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Biomedical subjects

A Trounson

Publications and source records attributed to A Trounson.

114 records · Page 7Linked to original sources

Artificial donor insemination frozen versus fresh semen.

The results of artificial insemination by fresh and frozen donor semen (A.I.D.) are reported. Life table conception results were 66.3 +/- 3.8 after 6 months for the fresh semen group. Similar results for 2 consecutive programmes of A.I.D. of frozen semen were 44.0 +/- 4.6 and 64.2 +/- 3.4, respectively. The latter group's cumulative pregnancy rate is high and probably reflects improvement in both sperm preservation and insemination techniques. Using improved freezing techniques, the results of A.I.D. with frozen semen are equal to those with fresh semen.

Actuarial Analysis↗

Human pregnancy following cryopreservation, thawing and transfer of an eight-cell embryo.

The widespread use of clomiphene citrate and exogenous gonadotrophins for in vitro fertilization (IVF) in human frequently results in the production of multiple embryos. Replacement of more than two embryos increases pregnancy rate but may result in multiple pregnancies with increased pre- and post-natal abnormality. Preservation of embryos for a limited time allows fewer embryos to be replaced on several different occasions and thus the problems of multiple pregnancy can be minimized, the effectiveness of a single IVF procedure increased and embryo replacement in adverse maternal conditions avoided. Preimplantation embryos have been successfully cryopreserved in many animal species. The sensitivity of embryos to cooling and freezing varies between species and stages of embryo development. We report here the cryopreservation procedures that allow a high survival rate of four- and eight-cell human embryos and the establishment of a pregnancy following the freezing and storage of an eight-cell embryo for 4 months in liquid nitrogen. The pregnancy terminated at 24 weeks' gestation due to development of a septic Streptomyces agalactiae chorion amnionitis after premature membrane rupture.

Bacterial Infections↗

The establishment and maintenance of pregnancy using in vitro fertilization and embryo donation in a patient with primary ovarian failure.

Ovarian steroid replacement therapy in the ovariectomized ewe, given in the correct sequence to mimic endogenous steroid changes in the normal ovulatory cycle, allows the development of embryos transferred in utero. A similar type of sequential therapy was designed for steroid replacement in women with primary ovarian failure. This produces the histological changes in uterine endometrial morphology and plasma oestradiol and progesterone similar to those observed in the normal ovulatory cycle. We now report that in one of these women a donated oocyte, fertilized by her husband's spermatozoa and cultured to the two-cell stage in vitro, was transferred in utero, resulting in a normal pregnancy and the delivery of a healthy child. Oestrogen therapy was withdrawn at 12 weeks and progesterone at 19 weeks gestation. This technique allows the treatment of human infertility due to primary ovarian failure.

Embryo Transfer↗

inheritance of sperm centrioles and centrosomes in bovine embryos.

Immature cumulus oocyte complexes (COCs) were aspirated from ovarian follicles of slaughtered cow and matured for 24 h in TCM 199 medium with hormones. Eighty-five percent of oocytes matured with subsequent abstriction of the polar body. Matured COCs were then inseminated with frozen-thawed semen (2 x 10(6)/mL final concentration). Eighteen hours after insemination, fertilized COCs were vortexed, washed, and cultured to the pronuclear stage and syngamy (24-36 h postinsemination) and fixed for TEM. Unfixed embryos achieved a cleavage rate of 54%, with 29% developing to blastocysts. Fertilization was confirmed by TEM. Examination of fertilized bipronuclear ova revealed the presence of a sperm aster associated with sperm midpieces, tails, and male pronuclei in several embryos. Further examination of embryos at syngamy showed centrioles at one pole of the first mitotic bipolar spindle in two embryos. Since the mature oocyte at metaphase II has no centrioles at spindly poles, this centriole was most likely derived from the sperm, which has a single proximal centriole associated with pericentriolar material in its neck region, like most mammalian sperm. Tripronuclear ova produced disorganized bipolar spindles or, rarely, tripolar spindles. Bovine embryos, too, follow Boveri's rule of paternal inheritance as in man and most animals. It is possible that both paternal centrosomes (centrioles) and maternal centrosomes are involved in the organization of bipolar spindles in these embryos, quite unlike the mouse embryo where maternal centrosomes seem to organize the first mitotic spindle. The bovine embryo appears to be an appropriate model to study centriolar inheritance.

Animals↗

The diagnostic value of in vitro fertilization and embryo transfer.

Besides the well known indications for the use of IVF as a new therapeutic treatment, this technique may also be used as a diagnostic test for infertile couples in whom pregnancy was not achieved by previous treatments. IVF diagnostic test appears to be very reliable in the majority of cases. If the failure of fertilization occurs in the first attempt the test is not reliable; failure of fertilization after three or more attempts allows the patients to consider other options such as adoption or AID.

Adult↗