Conception Rate Research Articles

Intrauterine injection of bioengineered hydrogel loaded exosomes derived from HUCM stem cells and spermidine prominently augments the pregnancy rate in thin endometrium rats

The endometrium is essential to the development of embryos and pregnancy. Human umbilical cord mesenchymal stem cells (HUCMSCs) are promising stem cell sources. HUCMSCs self-renew quickly and are painless to collect. Spermidine is an inherent polyamine needed for cellular and molecular processes that regulate physiology and function. HUCMSCs and spermidine (SN) may heal intrauterine adhesions. HUCMSCs were investigated for endometrial repair in rats. Composite hydrogels are used for medical exosome implantation, including their materials, properties, and embedding procedures. This study examined whether bioengineered hydrogel-loaded exosomes from HUCMSCs and spermidine prenatally improved conception rates in mice with poor endometrial lining. The data show that HUCMSC and SN provide a good experimental base for HUCMSC safety and intrauterine treatment in rats. Western blots, exosome structural analysis, pregnancy outcomes, flow cytometry, H&E staining, immunohistochemistry, and immunofluorescence labelling found and recovered the aberrant area. HUCM-derived stem cells and spermidine-derived exosomes biophysically match. These traits strengthen and prolong endometrial function. Pregnant rats with HUCMSC and SN had thinner endometrium. Hydrogel-incorporated HEHUCMSC and SN exosomes may improve IUI in rats with thin endometrium.

Multimodal learning system integrating electronic medical records and hysteroscopic images for reproductive outcome prediction and risk stratification of endometrial injury: a multicenter diagnostic study.

To develop a multimodal learning application system that integrates electronic medical records (EMR) and hysteroscopic images for reproductive outcome prediction and risk stratification of patients with intrauterine adhesions (IUAs) resulting from endometrial injuries. EMR and 5014 revisited hysteroscopic images of 753 post hysteroscopic adhesiolysis patients from the multicenter IUA database we established were randomly allocated to training, validation, and test datasets. The respective datasets were used for model development, tuning, and testing of the multimodal learning application. MobilenetV3 was employed for image feature extraction, and XGBoost for EMR and image feature ensemble learning. The performance of the application was compared against the single-modal approaches (EMR or hysteroscopic images), DeepSurv and ElasticNet models, along with the clinical scoring systems. The primary outcome was the 1-year conception prediction accuracy, and the secondary outcome was the assisted reproductive technology (ART) benefit ratio after risk stratification. The multimodal learning system exhibited superior performance in predicting conception within 1-year, achieving areas under the curves of 0.967 (95% CI: 0.950-0.985), 0.936 (95% CI: 0.883-0.989), and 0.965 (95% CI: 0.935-0.994) in the training, validation, and test datasets, respectively, surpassing single-modal approaches, other models and clinical scoring systems (all P<0.05). The application of the model operated seamlessly on the hysteroscopic platform, with an average analysis time of 3.7±0.8s per patient. By employing the application's conception probability-based risk stratification, mid-high-risk patients demonstrated a significant ART benefit (odds ratio=6, 95% CI: 1.27-27.8, P=0.02), while low-risk patients exhibited good natural conception potential, with no significant increase in conception rates from ART treatment (P=1). The multimodal learning system using hysteroscopic images and EMR demonstrates promise in accurately predicting the natural conception of patients with IUAs and providing effective postoperative stratification, potentially contributing to ART triage after IUA procedures.

Conception rate according to the size and location of corpus luteum and coexistent follicle before embryo transfer in Hanwoo

Conception rate according to the size and location of corpus luteum and coexistent follicle before embryo transfer in Hanwoo

82 Effects of a red-clover containing mineral on heifer behavior and fertility

Abstract Heat stress reduces reproductive efficiency in beef cattle. Recent evidence suggests that supplementation of red clover can alleviate the physiological impacts of fescue toxicosis which could decrease heat stress. Our objective was to determine the effect of supplementing heifers grazing endophyte-infected tall fescue (E+ TF) with a conventional mineral containing red-clover leaf. We hypothesized that heifers supplemented with the red-clover leaf mineral would have greater conception rates to AI (CRAI) in times of possible heat stress compared with heifers supplemented with conventional mineral. A grazing study was conducted from May – August in 2021, 2022, and 2023. Yearling beef heifers (n = 32, 36, 40 heifers yr-1, respectively) were blocked by body weight, hair coat score and color into 4 grazing blocks that were assigned to 1 of 2 treatments (2 blocks treatment-1): 1. conventional non-medicated loose mineral control (0%-RC), or 2. conventional loose mineral + 20% wt/wt red clover leaf (20%-RC). Mineral treatments were provided in ground, 3-compartment mineral feeders ad libitum. Each grazing block was assigned to four, 0.8- ha. pastures consisting of predominantly E+ TF and were rotationally managed over the course of the study. Each year estrus was synchronized suitable for fixed time AI in May and all heifers resynchronized in June. In addition, each heifer was fitted with an ear-tag sensor (CowManager SensOor, Agis Automatisering BV, Harmelen, the Netherlands) for continuous behavioral monitoring (including high activity and activity). The CRAI were analyzed with the GLIMMIX procedure of SAS using the binomial distribution link logit function (v.9.4., SAS Inst. Inc., Cary, NC). Total daily activity and high activity reported by CowManger during May and June were analyzed by the MIXED procedure with repeated measures of SAS. The CRAI were similar for 20%-RC (67.30 ± 9.80%) and 0%-RC (60.70 ± 9.80%) heifers following the first service of AI (P = 0.51) during a thermoneutral period in May. In contrast, CRAI was greater (P = 0.02) for 20%-RC heifers (48.67 ± 13.47%) than CM (15.10 ± 13.47%) in June when temperatures increased to potential heat stress levels. Overall, conception rate after two rounds of AI for 20%-RC (78.30 ± 9.30%) heifers tended to be greater (P = 0.08) than CM (62.20 ± 9.30 %). While high activity (associated with estrous behavior) reported by CowManager did not differ between treatments (20%-RC: 203.94; 0%-RC: 213.90; SEM: 8.65 min d-1; P = 0.25), normal daily activity of 20%-RC heifers (150.69 ± 10.40 min d-1) tended to be greater (P = 0.06) than CM (126.33 ± 8.65 min d-1). Results of this study suggest supplementing red-clover containing mineral may mitigate negative effects of consuming E+ TF including decreased conception rates during times of heat stress.

115 Solubility and degradation of human fertility-promoting molecules in a rumen environment

Abstract Endometrial epithelial of cows conceiving was associated to gene set enrichment of pathways associated to synthesis, metabolism, and degradation of myo-inositol pathways (Physiol. Genomics 54: 71-85, 2022). Progesterone-modulated transcription also indicated an increase in oxidative phosphorylation pathways in the endometrial epithelial of cows. Thus, modulation of myo-inositol and oxidative phosphorylation pathways can favor conception rates in cattle. Oral supplementation with pyrroloquinoline Quinone (PQQ), an antioxidant, and inositol isomers (myo- and D-chiro-inositol) has been proven to be beneficial for fertility of women undergoing assisted reproductive biotechnologies. However, oral supplementation of these compounds to ruminant species has not been evaluated. It is unknown if PQQ and inositol isomers are soluble in the rumen environment, if they are degraded by the microbial populations which exist in this environment, or the timeframe for the ruminal degradation of these molecules resulting from oral supplementation. The objectives of this study were to 1) evaluate disappearance (solubility) of different of inositol isomers and PQQ; and 2) to quantify the in-vitro ruminal degradability of inositol isomers and PQQ over time. Inositol isomers and PQQ (0.25 g) were placed in Ankom bags and heat sealed. The bags were placed in glass beakers with an artificial saliva solution and rumen fluid, then incubated at 39 C in a warm shaker bath to simulate ruminal digestion for 0, 1, 2, 4, 8, 12, 24, and 48 h. These were then evaluated for disappearance of each form of inositol from the Ankom bag and repeated for a total of five replicates. For the second trial, only myo-inositol was evaluated. In addition to bag removal at the same time points, duplicate ruminal fluid samples were collected for myo-inositol concentration determination. This trial had seven replicates. For all forms of inositol 0.00% was removed at 0 h, and by 1 h 99.0 % inositol had disappeared (P &amp;gt; 0.05). There were two exceptions, PQQ, at 1 h was less (P &amp;lt; 0.0001; 96.33 %) and at 4 h (98.46 %). For the second trial, myo-inositol disappearance increased (P = 0.0001) from 0.00 % at 1 h to 99.53 % at 4 h and remained constant (P &amp;gt; 0.05) for subsequent sampling times. Ruminal fluid concentration of myo-inositol increased (P &amp;lt; 0.0001) from 0.197 to 5.39 g/L, and remained constant (P &amp;gt; 0.05) until h 24 when it had decreased (P &amp;lt; 0.0001) to 2.766 g/L, and decreased P &amp;lt; 0.0001) further by 48 h to 0.377 g/L. Ruminal concentration of myo-inositol was not different (P &amp;gt; 0.05) between 0 h and 48 h. These data indicates that inositol isomers and PQQ are soluble in the rumen environment, though not immediately, with myo-inositol concentrations peaking between 12 and 24 h and disappearing mostly by h 48.

Endoscopic Laser Ablation of Endometrial Cysts in Straight Egyptian Arabian Mares: Outcome on Embryo Recovery and Conception Rate

Endoscopic Laser Ablation of Endometrial Cysts in Straight Egyptian Arabian Mares: Outcome on Embryo Recovery and Conception Rate

The impact of metabolic surgery on natural conception rates in women with infertility, obesity and polycystic ovary syndrome: a retrospective study.

Women with obesity and polycystic ovary syndrome (OPOS) are at high risk for infertility. However, the reproductive effects of metabolic surgery on women with infertility and OPOS have not been fully elucidated. We investigated the natural conception rates after metabolic surgery, and the variables associated with infertility in women with OPOS. Shanghai Sixth People's Hospital, Shanghai, China. This study included 72 women with infertility and OPOS who underwent metabolic surgery and were followed up for 4 years after surgery. Finally, 54 patients completed the study. Reproductive outcomes were assessed, along with changes in anthropometric parameters and metabolic indices before and 1year after surgery (prepregnancy). Logistic regression analysis was used to identify variables influencing natural conception and delivery outcomes. After metabolic surgery, 35 patients (64.8%) became pregnant naturally, while 16 were still unable to conceive naturally. Preoperative body mass index (BMI) tended to be lower in the natural conception group than in the no natural conception group (38.9 ± 6.9 versus 43.6 ± 11.0 kg/m2, P = .070) and there were no significant differences in weight loss between the 2 groups after surgery. Logistic regression analysis showed that the BMI 1year after surgery (prepregnancy) was an independent predictor of natural conception, and receiver operating characteristic analysis showed that a BMI of 27.0 kg/m2 was the optimal cutoff for predicting successful natural conception after surgery. Metabolic surgery can improve fertility in women with OPOS. Patients with a BMI < 27.0 kg/m2 1year after surgery (prepregnancy) are more likely to become pregnant naturally and give birth.

Comparison of the conception rate after fixed time natural mating and artificial insemination in estrous synchronized Murrah buffaloes: A short communication

Comparison of the conception rate after fixed time natural mating and artificial insemination in estrous synchronized Murrah buffaloes: A short communication

Occupational Therapy students’ Concepts of Learning: Cross-Sectional and Longitudinal Associations With Deep, Strategic, and Surface Study Approaches

This study aimed to gain knowledge about the cross-sectional and longitudinal associations between learning concepts and approaches to studying among occupational therapy students. A repeated cross-sectional design was combined with a longitudinal study design. Self-report questionnaires assessed sociodemographic variables, learning concepts, and approaches to studying (deep/strategic/surface). Linear regression analyses (n ranging between 109 and 193 in the analyses) showed that higher transforming concept ratings were consistently associated with higher ratings on the deep study approach, both cross-sectionally and longitudinally. Higher reproducing concept ratings were positively associated with higher strategic approach ratings in the second and third study years. In view of the results, students’ understanding of what learning is impacts on their study attitudes and behaviors, which in turn is likely to influence learning outcomes and academic performance.

Success rate of local and crossbred cow through Artificial Insemination (AI) in Sylhet region of Bangladesh

The study aimed to assess the conception rate as an indicator of the success of Artificial Insemination (AI) of selected AI points of Sylhet district. Three years (2020 -2022) data from Khadim Nagar, Mirza Jungle, and Jaintyapur have been used for this study. Result revealed that Jaintyapur point achieved highest conception rate (98.96%) and lowest found at Khadim Nagar (86.93%). On the other hand, among the total inseminated cattle, 95.6% were a crossbreed. In contrast, 96.2% were local breed. However, while comparing the different semen used for AI, insemination with D×128 attained conception rate 100% at Jaintyapur AI point. Whereas the lowest performance reported SL×788 as 90%. In the case of parity of the cattle, conception rate was 96.5% in first parity, 95.6% in second, 96.7% in third,97.2% in fourth and 65.5% in fifth. Overall, the success of AI in Sylhet district could be considered satisfactory.

Locomotion Score and Postpartum Conception in Jersey Cows Raised under Hot-Humid Tropical Conditions: A Prospective Study.

Reproductive physiology is one of the first systems which is altered when an animal suffers from an imbalance. This is crucial in tropical dairy farming, where maintaining homeostasis and production is particularly demanding. Lameness is a disorder commonly identified by impaired walking, but its early diagnosis could reduce the negative repercussions on production, welfare, and postpartum conception. To evaluate the effect of lameness on postpartum conception, a prospective observational cohort study with a cross-sectional design was developed. Fifty-two Jersey milking cows raised under hot-humid tropical conditions were scored using a five-point locomotion scoring (LS) system (1-non-lame, 2-slightly lame, 3-moderately lame, 4-lame, and 5-severely lame), considering scores ≥ 3 to indicate clinical lameness. Inseminations per conception and days open (CCI) were registered. Inseminations were similar in animals scoring 1, 2, 3, and 5, while they increased in cows with a score of 4, which also increased their CCI along with animals that scored 5. Positive correlations were observed between LS and reproductive variables. The herd's conception rate was reduced from 45% to 21.8% in the presence of clinical lameness (score ≥ 3). Applying the LS system should be essential as part of routine medical examinations used to monitor dairy herds, and it becomes even more crucial under hot-humid tropical environments, where adverse conditions could rapidly aggravate the early stages of lameness and not only increase the costs of hoof care, but also delay fertility in cattle.

Antisperm Antibody Levels After Vasectomy Reversal Are Not Associated With Pregnancy Rates or Method of Conception

ObjectiveTo examine the relationship between ASA, pregnancy rates, and method of conception following vasectomy reversal, given that before and after vasectomy reversal, patients wonder if antisperm antibodies (ASAs) will prevent them from achieving pregnancy and American Urological Association vasectomy guidelines call for additional research to answer this question. MethodsWe performed retrospective chart review and phone interview of patients who underwent vasectomy reversal at our institution from 1/1/2000 – 12/31/2018. We excluded patients who underwent vasectomy reversal for pain, or without postoperative semen analysis with ASA. We categorized patients as having low (<50%) or high (> 50%) ASA levels using the first postoperative semen analysis. Our primary outcome was pregnancy rate, including method of conception. Differences in pregnancy rates were tested using Fisher’s exact test. Results204 patients were chart reviewed. Median age at time of surgery was 40 years and median obstruction interval was 7.3 years. Median partner age was 32 years. 164 (80%) patients underwent bilateral vasovasostomy. 85 patients (42%) had low (<50%) ASA levels and 119 (58%) had high (≥ 50%) ASA levels.67 patients completed phone interviews. Of 27 men with low ASA levels, 19 (70%) achieved a pregnancy with 16 (59%) spontaneous pregnancy. Of 40 men with high ASA levels, 30 (75%) achieved a pregnancy with 16 (40%) spontaneous pregnancy. The Fisher’s exact test p-value was 0.2. ConclusionASA levels are not associated with pregnancy rate or method of conception after vasectomy reversal. These findings can improve patient counseling before and after vasectomy reversal.

Effects of apigenin and trans-ferulic acid on microscopic and oxidative stress parameters in the semen of water buffalo bulls during cryopreservation

Cryopreservation involves exposing sperm to stressful conditions that affect cell viability. The high quality of the Azerbaijani water buffalo's by-products, such as buffalo milk, makes it a species of significant importance. Our focus is on protecting its genetic resources by preserving its sperm, as their numbers will decrease in the coming years and they are at risk of extinction. This study's goal was to ascertain how apigenin (A) and trans-ferulic acid (t-FA) affected the semen quality of Azari water buffalo bulls under cryopreservation. Pooled buffalo sperm (n = 35 ejaculations) were diluted in a Tris-based diluent also containing varying amounts of apigenin (0.2, 0.4, 0.6, and 0.8 mM) and trans-ferulic acid (2.5, 5, 10 and 20 mM). Following a freeze-thaw procedure, samples were assayed for total antioxidant capacity (TAC), catalase (CAT), superoxide dismutase (SOD), malondialdehyde (MDA), glutathione activity (GSH), glutathione peroxidase (GPx), progressive motility and total motility, motility properties, plasma membrane functionality, and viability. Sixty days after insemination, the rectal examination was performed on 38 buffaloes that had undergone sexual breeding to confirm pregnancy. The results of the study show that the addition of A-0.2, A-0.4, and t-FA-10 to buffalo semen increases the percentage of intact plasma membrane, motility, and sperm viability, as well as the levels of GSH, GPx, CAT. and TAC. In addition, there is a decrease in MDA and DNA damage after cryopreservation. Furthermore, the results show that 0.4 mM apigenin significantly increases conception rates compared to the control group. The base extender of Tris supplemented with A (0.4 and 0.2 mM) and t-FA (10 mM) improves the antioxidant indices of both frozen and thawed buffalo sperm, which in turn improves post-thawing sperm quality and in vivo fertility improves buffalo sperm.

Synthesis of green zinc-oxide nanoparticles and its dose-dependent beneficial effect on spermatozoa during preservation: sperm functional integrity, fertility and antimicrobial activity.

Introduction: The development of an effective extender is important for semen preservation and the artificial insemination (AI) industry. This study demonstrates the beneficial effect of zinc oxide nanoparticles (ZnO-NPs) as an additive to semen extenders to improve semen quality, fertility, and antibacterial activity during liquid preservation in a boar model. Methods: Initially, to find out the safe concentration of ZnO-NPs in sperm cells, a wide range of ZnO-NP concentrations (0, 5, 10, 50, 100, 500, and 1,000μM) were co-incubated with sperm at 37°C for a cytotoxic study. These NP concentrations were compared to their salt control zinc acetate (ZA) at the same concentrations and to a control group. The effect of the different concentrations of ZnO-NPs on sperm motility, membrane integrity, mitochondrial membrane potential (MMP), and apoptosis was assessed. Accordingly, the non-toxic dose was selected and supplemented in MODENA extender to determine its beneficial effect on the boar semen parameters mentioned and the lipid peroxidation (LPO) levels during liquid preservation at 16°C for 6days. The non-cytotoxic dosage was subsequently chosen for AI, fertility investigations, and the evaluation of the antibacterial efficacy of ZnO-NPs during preservation hours. An antibacterial study of ZnO-NPs and its salt control at doses of 10μM and 50μM was carried out by the colony forming unit (CFU) method. Results and discussion: The cytotoxic study revealed that 5, 10, and 50μM of ZnO-NPs are safe. Consequently, semen preserved in the MODENA extender, incorporating the non-toxic dose, exhibited 10 and 50μM ZnO-NPs as the optimal concentrations for beneficial outcomes during liquid preservation at 16°C. ZnO-NPs of 10μM concentration resulted in a significantly (p < 0.05) improved conception rate of 86.95% compared to the control of 73.13%. ZnO-NPs of 10 and 50μM concentrations exhibit potent antimicrobial action by reducing the number of colonies formed with days of preservation in comparison to the negative control. The investigation concluded that the incorporation of 10μM ZnO-NPs led to enhancements in sperm motility, membrane integrity, and MMP, attributed to a reduction in the malondialdehyde (MDA) levels. This improvement was accompanied by a concurrent increase in fertility rates, including farrowing rate and litter size, during the liquid preservation process. Furthermore, ZnO-NPs exhibited an antimicrobial effect, resulting in decreased bacterial growth while preserving boar semen at 16°C for 6days. These findings suggest that ZnO-NPs could serve as a viable alternative to antibiotics, potentially mitigating antibiotic resistance concerns within the food chain.

Effect of seminal plasma treatment on conception rate in Holstein cows

Effect of seminal plasma treatment on conception rate in Holstein cows

Heartache to Happiness: Managing a Six Year Hormonal Subfertility with a Successful Rate of Conception

Background: The inability to conceive is emotionally distressing and indeed a very painful struggle in which the pain stays with the individual every day. Hormonal disorders are the leading cause of infertility globally. They do not only include the hypothalamic pituitary ovarian axis but also the none-reproductive endocrine glands. Hormonal management helps promote ovum maturation, which triggers ovulation, increasing the likelihood of conception. Case presentation: We report a 36-year-old African lady who presented with an inability to conceive for six years since marriage and it was associated with an irregular menstruation cycle length of twenty-four to thirty-six days. She had anovulatory cycles for seven years, and high Prolactin levels. Her body mass index was 34.4kg/m2. She had visited several hospitals in and outside Tanzania without success in conceiving. At Bugando Medical Centre we managed her case by diet, fertility awareness, and medical management. She conceived after three months of treatment. Conclusion: Anovulatory cycles with abnormal bleeding patterns are a major cause of infertility in reproductive woman. Basic hormonal profiles are essential to confirm where the problem is. Prolactinemia and insulin resistance affects ovulation. Fertility awareness, lifestyle changes, and medical management will bring back happiness to most women with subfertility secondary to hormonal disorders.

Immunization against inhibin DNA vaccine as an alternative therapeutic for improving follicle development and reproductive performance in beef cattle.

The objective of the present study was to investigate the potential role of immunization against INH on follicular development, serum reproductive hormone (FSH, E2, and P4) concentrations, and reproductive performance in beef cattle. A total of 196 non-lactating female beef cattle (4-5 years old) with identical calving records (3 records) were immunized with 0.5, 1.0, 1.5, or 2.0 mg [(T1, n = 58), (T2, n = 46), (T3, n = 42) and (T4, n = 36), respectively] of the pcISI plasmid. The control (C) group (n = 14) was immunized with 1.0 mL 0.9% saline. At 21d after primary immunization, all beef cattle were boosted with half of the primary immunization dose. On day 10 after primary immunization, the beef cattle immunized with INH DNA vaccine evidently induced anti-INH antibody except for the T1 group. The T3 group had the greatest P/N value peak among all the groups. The anti-INH antibody positive rates in T2, T3 and T4 groups were significantly higher than that in C and T1 groups. RIA results indicated that serum FSH concentration in T2 group increased markedly on day 45 after booster immunization; the E2 amount in T3 group was significantly increased on day 10 after primary immunization, and the levels of E2 also improved in T2 and T3 groups after booster immunization; the P4 concentration in T2 group was significantly improved on day 21 after primary immunization. Ultrasonography results revealed that the follicles with different diameter sizes were increased, meanwhile, the diameter and growth speed of ovulatory follicle were significantly increased. Furthermore, the rates of estrous, ovulation, conception, and twinning rate were also significantly enhanced. These findings clearly illustrated that INH DNA vaccine was capable of promoting the follicle development, thereby improving the behavioral of estrous and ovulation, eventually leading to an augment in the conception rates and twinning rate of beef cattle.

Oestrus induction and fertility response in post-partum anoestrus dairy cows treated with homeopathic medicine

The study was carried out to evaluate the effect of two homeopathic medicines to induce oestrus in 36 postpartum anoestrus crossbred Jersey dairy cows. Group 1 cows were fed a mineral mixture, and group 2 and 3 were medicated with Pulsatilla and Sepia drenched at the dose rate of 20 mL twice daily for 8 days, respectively. The mean plasma progesterone level (ng/mL) estimated using a radio immunoassay kit was significantly higher in group 2, followed by group 3 before and after medication on day 28 and 60, post artificial insemination (AI). Out of 12 induced for oestrus, 10 cows (83.33 %) and 9 cows (75.0 %) in group 2 and 3 were confirmed pregnant by rectal palpation on day 60 post AI, respectively. Both the homeopathic medicines showed 100% oestrus induction with a mean interval of 25.17 to 25.50 days, and Pulsatilla medicated cows showed improved fertility response than Sepia. The significantly higher level of progesterone after the withdrawal of homeopathic medication might be due to the release of circulating hormone, which blocks estradiol negative feedback. The subsequent increase reduces uterine PGF2 alpha secretion for a better conception rate.

Relationships between antral follicle count and reproductive characteristics of embryo-recipient mares

Mares (n = 77) were evaluated by antral follicle count (AFC) and selected as embryo recipients. Cyclic recipients received embryos between days 4-6 after ovulation. The acyclic recipients received an intramuscular (i.m.) protocol with 5mg of estradiol benzoate (EB) on the day of donor ovulation (D0; D-4 recipient), 3mg of EB on the following day (D1; D-3 recipient), and 3mg of EB (D2; D-2 recipient). Furthermore, 1500mg of progesterone (P4) i.m. given on D0 of the recipient (D4 donor) followed by 1500mg of P4 on the day of ET (D4-6 recipient). On the ET day, the AFC and animals’ weight, body condition score (BCS), corpus luteum diameter, age and degree of uterine edema (UE) were measured. Pregnancy was confirmed on days 12 and 30. Low AFC was defined as ≤11 follicles (n = 43 mares) and high AFC as >11 follicles (n = 34 mares). Data were analyzed by a mixed effect model, including AFC group, reproductive seasonality, and season (P ≤ 0.05). UE was influenced (P = 0.05) by reproductive seasonality. The conception rate was higher (P = 0.016) in recipients with low (79.07 %) than high AFC (61.76 %) and higher (P = 0.005) in cyclic (81.40 %) than anestrus (58.82 %) mares. In addition, we observed a tendency (P = 0.06) for the interaction of AFC*reproductive seasonality, showing that high*anoestrus recipients had the lowest conception rate (37.50 %b) compared to high*cyclic (83.33 %a), low*anoestrus (77.78 %a) and low*cyclic (80 %a). The conception rate was higher in cyclic recipients with low AFC. Furthermore, UE was influenced by reproductive seasonality and mares in anestrus showed a higher degree of UE than cyclic mares.

Review of Asherman syndrome and its hysteroscopic treatment outcomes: experience in a low-resource setting

BackgroundAsherman syndrome is one of the endometrial factors that influence a woman’s reproductive capacity. However, in our context, it needs to be well-documented. This study aimed to evaluate the clinical characteristics and hysteroscopic treatment outcomes of Asherman syndrome.MethodA retrospective follow-up study from January 1, 2019, to December 31, 2022, was conducted on cases of Asherman syndrome after hysteroscopic adhesiolysis at St.Paul’s Hospital in Addis Ababa, Ethiopia. Clinical data were collected via telephone survey and checklist. Epidata-4.2 and SPSS-26 were employed for data entry and analysis, respectively.ResultA total of 177 study participants were included in the final analysis. The mean patient age was 31 years (range: 21–39) at the initial presentation, and 32.3 years (range: 22–40) during the phone interview. The majority of the patients (97.7%) had infertility, followed by menstrual abnormalities (73.5%). Among them, nearly half (47.5%) had severe, 38.4% had moderate, and 14.1% had mild Asherman syndrome. The review identified no factor for 51.4% of the participants. Endometrial tuberculosis affected 42 patients (23.7%). It was also the most frequent factor in both moderate and severe cases of Asherman syndrome. Only 14.7% of patients reported menstrual correction. Overall, 11% of women conceived. Nine patients miscarried, three delivered viable babies, and six were still pregnant. The overall rate of adhesion reformation was 36.2%. Four individuals had complications (3 uterine perforations and one fluid overload) making a complication rate of 2.3%.ConclusionOur study revealed that severe forms of Asherman syndrome, which are marked by amenorrhea and infertility, were more common, leading to incredibly low rates of conception and the resumption of regular menstruation, as well as high recurrence rates. A high index of suspicion for Asherman syndrome, quick and sensitive diagnostic testing, and the development of a special algorithm to identify endometrial tuberculosis are therefore essential. Future multi-centered studies should focus on adhesion preventive techniques.