15-21
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    • 1989
  • An in vitro fertilization assay employing zona-free hamster embryos was used to investigate human spermatozoal fertilitzing ability. Yanaghimarchi et al.(1976) first introduced this cross species fertilzation technique, with its application as a diagnostic tool for male infertility. Human spermatozoa were preincubated for 3 to 4 hrs in B W W medium at concentration of $4{\times}10^6$ sperm/ml prior to the addition to zona-free hamster embryos. After 3 hrs, human sperm was evaluated for fertilizing potential by the presence of swelling or decondencing sperm head in the cytoplasm. The results of penetration rates for sperm were as follow : 1. The average penetration rate of a 7 fertile donor group was $47.8{\pm}27.67%$(Range 14.3-98.0%) 2. The average penetration rate of 12 infertile patients with normal semen analysis was $21.7{\pm}26.9%$(Range 0-38.8%) 3. The average penetration rate of 10 infertile patients with semen abnormalities was $6.1{\pm}8.1%$(Range 0-25%)

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Artificial Insemination in Infertile Couples with Abnormal Findings of Sperm (이상정자소견을 갖은 불임환자에서 인공수정)

  • Ku, Pyong-S.;Kang, Jae-S.;Kim, Sun-H.
    • Clinical and Experimental Reproductive Medicine
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    • v.15 no.1
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    • pp.10-16
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    • 1988
  • Artificial insemination with donor sperm(AID) or husband sperm(AIH) has been a major form of treatment for the infertile couples with severe male factors. The conception rate in oligoasthenoteratozoospermia is very low. Therefore the aim of this study was to examine those factors associated with improved success rate. The results are obtained as the follows; 1. The husband semenalysis(n=639) revealed normal findings in 32.2%. The abnormal findings included the oligospermia(18.5%), oligoasthenospermia(20.7%), oligoasthenotetatozoospermia(8.5%) and azoospermia(20.1 %). 2. The causes of abnormal semenalysis are idiopathic(most common), varicocele, congenital anomalies, vaso-vasostomy, etc.. 3. The semen washing to improve sperm motility and concentration was effective in case of over 20 ${\times}lO^6$/ml sperm count, but there was no significant improvement in case of be low 10-5${\times}lO^6$/ml sperm count. 4. The improvement of motility after cryopreservation depended on the initial sperm concentration. 5. The pregnancy rates following AIH are higher in normospermia than oligospermia.

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Development of a Coping Scale for Infertility-Women (CSI-W) (여성의 난임 대처 측정도구 개발)

  • Kim, Miok;Ko, Jung-Mi
    • Journal of Korean Academy of Nursing
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    • v.50 no.5
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    • pp.671-685
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    • 2020
  • Purpose: The purpose of this study was to develop a Coping Scale for Infertility-Women (CSI-W). Methods: The initial items were based on an extensive literature review and in-depth interviews with seven infertile women. Forty-three items were derived from a pilot survey. Data were collected from 216 women who had experienced intrauterine insemination (IUI) and in-vitro fertilization (IVF) more than once. The data were analyzed to verify the reliability and validity of the scale. Results: Seven factors containing 28 items (four factors containing 17 items for active coping and three factors containing 11 items for passive coping) were extracted from the exploratory factor analysis to verify the construct validity. The four factors of active coping were confrontation, self-control, seeking social support (spouse), and seeking social support (colleagues and experts). The three factors of passive coping were distancing, escape, and avoidance. These items were verified through convergent, discriminant, and concurrent validity testing. The internal consistency reliability was acceptable (active coping: Cronbach's α = .78; passive coping: Cronbach's α = .81). Conclusion: As its validity and reliability have been verified through various methods, the CSI-W can contribute to assessing the coping strategies of infertile women.

A Correlation of Testicular Size with Testicular Function in Non-Obstructive Infertile Male (비폐쇄성 남성불임증환자의 고환용적과 고환기능)

  • Myong, Sun-Chul;Kim, In-Gyu;Kim, Sae-Chul
    • Clinical and Experimental Reproductive Medicine
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    • v.18 no.1
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    • pp.107-111
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    • 1991
  • The testicular volume measured by a Prader orchidometer was compared with sperm count in semen, the levels of serum FSH, LH, testosterone, prolactin, estradiol and progesterone in 59 nonobstructive infertile men. 1. The causes of infertility were primary hypogonadisms in 50 patients (35 unknown, 9 Klinefelter syndromes, 6 varicocels) and secondary hypogonadism in 9 (5 isolated FSH deficiencies, 1 hyperprolactinerriia, 3 pituitary hypogonadisms). 2. Decreased levels of serum FSH (less than 4 mIU/ml) did not correlate with testis volume but increased level of serum FSH (more than 20 mIU/ml) were mostly noted in the testis less than 10ml. 3. Decreased level of serum testosterone (less than 3 ng/ml) were distinguishably noted in the atrophied testis less than 5 ml. 4. There was no correlation between the testicular volume and the levels of serum prolactin, estradiol, and progesterone. Coclusively, testicular volume less than 11 ml suggests poor spermatogenesis, but normal testicular volume dose not nessarily rule out poor spermatogenesis. Function of Leydig cell is relatively well preserved in atrophied testis of 5 to 10 ml comparing with that of seminiferous tubule.

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Factors Influencing Infertility-related Quality of Life in Women Undergoing Assisted Reproductive Techniques: Focusing on Depression and Resilience (보조생식술 받은 여성의 난임 관련 삶의 질에 미치는 영향 요인: 우울과 극복력 중심으로)

  • Jung, You Jung;Kim, Hye Young
    • Women's Health Nursing
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    • v.23 no.2
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    • pp.117-125
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    • 2017
  • Purpose: The purpose of this study was to investigate factors affecting on infertility-related quality of life in women undergoing assisted reproductive techniques focusing on depression and resilience. Methods: With correlational survey design, 125 infertile women who were receiving inpatient and outpatient treatment in K university hospital in D city completed a structured questionnaire. Results: There was a significant negative correlation between depression and resilience and between the depression and the quality of life. There was a significant positive correlation between resilience and the quality of life. The factors affecting on infertility-related quality of life were depression, burden of expenses, and relationship with husband which explained 48% in the quality of life. Conclusion: It is necessary to develop and apply nursing programs that include individual counseling and education for infertile couple. Social support including financial support and better environment for these women will be also essential.

A Study Assessing Support Project of Korean Medical Treatment in Infertility in Jecheon (제천시 한방 난임 치료 지원 사업에 관한 연구)

  • Nam, Eun-Young;Yoo, Su-Jeong;Kim, Hyung-Jun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.2
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    • pp.120-132
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    • 2015
  • Objectives : This study aims to assess whether Korean medical treatment in infertile couple is effective on clinical pregnancy. Methods : Korean medical treatment using herbal medicine, acupuncture and moxibustion was performed to thirty-one women and one man of infertility from March 2013 to April 2015. Results : After the treatment, nine patients (eight women and 1 man) of infertility became pregnant (28.13%) in thirty-two patients. In nine patients with pregnancy, five patients became spontaneous pregnant. Two patients became pregnant with in vitro fertilization (IVF), and other two patients became pregnant with intrauterine insemination (IUI). Factors influenced pregnancy assessed a shorter duration of infertility. After the treatment, survey of satisfaction in Korean medical treatment in infertility was done. Out of thirty-two patients, convenience and reliability of Korean medical treatment was reported by who had an experience of sterilization surgery. After the assessment, seven patients who had an experience of sterilization surgery and beame pregnant were having more convenience than twelve patients who were not pregnant despite sterilization surgery. Conclusions : This study suggests Korean medical treatment is useful for infertile women and men, in reverse proportion to shorter duration of infertility.

Transmission and Reproduction of Transgenic Mice Expressing Human Growth Hormone Gene (사람 성장호르몬 유전자를 발현하는 형질전환 생쥐의 번식성 및 형질유전)

  • 한용만;강만종;이철상;유대열;이경광
    • Korean Journal of Animal Reproduction
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    • v.14 no.3
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    • pp.191-197
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    • 1990
  • The transgenic mice were produced by microinjection of human growth hormone gene fused with mouse metallothionein Ⅰ promoter. They were mated with momal mice by backcross or brother-sister mating. The reproduction efficiencies of female and male n the FO transgenic mice were 17.6%(3/17 mice) and 31.2%(5/16 mice), respectively, and were very lower than that in normal mice(85.7% and 100%, respectively). Interestingly, a few of female transgenic mice were fertile which was different from the previous reports. Of 6 fertile transgenic mice, 2 mice were identified as mosaic type by the reduced frequency of genetic transmission to successive generation below Mendelian levle and the enhanced copy numbers of transgene in progeny mice compared with the transgenic parent. In the group of F1, F2, F3 transgenic mice the reproduction efficiencies of males were gradually improved, whereas females were absolutely infertile. It was consequently shown that the transgenic mice expressing human growth hormone gene were frequently infertile, but the genotypic and phenotypic characteristics of the fertile transgenic mice were normally passed on to the progeny through herm line. Therefore it must be considered wheter or not the products of foreign DNA introduced into animals will detrimentally affect their physiological aspects.

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