• 제목/요약/키워드: ovulation induction

검색결과 106건 처리시간 0.031초

호르몬 처리에 의한 범가자미, Verasper variegatus 의 성숙과 배란유도 (Effectof of Hormonal Treatment of Induced Maturation and Ovulation in the Spotted Halibut, Verapser variegatus)

  • 백혜자;김윤;안철민;조기채;명정인;이남주
    • 한국양식학회지
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    • 제13권1호
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    • pp.47-53
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    • 2000
  • 사육수조내 자연산란이 이루어지지 않는 범가자미 암컷을 대상으로 호르몬 처리에 의안 인위적 성숙.배란 유도 실험이 이루어졌다. 산란시기에 범가자미 체중 kg당 HCG 265~678 IU, 17${\alpha}$ 20${\beta}$ OHP 0.5~1.0${\mu}$g 농도의 복강주사와 LHRHa 63~81 ${\mu}$g의 펠렛을 투여한 결과, HCG농도 약 300 IU가 범가자미의 최정성숙과 배란유도에 효과적인 것으로 나타났다. 17${\alpga}$ 20${\beta}$ OHP와 대조군에서는 난의 성숙이 거의 진행되지 않았으며, LHRHa 펠렛 실험군에서도 난의 최종성숙과 배란이 일어나지 않았다. 따라서 범가자미 암컷의 경우 현재 많이 사용되고 있는 LHRHa 펠렛 투여보다도 저농도의 HCG (dir 300 IU/kg 체중)o 주사가 난의 최종성숙과 배란에 더 효과적인 것으로 나타났다.

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발정유기(發情誘起)된 암캐의 혈중(血中) progesterone 농도변화(濃度變化) (Changes of plasma progesterone concentrations after induction of estrus in the bitch)

  • 강병규;최한선;나진수;이차범;오기석;손창호
    • 대한수의학회지
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    • 제29권3호
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    • pp.253-262
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    • 1989
  • This study was performed to investigate the patterns of progesterone secretion after induction of estrus in premature, metestrous and anestrous bitches. A total of 22 bitches were used. Of them 18 bitches were treated with hormone to induced estrus and 4 bitches were untreated and served as controls. Estrus was induced with $PGF_{2{\alpha}}$, estrone, estradiol-$17{\beta}$, PMSG and HCG(Treatment A), and with PMSG and HCG(Treatment B). Blood samples were collected via the cephalic vein at 2 to 5 days interval. Blood samples were centrifuged (1,200g, 10min.) within 30 minutes after collection and plasma was stored at $-20^{\circ}C$ until analyzed for the progesterone concentrations. Plamsa progesterone concentrations were measured by radioimmunoassay. The results of estrous induction were determined by estrous signs, ovarian response, egg recovery and progesterone patterns. The results obtained were as follows; 1. All bitches in treatment A showed estrous signs, however the ovarian response and egg recovery were not detectable and the levels of progesterone were nearly same as before. 2. In the treatment B, premature and metestrous bitches showed only estrous signs, however 5 of 7 anestrous bitches (71.4%) showed estrous signs, ovarian response and changes of progesterone levels. In conclusion, clinical estrous behavior can be induced during any phase of the estrous cycle, but ovulation should be induced only if induction occur approximately 4 months or more after the previous estrus.

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방향화효소억제제의 생식호르몬 분비와 배란유도에 대한 효과 (Effects of Aromatase Inhibitor on Reproductive Hormone Profiles and Ovulation Induction)

  • 김숙현;김정아;박준철;배진곤;신소진;권상훈;조치흠;윤성도;차순도;김종인;이정호
    • Clinical and Experimental Reproductive Medicine
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    • 제35권2호
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    • pp.143-153
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    • 2008
  • 목 적: 방향화효소억제제가 생식호르몬 분비 양상에 미치는 영향과 무배란 여성에서의 배란유도 효과를 평가하기 위함. 연구방법: 정상 월경주기를 가진 여성 30명을 대상으로 letrozole을 투여하지 않은 주기 (대조군)와 투여한 주기 (연구군)에서 생식호르몬 혈중치를 측정하였다. 각 월경주기 3, 11, 21일에 LH, FSH, $E_2$, testosterone, DHEA-S의 혈중치를 측정하였고 각 주기 21일에는 progesterone 측정이 추가되었다. 불임의 원인이 무배란으로 진단된 환자 60명에게 크로미펜과 letrozole을 투여한 후 (각 치료 군, 30명) 배란율, 임신율, LH 분비폭발 시점, 성장 난포 수, 자궁내막 두께, 자궁경관 점액의 양과 견사성, LH 분비폭발 시점의 난포 직경 등을 측정하여 두 군 간의 임상 효과를 비교하였다. 결 과: Letrozole은 LH, FSH, $E_2$, DHEA-S 분비에는 영향을 미치지 않았으나 letrozole 투여 주기 11일째의 testosterone과 21일째의 progesterone 혈중치는 대조군에 비해 유의한 상승을 보였다 ($0.40{\pm}0.16$ vs $0.28{\pm}0.11\;ng/ml$, p=0.002, $18.18{\pm}13.07$ vs $8.38{\pm}7.64\;ng/ml$, p=0.001). Letrozole과 크로미펜 군 간의 배란유도 효과에 대한비교에서 배란율, 임신율, 성장 난포 수, 배란 전 난포 직경에서는 두 군 간에 유의한 차이가 없었으나 크로미펜 군과 비교할 때 letrozole 군에서 조기에 LH 분비폭발이 발생했고 ($12.12{\pm}2.46$일 vs $14.52{\pm}3.18$, p=0.006), LH 분비폭발 시점에서의 자궁내막 두께가 두꺼웠으며 ($10.48{\pm}1.23$ vs $8.52{\pm}0.93\;mm$, p=0.000), 자궁경관 점액 양이 많았고 견사성이 높았다 ($2.04{\pm}0.61$ vs $1.57{\pm}0.59$, p=0.012, $6.00{\pm}1.12$ vs $4.95{\pm}1.61\;cm$, p=0.003). 결 론: Letrozole은 정상 월경주기를 가진 여성에서 난포 성장을 촉진하고 자궁내막을 호전시키며 무배란 여성에서는 크로미펜에 필적하는 배란유도 효과가 있으며 더욱 생리적인 배란유도가 이루어질 것으로 사료된다.

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

  • 이승헌;윤영욱;이보연;이병석;박기현;황동훈
    • Clinical and Experimental Reproductive Medicine
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    • 제19권1호
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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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Update on polycystic ovary syndrome

  • Kim, Jin Ju
    • Clinical and Experimental Reproductive Medicine
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    • 제48권3호
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    • pp.194-197
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    • 2021
  • Polycystic ovary syndrome (PCOS) is a common disorder in reproductive-age women. In 2018, an international evidence-based guideline announced recommendations spanning a wide range of issues on the assessment and management of PCOS. From the 166 recommendations, the present study reviews those that are of particular clinical relevance for daily practice and introduces other relevant studies that have been published since the global guideline. The 2018 guideline increased the antral follicle count cutoff for the diagnosis of PCOS from 12 to 20 when using a high-frequency probe. Hirsutism was defined as having a score of ≥4-6 based on a lower percentile of 85%-90% or cluster analysis, which was lower than the traditionally used 95th percentile-based cutoff. The diagnosis of PCOS in adolescents is challenging, and irregular menstruation was defined carefully according to years from menarche. The use of ultrasonography for the diagnosis of PCOS was restricted to those 8 years after menarche. As medication for non-fertility indications, combined oral contraceptives are the first-line drug. Metformin, in addition to lifestyle modifications, should be considered for adult patients with a body mass index ≥25 kg/m2 for the management of weight and metabolic outcomes. An aromatase inhibitor is the recommended first-line medication for ovulation induction, a subsequent individual patient data meta-analysis also reported the same conclusion. Whether the new global guideline will be fully adopted by many specialists and change clinical practice is open to question. Further studies are needed to better understand and manage PCOS patients well.

다낭성 난포 증후군 환자에서 복강경적 Laser Vaporization 후 내분비적 변화 및 클로미펜에 대한 난소 반응성의 변화 (The Endocrine Changes and Alteration of the Ovarian Response to Clomiphen Citrate after Laparoscopic Laser Vaporization in Patients with Polycystic Ovary Syndrome)

  • 이상준;김진영;박기현;최규홍
    • Clinical and Experimental Reproductive Medicine
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    • 제26권3호
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    • pp.483-490
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    • 1999
  • Objectives: Polycystic ovary syndrome (PCOS) has the feature of excessive LH, hyperandrogenism and disturbance of folliculogenesis. Also, insulin, IGF-I and IGFBP-l are involved in the pathogenesis of PCOS. Various surgical and medical therapies have been used and the action mechanisms are related to the endocrine effect. Laparoscopic ovarian electrocautery or laser vaporization is effective in the restoration of ovulation and normal menstrual cycle with minimal invasive procedure especially in the patients resistant to medical therapy. Clomiphen citrate (CC) is used for the ovulation induction in pcas and the resistance is known to be related to insulin, IGF-I, IGFBP-l levels. This study was performed to evaluate the effect of the laparoscopic laser vaporization on the levels of LH, FSH, testosterone, IGF-I and IGFBP-l and on the ovarian response to clomiphen citrate in patients with CC-resistant PCOS. Materials and Methods: The fasting basal serum LH, FSH, testosterone, IGF-I and IGFBP-l level were measured in 10 PCOS patients with CC-resistance and 7 normal controls with regular menstrual cycle. In PCOS, after laparoscopic $CO_2$ laser vaporization, endocrine levels were measured in 1 week interval for 4 weeks and then compared with preoperative levels. Results: In PCOS group, mean serum LH/FSH ratio, testosterone, IGF-I levels were higher and IGFBP-l level was lower than control. LH/FSH ratio decreased from $2.51{\pm}0.67$ to $1.7{\pm}0.6$ (p<0.05) in 2 weeks, to $0.56{\pm}0.2$ (p<0.01) in 3 weeks and to $1.41{\pm}0.3$ (p<0.01) in 4 weeks after operation. Testosterone level decreased from $1.51{\pm}0.82ng/ml$ to $0.65{\pm}0.34ng/ml$ (p<0.05) in 2 weeks, to $0.56{\pm}0.67ng/ml $(p<0.01) in 3 weeks after operation. IGF-I level also decreased from $436{\pm}47.5{\mu}g/l$ to $187{\pm}38{\mu}g/l$ (p<0.0l) in 1 week, to $167{\pm}42{\mu}g/l$ (p<0.01) in 2 weeks, $179{\pm}55{\mu}g/l$ (p<0.01) in 3 weeks and to $120{\pm}43{\mu}g/l$ (p<0.01) in 4 weeks after operation. IGFBP-l level showed no significant change. In 8 of 10 PCOS patients, ovulation was induced with low dose clomiphen citrate. Conclusion: Laparoscopic $CO_2$ laser vaporization restores normal menstrual cycle and ovulation through endocrine effect of decreasing LH/FSH ratio, testosterone and IGF-I level and increases the response to CC. Therefore it is useful for restoration of normal menstruation and induction of ovulation in CC resistant PCOS patients.

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어미 크기 및 복부팽만도에 따른 능성어, Epinephelus septemfasciatus의 배란유도 효과 (Ovulation Induction Effect of Sevenband Grouper, Epinephelus septemfasciatus in Size and Abdomen Inflation Degree of Mother Fish)

  • 조재권;홍창기;박종연;손맹현;박재민;한경호;김경민
    • 한국어류학회지
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    • 제28권4호
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    • pp.260-266
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    • 2016
  • 능성어, Epinephelus septemfasciatus의 우량 수정란을 생산할 수 있는 어미 선별기준을 설정하기 위하여 해상가두리에서 6년간 키운 시험어의 현태적 특징을 관찰하고 호르몬 처리하여 난질을 관찰 분석하였다. 시험어는 4개의 체중 범위(3.0~4.0, 4.0~5.0, 5.0~6.0, 6.0~7.0 kg)와 뒷지느러미를 기준으로 복부팽만한 정도를 I~IV 단계로 나눈 후 산란빈도, 채란량, 부상률, 수정률, 난발생 생존율 및 부화율을 조사하고, 수정란과 유구의 크기를 측정하였다. 또한 생식소 발달을 확인하기 위하여 복부팽만도 단계별 생식소 중량지수(GSI)를 구하고, 조직학적으로 관찰하였다. 그 결과 어체중이 5.0 kg 이상일 때 모든 개체에서 배란이 유도되었다. 또한 복부팽만도 I, II 단계에서는 배란이 유도되지 않고, III, IV 단계에서만 배란이 유도되었다. 난질은 III 단계가 우수하였고 그 때의 GSI는 $4.68{\pm}0.40%$였다.

백서에서 Serine Protease 억제제가 난포성숙에 미치는 영향에 대한 연구 (Effect of Serine Protease Inhibitor on Follicular Development in the Rat Ovary)

  • 윤병구;이진용
    • Clinical and Experimental Reproductive Medicine
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    • 제20권1호
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    • pp.19-29
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    • 1993
  • Plasminogen activator (PA)-plasmin system in follicular fluid is involved in the process leading to follicular rupture at ovulation. It is well known that PA is closely associated with cellular differentiation and tissue remodeling on evidences from the study of normal and malignant tissues. This study was designed to ascertain a potential role of PA in the ovarian folliculogenesis. Immature Sprague-Dawley rats were injected with pregnant mare serum gonadotropin, followed by injection of serine protease inhibitor (SPI; mixture of 1 mol/L benzamidine and 1 mol/L amino-caproic acid) into the unilateral ovarian bursa. In the control study, mechanical effect of bursal injection and contralateral ovarian effect SPI were ruled out. Total antral follicular areas relative to total ovarian cross-sectional areas was siginificantly lower in SPI-injected ovary than in saline-injected ovary. SPI injection decreased the relative antral follicular area by 33 % respectively. Electron microscopic finding of granulosa cell in the atretic follicle showed the presence of pyknotic nucleus, blurring of neucleolemma, degeneration of mitochondria and dilation of endoplasmic reticulum. After induction of ovulation with hCG, the number of oocytes released was significantly decreased in SPI-injected oviduct than in saline-injected oviduct. From above results, author discussed that PA may play a role not only in ovulation but also in some processes of folliculogenesis.

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닭에서 2배수성 난자의 생성에 관한 연구 (Induction of the Diploid Ovum in Chicken)

  • 여정수
    • 한국가금학회지
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    • 제15권2호
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    • pp.67-71
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    • 1988
  • 백색 Leghorn 암탉의 난자생성과정 중 감수분열을 억제하여 2배수성 난자(2n)의 생산에 근거한 다배교성 가축생산과 능력개양의 기초연구인 본 실험에서 감수분열시기는 배난 전 2~4시간이고 이때에 체중 kg당 0.3mg의 TEM(Tri ethylene melamin)을 복강에 주입하여 수정율 38%의 계란을 얻었고 이들 중 66%가 TEM의 영향으로 2n 의 난자가 생성되어 정상정자와의 결합으로 3배수성(3n)의 배아로 나타났다.

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