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A comparison of the ovulation method with the CUE ovulation predictor in determining the fertile period.

The purpose of this study was to compare the CUE Ovulation Predictor with the ovulation method in determining the fertile period. Eleven regularly ovulating women measured their salivary and vaginal electrical resistance (ER) with the CUE, observed their cervical-vaginal mucus, and measured their urine for a luteinizing hormone (LH) surge on a daily basis. Data from 21 menstrual cycles showed no statistical difference (T = 0.33, p = 0.63) between the CUE fertile period, which ranged from 5 to 10 days (mean = 6.7 days, SD = 1.6), and the fertile period of the ovulation method, which ranged from 4 to 9 days (mean = 6.5 days, SD = 2.0). The CUE has potential as an adjunctive device in the learning and use of natural family planning methods.

Adult↗

Practical aspects of the estimation of the time of ovulation and of insemination in the bitch.

The aims of this study were to assess the precision of the estimates of the time of ovulation derived by various methods, and to define the most appropriate methods for the determination of the optimal time for insemination of bitches with fresh semen (artificial insemination or natural mating), or with frozen-thawed semen. In 11 Labrador bitches, ovulation was estimated (plasma LH surge + 48 h) to occur 9 to 20 d after the start of the cycle, 0 to +4 d after the onset of positive postural reflexes (2 bitches showed no positive postural reflexes), -4 to +7 d after reaching a vaginal cytological eosinophilic index (EI) of 100%, over a range of 2.5 to 5.5 d based on plasma progesterone concentrations of 4 to 10 ng/ml, over a range of 2 to 3 or 4 d based on 2 indirect methods of estimating the time of the plasma LH surge from plasma progesterone concentrations. Assuming fertilisation occurs 2 to 3 d after ovulation, these findings indicate that for fresh semen (with an estimated lifespan of greater than 4 days) an appropriate procedure would be to inseminate/mate on the day after the onset of positive postural reflexes; then 3 days later. For bitches not showing positive postural reflexes, insemination should occur when the vaginal EI = 90% and then each 3 d until day 1 of dioestrus (D1). For frozen-thawed semen (with a lifespan of less than 24 h) insemination should occur 4 to 5 d after the plasma LH surge.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Problems in using basal body temperature recordings in an infertility clinic.

Basal body temperature recordings are extensively used to diagnose and treat infertility, but too great an emphasis on the interpretation of these charts might be counter-productive in managing these patients. Several gynaecologists who use temperature charts clinically were asked to score 60 charts taken from a selection of normal and infertile women, and their results were compared with those obtained by a group of non-experts. Since the full hormonal profiles had been obtained for each of the 60 charts the accuracy of the predictions could be assessed. About 80% of the temperature charts were correctly interpreted by both groups as being either ovulatory or anovulatory but the day of ovulation was predicted correctly for only about 34% of the charts. When the charts were examined retrospectively the thermal nadir was found to coincide with the luteinising hormone surge in 43% of the charts from normal subjects but in only 25% of those from the infertile patients. Predicting the day of ovulation from the temperature recording, particularly in infertile women, is clearly unjustified.

Basal Metabolism↗

Automation and limitation of 17 beta oestradiol dehydrogenase in monitoring ovarian function.

An automated enzymatic assay which measures combined concentrations of urinary oestrone and oestradiol within 15 minutes of hydrolysis has been developed using placental 17 beta oestradiol dehydrogenase. This assay is comparable to radioimmunoassay in its precision and sensitivity and is quicker, more convenient, and more economical. The 17 beta oestradiol dehydrogenase assay was used to monitor ovarian response in infertile women being treated through stimulated ovarian cycles or in vitro fertilisation programmes. Because the assay did not respond to oestriol it was less reliable than total urinary oestrogens in monitoring ovarian responses, particularly during treatment with drugs which enhanced oestriol excretion. In natural ovulatory cycles rising 17 beta oestradiol dehydrogenase values preceded peak luteotropin concentrations by up to 18 hours and improved detection of ovulation. The 17 beta oestradiol dehydrogenase assay processes large numbers of urine samples quickly and economically and enables accurate monitoring of oocyte maturity and ovulation.

17-Hydroxysteroid Dehydrogenases↗

Control of oestrus and ovulation in peri-pubertal gilts with allyltrenbolone or a combination of natural gonadotrophins.

One-hundred-and-twenty large white X landrace gilts were allocated at random to one of three treatment groups. Treatment A gilts were given an orally active progestogen, allyltrenbolone (Regumate; Hoechst UK) once daily for 18 days from 185 days of age. Treatment B gilts were given a subcutaneous injection of gonadotrophins (400 iu pregnant mare's serum gonadotrophin, 200 iu human chorionic gonadotrophin). (PG600; Intervet Laboratories) at 203 days of age. Treatment C gilts received no exogenous hormones. All the gilts were housed in groups of 10 from 153 days of age, and up to 203 days of age were isolated from boars. From 203 days each group of 10 gilts was subdivided into two groups of five, a boar was accommodated in a pen adjacent to each group of five and daily contact with it was allowed for one hour. Eight gilts in treatment A, five gilts in treatment B and seven gilts in treatment C failed to exhibit oestrus before 233 days of age (P greater than 0.05). The intervals from exposure to the boar to the onset of oestrus for treatments A, B and C were 8.5, 5.5 and 11.0 days respectively (P less than 0.001). Gonadotrophin treatment significantly reduced the time taken by gilts to show oestrus and the variability within the group was significantly less than that in the other two groups. There were no significant differences between the groups in the mean size of their litters.

Animals↗

Circadian rhythm changes in core temperature over the menstrual cycle: method for noninvasive monitoring.

The purpose of this study was to determine whether core temperature (T(c)) telemetry could be used in ambulatory women to track changes in the circadian T(c) rhythm during different phases of the menstrual cycle and, more specifically, to detect impending ovulation. T(c) was measured in four women who ingested a series of disposable temperature sensors. Data were collected each minute for 2-7 days and analyzed in 36-h segments by automated cosinor analysis to determine the mesor (mean temperature), amplitude, period, acrophase (time of peak temperature), and predicted circadian minimum core temperature (T(c-min)) for each cycle. The T(c) mesor was higher (P < or = 0.001) in the luteal (L) phase (37.39 +/-0.13 degrees C) and lower in the preovulatory (P) phase (36.91 +/-0.11 degrees C) compared with the follicular (F) phase (37.08 +/-0.13 degrees C). The predicted T(c-min) was also greater in L (37.06 +/- 0.14 degrees C) than in menses (M; 36.69 +/- 0.13 degrees C), F (36. 6 +/- 0.16 degrees C), and P (36.38 +/- 0.08 degrees C) (P < or = 0. 0001). During P, the predicted T(c-min) was significantly decreased compared with M and F (P < or = 0.0001). The amplitude of the T(c) rhythm was significantly reduced in L compared with all other phases (P < or = 0.005). Neither the period nor acrophase was affected by menstrual cycle phase in ambulatory subjects. The use of an ingestible temperature sensor in conjunction with fast and accurate cosinor analysis provides a noninvasive method to mark menstrual phases, including the critical preovulatory period.

Adult↗

Fimbrio-ovarian relationship in unexplained infertility.

INTRODUCTION: The role of defective fimbrio-ovarian relation in cases of unexplained infertility has not been extensively studied. The aim of the study was to assess the role of fimbrio-ovarian relation as an investigative modality in women with unexplained infertility. We also aimed to evaluate the efficacy of superovulation and freeing the fimbria-ovarica in increasing the conception rate of women with unexplained infertility. MATERIALS AND METHODS: This was a prospective study where out of 80 infertile couples, 19 women with unexplained infertility were recruited as study group. Fifteen fertile women were recruited as control group. During laparoscopy the length of the fimbria-ovarica and the ovulation border was measured. The fimbrio-ovarian accessibility test was demonstrated by holding the tubal fimbria by a non-traumatizing grasper and their ability to reach or cover the ovulation site. The freeing of the fimbria-ovarica was done, if its length was less than 2 cm. All cases were given ovulation induction for consecutive six cycles and were followed up to document any conception. RESULTS: The mean length of the fimbria-ovarica was significantly less in patients with unexplained infertility (2.5 +/- 0.6 vs. 3.55 +/- 0.8 cm). The mean length of the ovulation border was not significantly different in cases and controls (2.95 +/- 0.6 vs. 3.55 +/- 0.5 cm). The fimbrio-ovarian accessibility test was positive in 6 (31.5%) cases and in 14 (93%) controls. The fimbrio-ovarian accessibility test was negative in 13 (68.4%) cases and in 1 (7%) control. Out of the 13 cases with negative FOAT, 7 had fimbrial length less than 2 cm and in whom the freeing of fimbria-ovarica was done because of severe resistance during stretching. Out of 7 patients in whom freeing of fimbria-ovarica was done 3 conceived (42.8%). Out of the 12 patients who got only ovulation induction 3 conceived (25%). CONCLUSION: Fimbrio-ovarian accessibility test appears to be a promising investigative modality to assess ovarian pick-up in patients with unexplained infertility. Correcting fimbrio-ovarian relation (freeing short fimbria-ovarica) improves pregnancy rate in women with unexplained infertility.

Adult↗

Longitudinal studies of luteal function by salivary progesterone determinations.

A 'normal range' for salivary progesterone concentrations has been established using data derived from women who were menstruating regularly and in whom dating of the cycle by accepted criteria was possible. Since these values are in agreement with those in the first 9 days of conception cycles and with those in cycles in which ovulation was confirmed by ultrasonography, they provide a reliable index of progesterone output compatible with fertility. Measurement of daily salivary progesterone values in subfertile women for time spans exceeding 3 months allowed accurate assessment of base-line ovarian activity and of the response to ovulation-induction therapy. Salivary sampling, by allowing collection of frequent samples with a minimum of time, stress and inconvenience, is ideally suited to longitudinal studies of ovarian activity. This sampling regimen is also applicable to the monitoring of progesterone output throughout pregnancy.

Adolescent↗