330 results match your criteria: "American Center for Reproductive Medicine[Affiliation]"

Unlabelled: The relationship between follicle size, oocyte quality, and blastocyst ploidy is not fully established. This question becomes especially important for poor responders and older reproductive age women, where optimal follicle size and oocyte quantity cannot always be achieved during ovarian stimulation. The aim of this study is to determine the relationship between follicle size, oocyte maturation, blastocyst formation, blastocyst ploidy, and pregnancy outcomes in young women undergoing in vitro fertilization (IVF).

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Impact of Shorter Abstinence Periods on Semen Parameters: A Systematic Review and Meta-Analysis.

World J Mens Health

September 2024

Department of Urology, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.

Purpose: The success of assisted reproductive technology (ART) relies heavily on semen parameters, and it is influenced by the length of the abstinence period. The World Health Organization (WHO) recommends a 2- to 7-day abstinence period. Even so, efficacy is still suboptimal.

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Article Synopsis
  • Women are waiting longer to have babies, but older age can make it harder to get pregnant, even with help like egg donation.
  • The study looked at using special testing to pick the best embryos and help older women with pregnancy issues.
  • Results showed that this testing can help older women have a higher chance of getting pregnant compared to those who didn’t have the same tests.
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  • * Conducted from July to September 2022, a questionnaire gathered responses from 367 doctors in 49 countries, focusing on how they diagnose NOA through methods like hormone tests and genetic analyses.
  • * The survey identified that while many practices align with guidelines, significant differences in approaches were found, underscoring the need for standardized, evidence-based international guidelines for NOA evaluation.
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Prostate cancer clinical trials in low- and middle-income countries.

Ecancermedicalscience

November 2023

Surgery Department, Clemenceau Medical Center, Dubai Healthcare City Phase 2 - Al Jaddaf, Dubai, UAE.

Background: Prostate cancer is the second most common form of cancer and a leading cause of cancer-related death in men. In an era of evidence-based medicine, clinical trials play a critical role, and adherence to best practices is crucial in managing complicated and non-communicable diseases, such as prostate cancer. For this reason, extrapolating research conducted in high-income countries (HICs) to low-middle-income countries (LMICs) may lead to incorrect findings or treatment plans for patients in these areas.

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Recurrent implantation failure (RIF) is one of the core problems for assisted reproductive technology (ART). High-quality, euploid embryos and synchronization between the embryonic stage and the uterine endometrial lining are crucial for positive outcomes. Molecular biology techniques have significantly transformed assisted reproductive technology (ART).

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  • The study investigates whether co-culturing human oocytes with ovarian support cells (OSCs) from human-induced pluripotent stem cells (hiPSCs) enhances the maturation and developmental potential of the oocytes compared to a standard in vitro maturation (IVM) system.
  • Results indicate that oocytes matured using OSC-IVM show significantly higher rates of metaphase II (MII) formation and successful blastocyst development, outperforming traditional IVM methods.
  • The research included 67 donors, focusing on women aged 19 to 37, and was conducted over 15 months to evaluate various fertility parameters and compare outcomes between OSC-IVM and control conditions.
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  • The meta-analysis investigates the effects of varicocele repair on semen parameters in infertile males, combining data from diverse studies without language restrictions.
  • A total of 351 studies were analyzed, revealing significant improvements in several semen parameters post-repair, including semen volume, sperm concentration, total sperm count, motility, and morphology, while sperm vitality showed no improvement.
  • This research is the largest of its kind and highlights the benefits of varicocele repair for male infertility, contributing valuable insights for clinical practice.
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  • Epigenetics involves changes in gene activity that don't alter the DNA sequence, impacting sperm development and function during spermatogenesis through various internal and external factors.
  • The paternal epigenome plays a significant role in sperm function, affecting fertilization, embryo development, and offspring health; deviations in epigenetic states are linked to male infertility and associated risks.
  • The review emphasizes the importance of understanding sperm epigenetics for improving fertility diagnosis, treatment options, and outcomes, stressing the need for further research and advancements in high-throughput technologies to explore these mechanisms.
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Purpose: A live motile sperm sorting device (LensHooke CA0) developed to prevent the deleterious effects of centrifugation was evaluated comparatively with conventional density-gradient centrifugation (DGC) and microfluidic-based device (Zymot) in sperm selection.

Methods: Semen samples from 239 men were collected. CA0 under different incubation intervals (5, 10, 30, and 60 min) and temperatures (20, 25, and 37℃) was conducted.

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  • Increased sperm DNA fragmentation (SDF) negatively affects fertility, leading to lower pregnancy and delivery rates in both natural conception and assisted reproduction methods like intrauterine insemination and in-vitro fertilization.
  • Although high SDF does not impact fertilization or pregnancy rates with intracytoplasmic sperm injection (ICSI), it is associated with poorer embryo quality and a higher likelihood of miscarriage.
  • The article reviews various sperm selection techniques aimed at improving DNA quality for assisted reproductive technology, discussing their principles, benefits, and limitations.
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  • Intracytoplasmic sperm injection (ICSI) was originally developed to address severe male infertility issues that conventional in-vitro fertilization (cIVF) could not solve, but it is increasingly being used for other infertility cases.
  • Various non-male factor reasons for using ICSI include previous failed fertilizations, poor-quality or few oocytes, advanced maternal age, preimplantation genetic testing, and unexplained infertility.
  • Despite the growing popularity of ICSI, there is limited data to support better outcomes compared to cIVF, and it's important to consider factors such as fertilization failure risk, procedure costs, and associated risks when choosing between the two techniques.
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  • The study investigates global practices for managing sperm DNA fragmentation (SDF) in infertile men, highlighting its impact on fertility and assisted reproductive technology (ART).
  • A survey collecting data from 436 reproductive experts across 55 countries revealed a common recommendation for lifestyle changes and antioxidants, with varying durations for treatment and differing management approaches for specific infertility cases.
  • The findings indicate a lack of uniformity in practices, emphasizing the need for standardized guidelines and expert consensus for treating men with elevated SDF.
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  • The study explores global practices for sperm DNA fragmentation (SDF) testing in infertile men, following its inclusion in the WHO laboratory manual.
  • A survey conducted among 436 infertility clinicians across 55 countries reveals varied testing practices, with many testing SDF in cases of unexplained infertility, recurrent pregnancy loss, and among smokers.
  • The findings highlight the need for clearer professional guidelines on SDF testing, given the diversity in current practices and the potential benefits for certain patient populations.
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Background: Sperm chromatin dispersion test is a common and inexpensive technique to assess sperm DNA fragmentation, but its subjectivity in assessing a small number of spermatozoa is a disadvantage.

Objectives: To study the efficacy of a new sperm chromatin dispersion test kit (R10) combined with an artificial intelligence-aided halo-evaluation platform (X12) and compare the results to those of existing sperm DNA fragmentation testing methods.

Materials And Methods: Semen samples from normozoospermic donors (n = 10) and infertile men with abnormal semen parameters (n = 10) were enrolled.

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Purpose: Despite all past efforts, the current guidelines are not explicit enough regarding the indications for performing azoospermia factor (AZF) screening and karyotype, burdening clinicians with the decision to assess whether such tests are meaningful for the infertile male patient. These assessments can be costly and it is up to the healthcare practitioner to decide which are necessary and to weigh the benefits against economic/psychological harm. The aim of this study is to address such gaps and provide update on current management options for this group of patients.

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Infertility is a globally under-recognized public health problem significantly impacting individual health and socioeconomics affecting millions of couples. The reasons for infertility are manifold and not only include many couples decision to postpone having children but also diseases (e.g.

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One principal purpose of assisted reproductive technology (ART) is to produce viable and good quality embryos. However, a variety of environmental factors may induce epigenetic changes in the embryo. Moreover, laboratory conditions including the culture media may also affect embryo development.

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Genitourinary anomalies constitute a large proportion of congenital malformations. However seminal tract anomalies, particularly ejaculatory duct (ED) anomalies are very rare and little information exists on the topic. We are reporting a very rare case of bilateral ectopic EDs opening in the bladder trigone in a 33-year-old gentleman presenting for evaluation for primary infertility.

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Purpose: Despite the significant role of varicocele in the pathogenesis of male infertility, the impact of varicocele repair (VR) on conventional semen parameters remains controversial. Only a few systematic reviews and meta-analyses (SRMAs) have evaluated the impact of VR on sperm concentration, total motility, and progressive motility, mostly using a before-after analytic approach. No SRMA to date has evaluated the change in conventional semen parameters after VR compared to untreated controls.

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Introduction: Male infertility is a widespread disease with an etiology that is not always clear. A number of studies have reported a decrease in sperm production in the last forty years. Although the reasons are still undefined, the change in environmental conditions and the higher exposure to endocrine-disrupting chemicals (EDCs), namely bisphenol A, phthalates, polychlorinated biphenyls, polybrominated diphenyl esters, dichlorodiphenyl-dichloroethylene, pesticides, and herbicides, organophosphates, and heavy metals, starting from prenatal life may represent a possible factor justifying the temporal decline in sperm count.

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This study aims to evaluate the expression of genes associated with the fertilisation potential and embryo development, sperm DNA fragmentation (SDF), and acrosome reaction in male partners of infertile couples with different sperm parameters compared to fertile men. First, male partners of infertile couples with abnormal (N = 25) and normal sperm parameters (N = 25), and fertile men (N = 10) were included in experimental groups I, II, and controls respectively. The mRNA levels of the Annexin A2 (ANXA2), Sperm protein 17 (SP17), Plasma serine protease inhibitor (SERPINA5), and Peroxiredoxin-2 (PRDX2) genes and SDF were evaluated.

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Background: Patients with atopic dermatitis (AD) display a defective skin barrier, consequently they may experience inflammatory flares with different exposures, including masks. Actually, beside scattering case reports, no study focused on the possible AD flaring due to masks.

Methods: In this multicenter prospective study AD patients with facial manifestation were followed with teledermatology and evaluated by two board-certified dermatologists at the baseline (T0) and after 1 month (T1) in which patients started to wear masks >6 hours per day.

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