Fertility Assessment Research Articles

Nutrient Uptake Patterns and Soil Fertility Assessment in Diverse Crop Rotations under Irrigated Dry Conditions in Telangana, India

An experiment was conducted during the 2023-24 kharif and rabi seasons at the College Farm, AICRP on the IFS unit, PJTSAU, Hyderabad. To develop efficient cropping systems for the Telangana region, it is essential to evaluate them based on productivity, nutrient uptake and economic viability. This study assessed various cropping sequences with regard to nutrient absorption and soil fertility status specific to Telangana and the findings were presented here. The rice-maize cropping system demonstrated higher nutrient uptake, resulting in a higher rice grain equivalent yield compared to Bt cotton under region-specific system. The Bt cotton + greengram (1:2) - sesame cropping system exhibited significantly higher nutrient uptake compared to the pigeonpea + foxtail millet (2:5) - sweet corn, making it more effective for sustaining long-term soil health. Among the crops cultivated for family nutritional security, the fingermillet – groundnut demonstrated significantly higher nutrient uptake compared to the pigeonpea + sorghum (2:3) - sesame. The nutrient uptake in the fodder bajra - lucerne system was higher than that in the fodder sorghum - fodder oats system when comparing the two fodder cropping systems. It has been observed that fodder systems required a greater amount of nutrients for their growth and development compared to other cropping systems.

Porphyry Cu-Mo mineralization at Anabama Hill, Delamerian Orogen, South Australia: Fertility assessment implicated from epidote and chlorite chemistry

Abstract Porphyry-style hydrothermal alteration has long been recognized in the Delamerian Orogen, Southeastern Australia. However, the fertility of porphyry prospects in this belt, including the Anabama Hill, remains elusive, due to intermittent exploration activities and sparse exposure. Recent significant discoveries of porphyry-epithermal Cu-Au deposits in the adjacent Stavely Arc have led to renewed exploration interest. Reinvestigation of the Anabama Hill drill cores highlights that K-feldspar-rich and epidote-chlorite-dominated alterations are superimposed by extensive quartz-pyrite ± chalcopyrite ± molybdenite veins with white mica-quartz selvedges, related to early-middle Ordovician granitic stocks. Granodiorite and diorite hosts have diagnostic geochemical characteristics, including high Sr/Y, V/Sc ratios, and listric-shaped REE trends, implying amphibole-leading fractionation due to high water contents in primitive melts. LA-ICP-MS analyses show that characteristic element compositions, e.g., high Fe, Sr, Pb, U and Bi and low Mg and REEs in the Anabama Hill epidote, and high Mn, Zn, Zr and U and low Ca, Ba and Pb in the chlorite, suggest the two minerals resulting from propylitic alteration rather than metamorphism. Compared to well-mineralized porphyry deposits, the epidote shows high Bi, Cu, Sr, Ti, Zr and U, and the chlorite is high in Ti/Sr and Al/Si ratios, implying that they are most likely deposit-proximal or near a heat center. This is supported by intermediate to high temperatures of 200—420°C calculated by chlorite geothermometer. Propylitic epidote and chlorite outside pyrite halos typically define geochemical shoulders by anomalous As-Sb and Mn-Zn highs, 1—1.5 km away from the mineralized centers. Given most of the epidote and chlorite intergrown with sulfides, their close proximity to a likely mineralized center accounts for low to moderate concentrations of distal pathfinder elements and subdued performances on the As-Sb and Mn-Zn fertility plots. Combined with bulk-rock results, proximal-fertility indicators recorded in epidote and chlorite provide encouraging implications for porphyry exploration in the Delamerian belt.

How has the external quality assessment/proficiency testing of semen analysis been developed in the past 34 years: a review.

Male infertility has become an important issue of global concern. Semen analysis is the cornerstone of male fertility assessment. External quality assessment (EQA) of sperm concentration, motility, and morphology is widely recognized in the world. However, over the past 34 years, the implementation of EQA for semen analysis has varied across different countries, and there is no global consensus. The goal of this paper is to first explore the overall development of EQA during this period. Secondly, it aims to discuss the extent of difference of participating laboratories in different countries. Finally, the paper examines the differences in EQA programs developed by various EQA providers in order to seek a global standard. In total, 29 papers met the inclusion criteria and were included in this review. There is inconsistent in the implementation of EQA across different countries, and there is no global consensus. Policies for EQA of semen analysis vary from country to country. Some countries mandate laboratory participation, while others permit voluntary involvement. Different EQA organizers choose different ways to calculate assigned value and acceptance limits. The coefficient of variation (CV) for each EQA item was large. The CVs of concentration, motility, morphology, and viability were 12.7-138.0 %, 17.0-127.0 %, 7-375 %, and 6-41.1 %, respectively. The results of the semen analysis varied considerably among the participating laboratories. The collaborative efforts of national policymakers, EQA organizers, and all participating laboratories are essential to improving the current situation.

Kidney disease and reproductive health.

Understanding the relationship between reproductive health and kidney function is important to provide holistic care for people living with kidney disease. Chronic kidney disease (CKD) has negative impacts on both male and female fertility owing to factors including inflammation, hormonal dysregulation, reduced ovarian reserve, reduced sperm quality and sexual dysfunction. However, pregnancy is achievable for most cisgender women with kidney disease, including kidney transplant recipients and patients on dialysis. CKD in pregnancy is associated with health risks to the mother and child, including increased risk of progression of kidney disease, hypertensive complications of pregnancy, and neonatal complications including fetal growth restriction, preterm birth and stillbirth. However, with appropriate pre-pregnancy counselling, fertility assessment and support, health optimization, and evidence-based antenatal care, the majority of patients will achieve a good outcome. Medication safety should be reviewed before and during pregnancy and lactation, weighing the risk of disease flare against potential adverse effects on the offspring. Important areas for further research include the optimal timing of delivery and the short- and long-term cardiovascular and renal impacts of pregnancy in patients with CKD, as well as long-term kidney and cardiovascular outcomes in their offspring.

Effects of microbial communities during the cultivation of three salt-tolerant plants in saline-alkali land improvement

Planting vegetation on saline-alkaline land enhances soil fertility and sustainability by improving salt-alkali tolerance. Different salt-tolerant plant species interact with soil microorganisms, enriching bacterial communities and promoting nutrient availability. In this study, mechanisms affecting microbial communities in severely saline-alkaline soils planted with salt-tolerant plants are investigated. Over 4 years, the potential to cultivate three salt-tolerant plant species (tall wheatgrass Agropyron elongatum, chicory Chicorium intybus, and alfalfa Medicago sativa) in severely saline-alkaline soils is compared with a non-cultivated control. Bacterial and fungal communities were characterized through high-throughput sequencing of the 16S rRNA gene V3–V4 region and the V4 region, respectively. Cultivating these three plant species significantly reduces soil electrical conductivity values. Chicory cultivation notably increased soil nutrients, bacterial alpha richness, and fungal alpha diversity and richness. Microbial community structures vary considerably between the control and treatments, significantly correlating with the soil quality index. This index enables an assessment of soil health and fertility by integrating variables such as nutrient content, microbial diversity, and salinity levels. In each plant treatment, particularly alfalfa, the relative abundances of fungal pathogens like Neocosmospora and Gibellulopsis increase, which may pose risks to subsequent crops such as tomatoes, requiring careful consideration in future planting decisions. Conversely, in alfalfa and tall wheatgrass treatments, there was an increase in the relative abundances of fungal genera (e.g., Alternaria and Podospora) that antagonize fungal pathogens, while Paraphoma increased in the chicory treatment. The strong relationship between microorganisms and the rise in pathogen-resistant fungi across different plant treatments highlights robust and beneficial structural characteristics. According to soil quality index scores, each treatment, but especially that of chicory, improved the severely saline–alkaline soil environment.

Integration of indigenous and formal knowledge in the assessment of soil quality performance assessment using multiple factor analysis in Alborz central mountains

Despite the data gap between researchers and farmers in soil fertility assessment, there are similarities and coincidences between the achievements of scientific versus local assessments. Farmers’ land management practices are a function of perceived soil fertility assessment in day-to-day management decisions. Despite the efforts made, studies have yielded different results when comparing soil fertility assessments in terms of indigenous and scientific knowledge, thus calling for closer assessments using extensive creative and systematic approaches. The current study uses Multiple Factor Analysis (MFA) to propose efficiency indicators based on the weighting of familiar, organizational, or productive variables in groups evaluating indigenous, scientific, and data variability. The end goal is to help identify the decision-makers’ training needs and decide on future institutional endeavors for developing productive skills and adopting better measures to evaluate soil fertility. By combining indigenous knowledge with innovations and improving the relationship between scientists and indigenous peoples and also promoting collaboration, thinking, and knowledge acquisition of farmers on how to maintain soil fertility and health, we hope to move towards sustainable agriculture as an institutional reform.

The Immediate Partial Removal of Cumulus-Oocyte Complexes: A Refined Approach for Rapid Observation of In Vitro Fertilization.

Despite the rapid advancements in clinical and laboratory technologies for in vitro fertilization (IVF), a significant proportion (10%-15%) of patients continue to experience fertilization disorders, leading to low fertilization rates and the production of nonviable embryos. Short-term fertilization involves the early removal of granulosa cells to observe the extrusion of the second polar body, enabling the assessment of fertilization and early remedial measures to address low fertilization rates and complete fertilization failure. However, the observation of short-term fertilization in IVF is impeded by challenges such as excessively large unprocessed clusters of cumulus-oocyte complexes and adhesion between eggs, necessitating complex external procedures for granulosa cell removal, and prolonged observation duration. To tackle this issue, this study proposes a method of immediate partial removal of granulosa cells post egg retrieval. This approach streamlines subsequent stages of short-term fertilization and traditional fertilization monitoring, reduces the time needed for oocyte extrusion, minimizes the likelihood of external environmental impacts on the oocytes, and decreases the risk of missing the critical fertilization observation window. Consequently, the study yields novel clinical evidence aimed at enhancing the operational efficiency of embryonic laboratories in IVF.

Assessment of Soil Fertility Status in Vegetable Growing Area of Daman-Palung, Nepal

Soil fertility assessment is essential for sustainable planning for a particular area. Considering this, a study was conducted in November 2018, to determine the soil fertility status of the vegetable growing area of Makwanpur district, Nepal. In total, 50 soil samples were collected randomly from a depth of 0-20 cm using a soil sampling auger. A standard analytical method was used to analyze the texture, soil pH, (Organic matter (OM), Nitrogen (N), Phosphorus (P2O5), and Potassium (K2O) status of samples at the National Soil Science Research Centre, Khumaltar. The sand, silt and clay content were 45.67±2.08, 35.6±51.37 and 18.49±0.93 respectively and were indicated as loam and sandy loam in texture. The soil was moderately acidic (pH 5.11±0.5) in nature. Soil organic matter ranged from low to medium but the medium (3.37±1.72 %) was prevalent. Total nitrogen content (0.22±0.01 %) and available phosphorus (230.58 ±85.61 ppm), were found to be high. Furthermore, available potassium (97.4±70.04 ppm) content was medium in the soil. The purpose of this soil fertility assessment is to help researchers and farmers in Daman, Palung know the soil fertility status of their area and to guide sustainable soil fertility practices. This soil fertility assessment aims to help researchers and farmers in Daman, Palung understand soil fertility status and determine the best soil fertility practices for their area.

Assessment of soil fertility using geographic information systems and fertility indicators: a case study for the Bani Walid area

يهدف هذا البحث تقييم خصوبة التربة في منطقة الدراسة والتي تعتمد على دراسة استخدام نظم المعلومات الجغرافية ومؤشرات الخصوبة وهي: مؤشر المغذيات (NI)، ومؤشر خصوبة التربة (٪)، ومؤشر جودة التربة (SQ). تم جمع عينات التربة من منطقة الدراسة، وتطبيق GIS، ومؤشرات الخصوبة التي تبين أنها تحتوي على: الرقم الهيدروجيني للتربة يتراوح من (7 إلى 7.50) وهي قلوية بشكل معتدل أو قوية. و EC بأنها غير مالحة -قوية (تتراوح من 0.15 إلى 22.00) و كانت كربونات الكالسيوم في التربة كلسية متوسطة الى جيرية حيث تتراوح من(16.30٪ إلى 41.00٪.) بينما كان محتوى المادة العضوية منخفض فيها لم يتجاوز 55.28٪. حيث تراوحت نسبة المادة العضوية من (0.33% إلى 1.61%). وتراوحت نسبة ESP (من4.35 الى 12.70). (%) وكذلك من (2.43 إلى 25.30). حيث نلاحظ أن معظم التربة غير صودية بنسبة (96.96%)، وكذلك كانت الكثافة الظاهرية للتربة من 1.13 إلى 1.56. القوام للتربة: الرملي طمي> طمييي رملي > طمي > طمي طيني، على التوالي. وتغطي العناصر الغذائية الكبرى والصغرى بشكل عام حوالي 50% منخفضة جداً، ومنخفضة 23%، ومستويات متوسطة 25%، مقبولة 23%، مرتفعة 0.99% , فقيرة جدا 0.0061%، ,فقيرة 1%. حسب مؤشرات الجودة لثلاث مناطق: NI يعطي نسبة عالية من K وP ومنخفضة بالنسبة لـ N وCu وZn وFe وMn على التوالي. يعتبر SF (%) ممتازًا بالنسبة إلى البوتاسيوم (C1) وغير الزراعي بالنسبة إلى P وN وCu وZn وFe وMn (C6) على التوالي. QS: Q3<Q<2<Q1 على التوالي.

Investigating the Effects of COVID-19 on Sperm in Male Smokers: A Prospective Integrated Proteomic and Metabolomic Study

Notable variations in semen parameters among non-smoking males have been documented post-COVID-19 pandemic. The role of smoking as a significant contributing factor to male infertility has been substantiated. Does the combined effect of smoking and SARS-CoV-2 infection impact male reproductive function? A prospective descriptive cohort study was performed using data from 90 smoking and 90 non-smoking males before and after coronavirus infection in a single center over a period of 3 months. Semen samples were collected before and within 15 days after COVID-19 infection, ensuring no more than three months elapsed between the two collections. The semen parameters evaluated included volume, concentration, progressive motility, normal morphology, and DNA fragmentation rate. Proteomic and metabolomic studies were further used to explore the differences between groups. Both non-smokers and smokers exhibited a marked reduction in sperm concentration, progressive motility, and normal morphology rate. Additionally, an increase in sperm DNA fragmentation index was noted for non-smokers and smokers. In the non-smoking group, dysregulation proteins including SEMG1, SEMG2 and DNAH5, and metabolites including L-glutamine, cis-9-Palmitoleic acid and Linoleamide were observed. In smokers, dysregulation proteins including SMCP, ROPN1B and IZUMO4, alongside metabolites including carnitine, gamma-Glutamylglutamic acid, and hypoxanthine were found. Comparative analysis between smoking and non-smoking patients post-COVID-19 also revealed significant differences in semen concentration, morphology and sperm DNA fragmentation rate. Dysregulated proteins including HSPA5, HSPA2 and PGK2, and metabolites such as acetylcarnitine, oxaloacetate and nicotinate were associated with impaired sperm function. Our study demonstrates that the virus also significantly compromises sperm quality in smoking males, who experience more pronounced declines post-infection compared to their non-smoking counterparts. This research underscores the necessity for comprehensive fertility assessments for smoking males after recovering from COVID-19.

Obesity may impair response to ovarian stimulation. A retrospective observational study on oocyte quality.

Ovulatory dysfunction is more common in women with obesity. Body fat distribution is also crucial because anovulatory women have a greater waist circumference and more abdominal fat than ovulatory women of similar BMI. The primary aim of the present study is to determine whether there is a relationship between BMI and reproductive characteristics, including hormonal values, antral follicle count (AFC), endometrial assessment at transvaginal ultrasound evaluation (TVUS) during controlled ovarian stimulation (COS), and oocyte retrieval after Ovum Pick-Up (OPU). Data from a cohort of 183 patients were analyzed and divided into three groups based on weight status: normal weight, overweight, and obesity. Evaluated reproductive characteristics included: age, basal values of follicle-stimulating hormone (FSH), luteinizing hormone (LH), 17-beta-estradiol (E2), thyroid stimulating hormone (TSH), anti-müllerian hormone (AMH), antral-follicle-count (AFC), duration of COS, E2, and progesterone at the last monitoring, TVUS endometrial thickness at the last monitoring before OPU, FOI after OPU. Additionally, the number of meiosis II oocytes retrieved (MII), the total dose of FSH administered, the ratio between MII and total FSH administered, and OSI were registered. AMH levels were significantly lower in obese patients compared to normal weight and overweight women (1.05 IQR 1.20, 1.58 IQR 2.16, 1.32 IQR 1.38, respectively, p-value = 0.032). When looking at the MII/FSH ratio, the normal weight group showed a median value of 3.3 with an IQR of 4.0, the overweight group showed a median value of 2.3 with an IQR of 1.9, and the obese group had a median value of 2.6 with an IQR of 2.8. Those data were statistically significant (p-value = 0.049). These results emphasize the importance of considering weight status in fertility assessment and treatment planning.

Assessment of Poultry Manure and Inorganic Fertilizers Influences on the Growth and Yield of Maize (Zea mays L.)

Assessment of Poultry Manure and Inorganic Fertilizers Influences on the Growth and Yield of Maize (Zea mays L.)

Dry-feed Added Quercetin Mitigates Cyclophosphamide-induced Oxidative Stress, Inflammation and Gonadal Fibrosis in Adult Male Rats.

Cyclophosphamide (CYP), a widely used cancer chemotherapeutic agent has been linked with male gonadotoxicity, resulting in infertility. The notion that potent antioxidants could be beneficial in mitigating CYP-induced gonadotoxicity necessitated this research. Therefore, we examined the effects of feed-added quercetin on CYP-induced gon-adotoxicity in male rats. Male postpubertal rats were randomly assigned into six groups of 10 rats each. The normal control (fed standard rodent diet) and two groups fed quercetin-supplemented diet at 100 and 200 mg/kg of feed received normal saline intraperitoneally at 2 ml/kg daily. A fourth group which served as the CYP control (fed standard rodent diet) and the last two groups fed quercetin at 100 and 200 mg/kg of feed were administered CYP at 150 mg/kg/day. Rats were administered normal saline or CYP intraperitoneally on days 1 and 2, while standard diet or feed-added quercetin was administered daily for 21 days. On day 22, half of the animals were either sacrificed or paired with age-matched females for fertility assessment. Estimation of testosterone levels, antioxidant, anti-inflammatory markers, and histomorphological exami-nation of the testis and epididymis was also assessed. The administration of CYP was associated with weight loss, decreased food intake, decreased antioxidant capacity, increased gonadosomatic index, increased lipid peroxidation, sub-fertility, and histological evidence of gonadal injury. However, administration of querce-tin reversed CYP-induced changes. The result of this study suggests that dietary quercetin supplementation has the ability to mitigate CYP induced gonadotoxicity and mitigate subfertility in male rats. How-ever, further studies are required to assess its possible use in humans.

Design of an AI-based egg fertility detection system for incubators

The conventional approach to determine the fertility of chicken eggs, called candling, is subjective, time-consuming, and ineffective and thereby results in low hatching rates and financial losses. As a result, a more reliable, accurate, and sustainable system that uses artificial intelligence and automated systems to improve the process of assessing egg fertility for incubation. The system proposes capturing of images of eggs at the early stages of incubation by a camera and sent to a cloud server, where a Convolutional Neural Network (CNN) analyses and classifies the data to determine the fertility status of the eggs. The system aims to increase the quality and hatching rate of chicken eggs, lower labour expenses and human error, and boost the poultry industry's sustainability and profitability. The framework of the system is based on the current poultry egg fertility assessment methods in Zimbabwe, which include candling, infrared thermography, ultrasound, heart rate detection, oxygen flux detection, visible or near-infrared transmittance spectroscopy, and thermal imaging. The system is expected to perform better than existing systems in terms of accuracy, speed, and cost-effectiveness. The experimental results show that, the method's average identification time is 0.210 seconds, and its identification accuracy is 98.40 percent. These results demonstrate the viability of the suggested AI-based method for automatically determining an egg's fertility without human intervention, greatly increasing hatcheries' and related businesses' productivity.

Association between the age-adjusted visceral adiposity index (AVAI) and female infertility status: a cross-sectional analysis of the NHANES 2013–2018

BackgroundObesity stands as an essential factor contributing to infertility in women. Early identification of obese individuals leads to favorable results for female infertility. The objective of this research is to assess the association between the age-adjusted visceral adiposity index (AVAI) and female infertility.MethodsThis study was conducted using NHANES data from 2013 to 2018, in which 1,231 women aged 20–45 were selected. Infertility was defined by survey questions. AVAI was calculated using anthropometric and serum data. Covariates included demographics and lifestyle factors. Statistical analysis with R, adjusting for covariates, and assessing nonlinearity and cutoff effects.ResultsThe study of 1,231 women from the NHANES database revealed that 11.94% were diagnosed with infertility. Individuals with higher AVAI scores showed increased age, WC, BMI, and reduced HDL levels, with a positive correlation between AVAI and female infertility (OR = 1.42, 95%CI: 1.26–1.60). AVAI quartiles showed a pronounced relationship with female infertility risk, with the highest quartile showing the greatest risk(OR = 9.35,95% CI: 2.96–29.55). Nonlinear and threshold effects in the relationship between AVAI and female infertility were identified, with an inflection point at -9.70. Subgroup analyses indicated significant interactions between AVAI and educational status and BMI, particularly in women with a BMI below 25 kg/m2, where a high AVAI level was closely related to increased infertility risk(OR = 1.92, 95%CI: 1.44–2.58).ConclusionThe study identifies a strong association between elevated AVAI scores and female infertility risk, especially in women with a BMI under 25 kg/m2. This suggests that AVAI could be a valuable predictor in female fertility assessments.

Female fertility preservation for family planning: a position statement of the Italian Society of Fertility and Sterility and Reproductive Medicine (SIFES-MR).

This position statement by the Italian Society of Fertility and Sterility and Reproductive Medicine (SIFES-MR) aims to establish an optimal framework for fertility preservation outside the standard before oncological therapies. Key topics include the role of fertility units in comprehensive fertility assessment, factors impacting ovarian potential, available preservation methods, and appropriate criteria for offering such interventions. The SIFES-MR writing group comprises Italian reproductive physicians, embryologists, and scientists. The consensus emerged after a six-month period of meetings, including extensive literature review, dialogue among authors and input from society members. Final approval was granted by the SIFES-MR governing council. Fertility counselling transitions from urgent to long-term care, emphasizing family planning. Age, along with ovarian reserve markers, is the primary predictor of female fertility. Various factors, including gynecological conditions, autoimmune disorders, and prior gonadotoxic therapies, may impact ovarian reserve. Oocyte cryopreservation should be the preferred method. Women 30-34 years old and 35-39 years old, without known pathologies impacting the ovarian reserve, should cryopreserve at least 12-13 and 15-20 oocytes to achieve the same chance of a spontaneous live birth they would have if they tried to conceive at the age of cryopreservation (63% and 52%, respectively in the two age groups). Optimal fertility counselling necessitates a long-term approach, that nurtures an understanding of fertility, facilitates timely evaluation of factors that may affect fertility, and explores fertility preservation choices at opportune intervals.

Applications and challenges of digital soil mapping in Africa

The mapping of soils in Africa is at least a century old. We currently have access to various maps depicting mapping units locally and for the continent. In the past two decades, there has been a growing interest in alternatives for generating soil maps through digital soil mapping (DSM) techniques. There are, however, numerous challenges pertaining to the implementation of DSM in Africa, such as the unavailability of appropriate covariates, age and positional error in the measurements, low sampling density, and spatial clustering of the soil data used to fit and validate the models. This review aims to investigate the current state of DSM in Africa, identify challenges specific to implementing DSM in Africa and the ways it has been solved in the literature. We found that nearly half of African countries had an existing digital soil map covering either a local or national area, and that most studies were performed at a local extent. Soil carbon was the most common property under study, whereas soil hydraulic variables were seldom reported. Nearly all studies performed mapping for the topsoil up to 30 cm and calculated validation statistics using existing datasets but without collecting a post-mapping probability sample. Few studies (i.e., 11%) reported an estimate of map uncertainty. Half of the studies had in mind a downstream application (e.g., soil fertility assessment) in the map generation. We further correlated the area of study and sampling density and found a strong negative relationship. About 30% of the studies relied on legacy soil datasets and had a lack of sufficient spatial coverage of their area of study. From this review, we highlight some research opportunities and suggest improvements in the current methodologies. Future research should focus on capacity building in DSM, new data collection, and legacy data rescue. New initiatives, that should be initiated and led from within the continent, could support the long-term monitoring of soils and updating of soil information systems while ensuring their contextualised usability. This pairs with better delivery of existing DSM studies to stakeholders and the generation of a value-added proposition to governmental institutions.

Non-binary patients in ART: new challenges and considerations.

To discuss the increasing visibility of non-binary individuals and inclusive policies and practices in assisted reproductive technologies (ART). Comparison between traditional ART approach designed for binary genders and propose approach in non-binary individuals. Traditional ART services, designed for binary genders, must adapt to address the unique fertility needs of non-binary patients. This includes using gender-neutral language, providing comprehensive fertility assessments, and offering hormone therapy and fertility preservation options. Children of non-binary parents benefit from open communication about gender diversity, enhancing psychological well-being. Positive societal attitudes and inclusive environments in schools are crucial for preventing discrimination and promoting mental health. A systemic approach is required to make ART inclusive. This involves training staff, adjusting facilities, updating documentation, and advocating for supportive legislation. Addressing the reproductive needs of non-binary individuals ensures equitable access to care and supports their family-building goals. Ensuring the well-being of children in non-binary families requires psychological support, inclusive healthcare, legal recognition, social support, and comprehensive education.

Assessment of fertility and sexual dysfunction in women with systemic sclerosis: a narrative review of the literature.

The aim of this work is to review the existing literature regarding sexual and reproductive function of women affected by systemic sclerosis and to establish the impact of the disease on the gynaecological-obstetrical field. A systematic search has been conducted by means of PubMed, Cochrane, Google Scholar, until January 2024 by the keywords ''systemic sclerosis'', ''fertility'', "sexual dysfunction" and "pregnancy". Sexual dysfunction has been described in most of the studies. This could be related to dryness and dyspareunia, but also to the psychosocial impact of SSc on body and facial appearance, which impacts on social and sexual relationships. There is conflicting evidence regarding the influence of SSc and fertility. Before the 1980s pregnancies in these patients were rare. This could be linked to the satisfied reproductive desire before the onset of SSc, or to the fact that pregnancy was labelled as high-risk, leading to counsel against it in most patients. Recently, the evidence supporting infertility is conflicting. There is no certain theory on how the disease may interfere with reproductive function, but a possible linkage can be detected in a pro-inflammatory milieu which can impair the ovarian reserve. Women affected by SSc should be followed-up by a multidisciplinary team to prevent sexual dysfunction. Although there is no consensus on the impact of SSc on fertility, these patients should be provided with adequate pre-conceptional counselling and a strict follow-up in high-risk pregnancy units.

Effect of cryopreservation and semen extender on extracellular vesicles isolated from bull semen.

Semen cryopreservation is the most popular practice for semen production for artificial insemination and in vitro fertilization in cattle. The Seminal plasma contains extracellular vesicles (spEVs) which modulate sperm viability and function during oocyte fecundation. The study of spEVs in frozen-thawed semen doses may yield novel indicators for predicting bull fertility, but the presence of the semen extender may hinder molecular profiling of spEVs. The aim of this study was to provide extensive characterization of EVs isolated from seminal plasma before and after the cryopreservation process and the addition of a commercial animal protein-free semen extender to understand the potential influence of EVs originating from the extender in hindering the use of spEVs derived biomarkers for assessment of bull fertility. EVs were isolated from the seminal plasma (with or without the extender), from the cryopreserved straw devoid of spermatozoa, and from the extender using two different methods, ultracentrifugation (UC) and size exclusion chromatography (SEC), and characterized for their structure and composition. Physical characterization of EVs showed that size and particle numbers were related to the method of isolation. spEVs were larger but less abundant (UC: 168.9 nm, n = 2.68 × 109; SEC: 197.0 nm, n = 6.42 × 109) compared to extender EVs (UC: 129.0 nm, n = 2.68 × 1011; SEC: 161.8 nm, n = 6.47 × 1011). Western blotting analysis (WB) confirmed the presence of typical EV markers in spEVS: the membrane bound CD9 (25 kDa) and the luminal markers Alix (96 kDa) and TSG101 (48 KDa). Although Transmission Electron Microscopy confirmed the presence of a lipid bilayer structure in all preparations, no specific EV markers were detected in the vesicles isolated from extender when the Single Molecule Array (SiMoa) was used. A total of 724 Bos taurus miRNAs were identified in at least one preparation. The percentage of miRNAs identified in EVs from the extender (0.05%-0.49% of the total reads) was lower than in the preparation containing spEVs (10.56%-63.69% of the total reads). Edge-R identified a total of 111 DE-miRNAs between EVs isolated from the extender by two methods. Among them, 11 DE-miRNAs (bta-miR-11980, bta-miR-11987, bta-miR-12057, bta-miR-1246, bta-miR-125b, bta-miR-181b, bta-miR-2340, bta-miR-2358, bta-miR-2478, bta-miR-2898, and bta-miR-345-3p) were also abundant in EVs isolated from seminal plasma preparations with extender. This study clearly demonstrates that the presence of the extender does not prevent the characterization of spEVs in cryopreserved semen. However, the molecular profiling of spEVs can be influenced by the isolation method used and by the presence of some miRNAs from the extender. Therefore, in such studies, it is advisable to characterize both spEVs and the vesicles isolated from the extender.