Secondary amenorrhea despite normal endometrial development with secretory changes and absence of uterine synechiae -- a second case of the endometrial compaction-apoptosis syndrome.

Purpose: To report the second case of amenorrhea related to endometrial compaction apoptosis syndrome.

Materials And Methods: A female with secondary amenorrhea was evaluated with sonography, hysteroscopy, serum estradiol and progesterone levels, serum luteinizing hormone (LH), follicle stimulating hormone (FSH), and endometrial biopsy.

Results: Initially she was found to be ovulatory.

Prevention of first-trimester miscarriage with dextroamphetamine sulfate treatment in women with recurrent miscarriage following embryo transfer -- case report.

Purpose: To present a novel approach to prevent miscarriage by treatment with sympathomimetic amines.

Materials And Methods: Two women undergoing in vitro fertilization-embryo transfer (IVF-ET) with a history of recurrent miscarriage even in IVF-ET cycles were treated with dextroamphetamine sulfate prior to their next IVF-ET cycles.

Results: Both women successfully completed their first trimester.

A prospective comparison of in vitro fertilization (IVF) outcome following controlled ovarian hyperstimulation (COH) regimens using follitropin alpha exclusively or with the addition of low dose human chorionic gonadotropin (hCG) and ganirelix.

Purpose: To determine if the addition of luteinizing hormone (LH) activity to a controlled ovarian hyperstimulation regimen for purposes of in vitro fertilization adds any additional benefit to the exclusive use of recombinant (r) FSH in antagonist protocols.

Methods: Women with normal endogenous gonadotropin levels were randomly assigned to receive either follitropin alpha exclusively or have the addition of 25 IU human chorionic gonadotropin (hCG) daily. Ganirelix was used when a 14 mm follicle was attained.

Effect of the degree of fragmentation on embryo survival after freeze-thawing.

Purpose: To determine if the degree of fragmentation of embryos prior to freezing correlate in a negative manner with survival after thawing.

Methods: A retrospective review of frozen embryos thawed for purposes of embryo transfer was done. Survival and transferability rates were determined according to degree of fragmentation.

Pregnancy rates per embryo transfer (ET) may be improved by conventional oocyte insemination for male factor rather than intracytoplasmic sperm injection (ICSI).

Purpose: To determine if intracytoplasmic sperm injection (ICSI) for mild male factor may create embryos less likely to implant.

Method: A retrospective analysis of pregnancy outcome following oocyte fertilization with ICSI vs conventional egg insemination was performed.

Results: Though there were many less cases using conventional oocyte insemination compared to ICSI so that a meaningful comparison of outcome could not be made, the data could suggest the fertilization by ICSI might result in embryos less likely to implant.

Comparison of the efficacy of selecting sperm with normal nuclei by high magnification for intracytoplasmic sperm injection (ICSI) according to age in refractory in vitro fertilization (IVF) cases.

Purpose: To determine the pregnancy rates according to age in women failing to conceive after three previous embryo transfers or having a husband whose sperm shows a DNA fragmentation index (DFI) > 30% when performing the sperm chromatin structure assay.

Methods: Women up to age 45 were included and there was no restriction for low egg reserve. Live delivered pregnancy rates were determined according to three age groups: < or =34, 35-38, 39-45.

Secondary amenorrhea with normal ovulatory cycles in a young virgin with normal follicle stimulating hormone levels--a case report.

Purpose: To determine if normal ovulation is possible despite amenorrhea in the absence of any obvious uterine abnormalities or adhesions.

Methods: The study was conducted on a 17-year-old virgin with normal sexual development and normal secondary sexual characteristics whose menarche was at age 12 but whose menses ceased after two menstruations. She was first treated with medroxyprogesterone acetate 10 mg x ten days and then a cycle of oral contraceptives.

A matched controlled study to evaluate the efficacy of acupuncture for improving pregnancy rates following in vitro fertilization-embryo transfer.

Purpose: To determine if acupuncture performed during the follicular phase and luteal phase but not on the day of embryo transfer could improve the outcome following IVF-ET compared to controls.

Methods: Acupuncture was started biweekly from day 5 of the follicular phase through the luteal phase but not on the day of the transfer. Controls were matched according to age, same number of previous failed IVF cycles and same type of embryo transfer (fresh or frozen).

Dramatic relief of chronic pelvic pain with treatment with sympathomimetic amines--case report.

Purpose: To describe a novel treatment of chronic pelvic pain.

Methods: Dextroamphetamine sulfate was prescribed to a woman with unexplained chronic pelvic pain. Pelvic ultrasound, colonoscopy, and lower gastrointestinal radiographic studies were negative.

Successful pregnancy with spontaneous ovulation in a woman with apparent premature ovarian failure who failed to conceive despite four transfers of embryos derived from donated oocytes.

Purpose: To show that successful pregnancy is possible in a woman in apparent premature ovarian failure despite a serum follicle stimulating hormone (FSH) > 100 pg/ml.

Methods: The high serum FSH was lowered with ethinyl estradiol. Progesterone (P) supplementation was to be used if ovulation was achieved.

A novel highly effective treatment of interstitial cystitis causing chronic pelvic pain of bladder origin: case reports.

Purpose: To determine if a very effective therapy for idiopathic orthostatic cyclic edema--dextroamphetamine sulfate--would alleviate symptoms of chonic pelvic pain of bladder origin/interstitial cystitis.

Methods: Two women with interstitial cystitis that had been refractory to various therapies were treated with dextroamphetamine sulfate (20 mg/day) without any other treatment. The diagnosis of idiopathic edema was made by abnormal water load test and interstitial cystitis diagnosed by elevated scores on the pelvic pain and urgency and frequency symptom scale.

Presence of LH in gonadotropins associated with higher IVF pregnancy rates when basal serum LH is increased.

Purpose: To determine if pregnancy rates following in vitro fertilization-embryo transfer (IVF-ET) correlate with the presence or not of luteinizing hormone (LH) in the gonadotropins used for stimulation. Furthermore to see if the early follicular phase serum LH level affects pregnancy outcome according to the type of gonadotropins used.

Methods: The type of gonadotropins were prescribed randomly according to finances and convenience.