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T T Olar

Publications and source records attributed to T T Olar.

34 records · Page 2Linked to original sources
PubMed1991

Relationship of follicle number, serum estradiol, and other factors to birth rate and multiparity in human menopausal gonadotropin-induced intrauterine insemination cycles.

OBJECTIVE: To determine the characteristics associated with pregnancy and multiple gestation after human menopausal gonadotropin intrauterine insemination (hMG-IUI). DESIGN: Prospective study of all patients undergoing hMG-IUI between January 1, 1984 and December 31, 1989. SETTING: University affiliated private clinic. PATIENTS: Four hundred twenty-four infertility patients undergoing 779 cycles of hMG-IUI. MAIN OUTCOME MEASURES: The relationship between estradiol (E2), number and size of follicles, age, and initial semen quality on pregnancy and multiple gestations in hMG-IUI cycles. RESULTS: The number of follicles greater than or equal to 12 mm was correlated with births and predicted all multiple births (r = 0.140, P less than 0.001). The corrected birth rate was 25.8% for age less than 35 and 14.0% for age greater than or equal to 35 when four or more follicles were greater than or equal to 12 mm. The uncorrected clinical pregnancy rate (PR) and birth rate were 12.8% and 10.5%, respectively. Decreased births were associated with tubal adhesions alone (P less than 0.03) or with endometriosis (P less than 0.002), more than four cycles of treatment (P = 0.01), initial sperm count less than 5 x 10(6) per mL (P less than 0.01), initial sperm motility less than 30% (P less than 0.002), and age greater than or equal to 35 (P less than 0.01). Estradiol was correlated with birth rate (r = 0.160, P less than 0.001), which increased from 3.6% when E2 was less than 500 pg/mL to 19.6% when E2 was greater than or equal to 2,500 pg/mL. CONCLUSIONS: The outcome of hMG-IUI is related to the number of follicles greater than or equal to 12 mm, to E2, and to age. Optimal PRs from hMG-IUI require mild ovarian hyperstimulation.

Adult↗
PubMed1990

Fertilization of human oocytes by microinjection of human sperm aspirated from the caput epididymidis of an individual with obstructive azoospermia.

Aspiration of spermatozoa from the caput region of the epididymis was performed, due to obstructive azoospermia. When all inseminated oocytes failed to fertilize in vitro, immotile spermatozoa were microinjected into the perivitelline space to achieve fertilization. Of six oocytes microinjected, one exhibited two normal pronuclei and two polar bodies and was subsequently transferred to a fallopian tube of the wife. One oocyte arrested at syngamy, while two additional oocytes cleaved to four cells each. The remaining two were damaged during microinjection. Although the patient did not conceive, this report provides evidence that (1) spermatozoal motility is not required for successful pronuclear formation when microinjection is performed, and such immotile sperm are not necessarily "dead," and (2) this further corroborates that caput epididymal spermatozoa can participate in the subzonal events of fertilization and that, in the human, exposure of spermatozoa to the distal epididymal milieu may not be a requisite to achieve fertilizing capacity.

Adult↗
PubMed1990

The probability of multiple births when multiple gestational sacs or viable embryos are diagnosed at first trimester ultrasound.

The live birth outcome when multiple gestational sacs were diagnosed at first trimester ultrasound was reviewed in 227 twin, 43 triplet and five quadruplet pregnancies. When two gestational sacs were present, the probability of delivering twins was 63% for maternal age less than 30 and 52% for maternal age greater than or equal to 30. With three gestational sacs, the probability of a triplet birth was 45% for maternal age less than 30 and 18% for maternal age greater than or equal to 30. When two viable embryos were present, the probability of a twin birth was 90% for maternal age less than 30 and 84% for maternal age greater than or equal to 30. With three viable embryos, the probability of a triplet birth was 90% for maternal age less than 30 and 44% for maternal age greater than or equal to 30. Two gestations resulting from ovulation induction with clomiphene citrate were more likely to result in twin delivery at term, compared to spontaneous twin gestations (P = 0.012). These findings may be useful in the treatment and management of patients when multiple gestations are diagnosed early in pregnancy.

Adult↗
PubMed1989

Pregnancies established by gamete intrafallopian transfer and pronuclear-stage transfer in patients with premature ovarian failure using donated oocytes and low-dose oral micronized estradiol and progesterone.

This report describes both gamete intrafallopian transfer (GIFT) and pronuclear-stage transfer (PROST) of donated oocytes to patients with premature ovarian failure (POF), using micronized oral progesterone (P4) and low-dose micronized estradiol (E2) for endometrial preparation and maintenance. Patient A, with POF of 15 years' duration, received four donated oocytes for GIFT and subsequently delivered a normal, term, female infant. Patient B was diagnosed as POF 3 years ago. She received four donated oocytes, which were subsequently fertilized in vitro with husband's sperm. The following day, four pronuclear-stage embryos were transferred to her fallopian tubes. She recently delivered twin, healthy female infants. These procedures, along with exogenous hormonal development of the endometrium, provide a simplified means to establish and maintain pregnancy in POF patients. Both patients were maintained on low-dose micronized E2 prior to their procedure, Patient A on 3 mg E2 per day cyclically and Patient B on 0.5 mg E2 continuously. Micronized oral P4 was used to maintain pregnancy.

Adult↗
PubMed1989

The occurrence of ectopic pregnancy with and without clomiphene citrate use in assisted and nonassisted reproductive technology.

An eleven-year review of treatment records of patients who became pregnant as a result of infertility treatment (n = 3692) was conducted. All records were examined to determine whether clomiphene citrate (CC) was used in the cycle of conception and whether or not an ectopic pregnancy occurred. Data were additionally analyzed for the incidence of ectopic pregnancy with and without assisted reproductive technology (ART). The incidence of ectopic pregnancy was similar between CC (3.4%) and non-CC (3.4%) treatment groups receiving non-ART treatment. For non-ART treatments, tubal disease and severe endometriosis resulted in an increase in ectopic pregnancies independent of CC use. The incidence of ectopic pregnancy in patients receiving CC + human menopausal gonadotropin (hMG) for in vitro fertilization (5.4%) and gamete intrafallopian transfer (3.1%) was similar compared to ART treatments with hMG alone. The incidence of ectopic pregnancy was more closely associated with infertility diagnosis rather than CC use.

Adult↗
PubMed1989

Influence of extender, cryoperservative and seminal processing procedures on postthaw motility of canine spermatozoa frozen in straws.

Experiments were conducted to evaluate two extenders (egg-yolk Tris and egg-yolk lactose), varying concentrations of two cryopreservatives (glycerol and dimethyl sulfoxide), and rates for cooling to 5 degrees C, cooling from 5 to -100 degrees C, and warming for canine spermatozoa packaged in 0.5-ml French straws. At optimal concentrations of glycerol, egg-yolk Tris extender was superior to egg-yolk lactose in preserving spermatozoal motility. Addition of dimethyl sulfoxide, alone or in combination with glycerol in either extender, was not beneficial to spermatozoal survival after thawing. Canine spermatozoa withstood a range of cooling and equilibration times with no detrimental effect on spermatozoal motility prior to freezing. However, there were differences in spermatozoal motility immediately after thawing; these differences were variable, resulting in a cooling time by equilibration time interaction. Spermatozoal motility after thawing was best preserved by freezing in egg-yolk Tris extender containing 2-4% glycerol, using a moderate rate of cooling from 5 to -100 degrees C (-5 degrees C/min from 5 to -15 degrees C, then -20 degrees C/min from -15 to -100 degrees C). Three of 12 bitches inseminated intravaginally with semen frozen using this protocol became pregnant.

Journal Article↗
PubMed1984

Acrosin activity of canine spermatozoa as an index of cellular damage.

Eight experiments were performed to validate an extraction technique for canine acrosin and to quantitate the acrosin activity of fresh and frozen-thawed spermatozoa. Acrosin activity from fresh spermatozoa differed amongst dogs and was influenced by the interval since previous ejaculation. Freezing and thawing spermatozoa induced a loss of acrosin activity that differed with the extender in which the spermatozoa were frozen. The assay of acrosin activity, in conjunction with motility estimates, provides a more complete evaluation of the efficacy of seminal extenders in attenuating freezing injury than do motility estimates alone.

Acrosin↗
PubMed1983

Relationships among testicular size, daily production and output of spermatozoa, and extragonadal spermatozoal reserves of the dog.

Two experiments established the relationships among total scrotal width (TSW), daily spermatozoal production (DSP), daily spermatozoal output (DSO) and extragonadal spermatozoal reserves (EGR) of dogs ejaculated daily. In Experiment 1, 11 dogs (14 to 36 kg) were ejaculated daily for two 10-day periods and in Experiment 2, seven dogs (15 to 47 kg) were ejaculated daily for two 20-day periods. Approximately six daily ejaculations were required for stabilizing DSO. After the second period of daily ejaculations, dogs were castrated or killed and the testes were weighed and DSP and EGR were determined. In Experiments 1 and 2, DSP averaged 11.7 +/- 0.5 and 16.7 +/- 1.4 X 10(6) per gram of testicular parenchyma, respectively, or 369 and 594 X 10(6) per dog. DSP per gram of testicular parenchyma was not significantly correlated with parenchymal weight for the same testis in either experiment (r = 0.04 and 0.26). Mean (+/- SEM) EGR of dogs in Experiment 1 were 4024 +/- 368 X 10(6) and 4791 +/- 767 X 10(6) in Experiment 2. Approximately 63% of the EGR were contained in the caput and corpus epididymidis, 36% in the cauda epididymidis and 1% in the ductus deferens. DSO averaged 79 and 82% of DSP for the 2 groups of dogs. Based on combined data for all 18 dogs, TSW was correlated with testicular weight (r = 0.95; P less than 0.01), DSP (r = 0.82; P less than 0.01) and DSO (r = 0.75; P less than 0.01). Thus, measurement of TSW is a useful predictor of a dog's ability to produce and ejaculate spermatozoa.

Animals↗
PubMed1981

Correlation between post-thaw motility and acrosomal integrity of bovine sperm.

The relationship between post-thaw motility and the percentage of sperm with intact acrosomes was evaluated in semen from 26 yearling Hereford or Angus bulls. A total of 409 samples was used, which consisted of 208 pooled first and second ejaculates, split and frozen in ampules and straws. All bulls passed a breeding soundness exam several weeks prior to the experiment. However, bulls were not subjected to any further selection for seminal quality, and all were of unknown fertility. In addition, all ejaculates from each bull were frozen without regard to seminal quality. Motility was assessed immediately after thawing, whereas acrosomal integrity was evaluated after 2 h of post-thaw incubation at 38 degrees C. The simple coefficient of correlation among bulls between motility and percentage of sperm with intact acrosomes was only .33. When variation in seminal quality among bulls was removed statistically, the corresponding coefficient of correlation within bulls was only .23. Under conditions of this experiment, post-thaw motility and acrosomal integrity constituted distinct, separate features of spermatozoal integrity that varied independently of each other.

Acrosome↗
PubMed1980

Temperature of the artificial vagina and its effect on seminal quality and behavioral characteristics of stallions.

Stallion semen was collected, using artificial vaginas at 44 to 46, 48 to 50, and 52 to 54 C, to study the effects of temperature on seminal quality and sexual behavior. The temperature of the artificial vagina had no significant effect on motility, gel volume, gel-free seminal volume, total seminal volume, pH, number of mounts per ejaculate, total time to ejaculation, or seminal temperature. Spermatozoa were collected, then exposed to water-bath temperatures of 38, 45, 49, or 53 C for 1 minute. Mean motility was similar after exposure to temperatures of 38 or 45 C, but exposure to temperatures of 49 or 53 C resulted in a significant decrease (P < 0.05) in spermatozoal motility with each increase in temperature. Thus, it was concluded that spermatozoa exposed to temperatures greater than 45 C may be irreversibly damaged.

Animals↗
PubMed1980

Influence of albendazole on reproductive function of bulls.

Twenty-six Hereford or Angus bulls of breeding age were used to determine whether the anthelmintic albendazole influenced weights of reproductive organs, spermatozoal production, spermatozoal output, quality of freshly ejaculated or frozen semen, serum testosterone values, or libido. Values for most of these measurements in 12 bulls treated with a single oral dose (22.5 mg of albendazole/kg of body weight) were not different from those for 14 nontreated controls, and the few differences that were observed appeared to be spurious and generally were not significant (P less than 0.05) when data were adjusted for pretreatment differences among treated and control bulls. The treatment did not alter reproductive function of the bulls.

Administration, Oral↗