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A comparative analysis of the cycle fecundity rates associated with combined human menopausal gonadotropin (hMG) and intrauterine insemination (IUI) versus either hMG or IUI alone.

Human menopausal gonadotropin (hMG) superovulation combined with washed intrauterine insemination (IUI) has been advocated for the treatment of various forms of infertility when more traditional therapy has failed. To assess the relative efficacy of combined treatment with hMG and IUI compared with either hMG or IUI alone, pregnancy outcomes of the three treatment groups were compared in couples having infertility because of male factor, cervical factor, endometriosis, or unexplained. A total of 751 cycles were analyzed from 322 couples. The mean cycle fecundity rate associated with hMG/IUI therapy was significantly higher than either hMG or IUI therapy alone for all patients (hMG/IUI = 19.6%, hMG = 6.3%, IUI = 3.4%). The improvement in cycle fecundity rates with hMG/IUI therapy was also observed when the couples were separated by infertility diagnostic groups: male factor (hMG/IUI = 15.3%, hMG = 4.4%, IUI = 3.0%), cervical factor (hMG/IUI = 26.3%, hMG = 7.9%, IUI = 5.1%), endometriosis (hMG/IUI = 12.85%, hMG = 6.6%), and unexplained infertility (hMG/IUI = 32.6%, hMG = 5.5%, IUI = 0%). Moreover, in patients who had failed to conceive with hMG or IUI alone, the cycle fecundity rate when they were switched to hMG/IUI therapy equaled that of patients who received combined therapy from the onset. We conclude that cycle fecundity rates and cumulative pregnancy rates are significantly greater using a combination of hMG and IUI compared with either modality alone in the treatment of male factor, cervical factor, endometriosis, or unexplained infertility. Indeed, in couples with nontubal related infertility, cycle fecundity rates with hMG/IUI approach the rates seen with in vitro fertilization and gamete intrafallopian tube transfer.

Endometriosis↗

Projections of impaired fecundity among women in the United States: 1995 to 2020.

OBJECTIVE: To determine the number of women aged 15 to 44 years with impaired fecundity every 5 years from 1995 to 2020. DESIGN: Data are used from cycle IV of the National Survey of Family Growth conducted by the National Center for Health Statistics. Population projections prepared by the U.S. Census Bureau are used for the expected population base for 1995 to 2020. Prospective demographic projection analysis is used to estimate the number of women with impaired fecundity. PARTICIPANTS: The National Survey of Family Growth interviewed 8,450 women aged 15 to 44 years as of March 15, 1988. MAIN OUTCOME MEASURE: Number of women with impaired fecundity. RESULTS: The number of women with impaired fecundity may drop from 5.1 million in 1995 to 4.7 million in 2015 and then rise to 4.8 to 5.9 million in 2020. CONCLUSION: The age structure of the population will cause the absolute number of women with impaired fecundity in the United States to increase slowly, if at all, over the next 25 years.

Adolescent↗

The mortality and fecundity of Haemonchus contortus in parasite-naive and parasite-exposed sheep following single experimental infections.

Parasite-exposed lambs and their parasite-naive controls were experimentally infected once only with 30,000 H. contortus larvae at 3, 9, 12, and 20 weeks following termination of a moderate immunizing infection of 30,000 H. contortus larvae. Previously exposed lambs, challenged at 3 weeks, had a significant reduction in the total H. contortus worm burden as compared to parasite-naive controls. No difference in the total H. contortus worm burden was found between parasite-exposed or parasite-naive lambs challenged at 9 weeks or thereafter. Female worms were found to be significantly smaller in lambs previously exposed to the parasite as compared to those found in parasite-naive lambs. The average parasite fecundity was 4700 eggs per female worm per day. Previous exposure of the lambs to the parasite had no effect on parasite fecundity. Various mathematical models were used to examine parasite fecundity. Parasite fecundity was found to increase in the initial post-challenge period reaching a constant value approximately 58 days after challenge infection. No density-dependent constraints on fecundity were observed.

Animals↗

Declining fecundity and ovarian ageing in natural fertility populations.

Worldwide, human fertility declines with increasing maternal age, after contraceptive-use patterns and behavioral factors are taken into consideration. Here, we summarize some of our theoretical and empirical work examining the biological factors contributing to this age pattern of fertility. We undertook an 11 month prospective endocrinological study in a natural fertility (non-contracepting) population (rural Bangladesh) to estimate the contributions of fetal loss and fecundability (the probability of conception) to declining fecundity with age. Prospective interviews and urine samples for pregnancy tests were collected twice weekly from up to 700 women. These data were used to test mathematical models of the underlying biological processes contributing to changing fecundability and fetal loss risk with maternal age. The results indicate that much of the decline in fecundity can be attributed to an increasing risk of fetal loss with maternal age. Much of this fetal loss is due to chromosomal abnormalities--a result of ageing oocytes. Fecundability, on the other hand, does not begin to decline until the early 40s. We hypothesize that this is also a result of ageing at the ovarian level, namely follicular atresia, in the years just prior to menopause. The irregularity of menstrual cycles--longer cycles and increasingly variable hormonal patterns--at these ages may be a direct result of the small and rapidly dwindling remaining pool of follicles. We present a simple mathematical model of this process, and some preliminary laboratory results that support the model.

Adult↗

The influence of malaria parasite genetic diversity and anaemia on mosquito feeding and fecundity.

Studies of invertebrate-parasite interactions frequently report that infection reduces host fecundity. The extent of the reduction is likely to be determined by a wide range of host and parasite factors. We conducted a laboratory experiment to evaluate the role of parasite genetics and infection genetic diversity on the fecundity of mosquitoes carrying malaria parasites. The malaria vector Anopheles stephensi was infected with either of 2 different genotypes of the rodent malaria parasite Plasmodium chabaudi, or by a mixture of both. Mixed genotype infections reduced mosquito fecundity by 20%, significantly more than either of the 2 single genotype infections. Mixed genotype infections were associated with high gametocyte densities and anaemia in mice, both of which were correlated with reduced bloodmeal size in mosquitoes. Bloodmeal size was the most important predictor of mosquito fecundity; the presence and number of parasites had no direct effect. Parasite density influenced the propensity of mosquitoes to feed on infected mice, with a higher percentage of mosquitoes taking a meal as asexual parasite and gametocyte density increased. Thus mosquitoes may preferentially feed on hosts who will most impair their fecundity.

Anemia↗

Regulation of nematode fecundity in the ring-necked pheasant (Phasianus colchicus): not just density dependence.

Patterns of nematode fecundity were investigated for infections of the caecal worm Heterakis gallinarum in the ring-necked pheasant (Phasianus colchicus). Worm length was a good predictor of parasite fecundity. After controlling for worm length no other factors, including parasite intensity, were related to worm fecundity. Density dependence in worm size was detected in natural infections at parasite intensities above a threshold of 96 worms (worm size decreased with increasing parasite intensity). However, below this threshold, worm size actually decreased with decreasing parasite intensity (inverse density dependence). The interaction between density dependence and inverse density dependence in regulating the development and subsequent fecundity of H. gallinarum worms in ring-necked pheasants was demonstrated in an infection experiment. Density dependence was observed in the stunted growth of worms in heavily infected hosts, relative to worms in lightly infected hosts. Inverse density dependence in worm size was the common pattern across hosts by the end of the experiment, when parasite intensities were below the density dependence threshold. This is the first study to document both density dependence and inverse density dependence in parasite fecundity in the same host-helminth system.

Animals↗

Inbreeding depression in fecundity and inbred line extinction in the bulb mite, Rhizoglyphus robini.

This study investigated the magnitude of inbreeding depression in fecundity, and whether the depression is purged during six generations of sib mating in the bulb mite, Rhizoglyphus robini. The progeny resulting from a single generation of brother-sister mating suffered significant inbreeding depression in fecundity. During the following six generations of continuous sib-mating, 58% lines were lost, 45% because of sterility and 13% because of preadult mortality. The lines were then outcrossed, and their inbreeding depression compared with that of the base population. The inbreeding depression for the outcrossed population was 0.15, and for the base population 0.19, but the difference was not significant. The lack of significant purging of inbreeding depression indicates that it was caused either by detrimental genes of small effect, or by the breaking down of overdominant relations between alleles. However, the large proportion of extinct lines points to the former mechanism as a predominant cause of inbreeding depression. Theory predicts that the probability of line extinction with inbreeding increases with its load of mutations. If phenotypic variation in fecundity was partly because of differences in numbers of mutations carried by individuals, the fecundity of the line founder could be expected to correlate with the probability that the line derived from it will survive long-term inbreeding. Indeed, fecundity of founder females was significantly associated with line survival, which suggests that line extinction rate may be used as a method to study individual mutational loads, for example, in studies of sexual selection.

Animals↗

What fecundity patterns indicate about aging and longevity: insights from Drosophila studies.

The age pattern of fecundity is represented as a result of a superposition of two processes: the genetic fecundity program encoded in the organism's reproductive machinery and senescence of the reproductive system. Accumulation of oxidative damage produces the energy decline, which could potentially be used in reproduction. As a result, the age-declining process arises in the reproductive machinery at a critical age. We show that this mechanism is common for different species. It establishes a connection between the decline of organism vitality and reproductive senescence. We suggest a parametric description of a fecundity pattern that allows for prediction of reproductive longevity. We apply the approach to Drosophila studies to analyze the relation between fecundity and survival. We show that fecundity patterns may predict a mean life span in Drosophila under specified environmental conditions.

Aging↗

Is fecundability associated with month of birth? An analysis of 19th and early 20th century family reconstitution data from The Netherlands.

The relationship between fecundability and month of birth was investigated in a cohort of 1526 women who married between 1802 and 1929, using only women whose first marriage occurred before the age of 35 years. On the basis of their time to pregnancy (TTP, calculated as time between wedding and first birth minus gestational length), women were categorized into two groups: fecunds (TTP up to 12 months or prenuptial conceptions, n = 1348) and subfecunds (TTP >18 months, n = 118). By use of logistic regression, cosinor functions with a period of 1 year or 6 months and variable shift and amplitude were fitted through the monthly odds of subfecunds versus fecunds. The best fitting curve was unimodal, with a zenith in September (P = 0.13 for H0: no differences). Exclusion of childless women (n = 36, minimum follow-up 5 years) from the subfecunds led to a similar curve (P < 0.01), while childless women, as compared with fecunds, showed a birth distribution that was best represented with a bimodal curve with zeniths in January and July (P = 0.06). This study provides evidence for the existence of differences in fecundability by month of birth. The cause of this relationship is unclear, but may lie in a melatonin-dependent circannual variability of the quality of the oocyte.

Female↗

Fecundability according to male serum inhibin B--a prospective study among first pregnancy planners.

BACKGROUND: New biological markers of male fecundity are needed for use in large-scale epidemiological studies. We studied the association between male inhibin B and fecundability. METHODS: Four hundred and thirty Danish couples without previous reproductive experience were followed from termination of contraception until pregnancy or for a maximum of six menstrual cycles. At enrolment we obtained semen samples (n = 418) and blood samples to measure reproductive hormones, including inhibin B (n = 343). RESULTS: The fecundability odds ratio for an increment of male inhibin B by 1 log pg/ml was 1.428 (95% confidence interval 1.022-1.994), adjusted for factors influencing the crude estimate. Only inhibin B values below 100 pg/ml were strongly related to fecundability. We designed a receiver operating characteristic curve based on the 29 males with serum inhibin B #100 pg/ml. The area under the curve (AUC) for inhibin B was 0.787 and the corresponding AUCs for sperm density and FSH were 0.913 and 0.800, respectively. CONCLUSION: Serum inhibin B may be a reliable marker of male fecundity for epidemiological research and may have some advantages over sperm density. Our findings do not support the replacement of sperm density by male inhibin B when obtaining sperm data is an option.

Adult↗

Fecundity and oviposition in laboratory colonies of the screwworm fly (Diptera: Calliphoridae).

The screwworm fly is mass-produced using an artificial larval diet and an artificial oviposition substrate. On the artificial diet, mean fecundity was 185 eggs per female, whereas host-reared flies averaged 280 eggs per female. Host-reared flies were generally larger (head capsule width [HCW] > 3.6 mm) than laboratory-reared flies (HCW < 3.6 mm). Larger flies are generally more fecund, and size is related to larval nutrition. Only 75-89% of females reared on artificial diet and maintained at 30 degrees C were gravid at 6 d of age compared with 100% of host-reared females tested at 5-6 d. When gravid females were offered artificial substrate for oviposition, approximately 28% failed to oviposit and another 11% laid only partial clutches. Among all females tested for oviposition, 25% of the total egg production was withheld. Fecundity influenced oviposition, because the more mature eggs a female had, the more likely she was to oviposit. Supplementing the adult diet of honey and water with raw meat increased fecundity by 14% under normal laboratory conditions, but by as much as 350% in flies in which larval feeding was curtailed by removal of the larvae from the media 1 d before the normal completion of development. Many females became gravid in 4-5 d at 30 degrees C versus 8-9 d at 22 degrees C. But fecundity and oviposition rate were more variable (less synchronous) in colonies maintained at the higher temperature. This suggests that there may be greater selection for laboratory adaptation at the higher maintenance temperatures.

Animals↗

Strong association between a single gene and fertilization efficiency of males and fecundity of their mates in the bulb mite.

Although variation in male fertilization efficiency has been shown to have a genetic basis in several species, the genes responsible for the effect are generally unknown. Here, we show a strong association between the fertilization success of males and their phosphogluconate dehydrogenase (Pgdh) genotype in the bulb mite Rhizoglyphus robini. Males homozygous for the slow (S) allele fathered a significantly greater proportion of offspring when competing with males homozygous for the fast (F) allele. There was no evidence that female fecundity was influenced by their Pgdh genotype. The fecundity of FF females did not differ significantly from the fecundity of SS females but female fecundity was significantly influenced by the genotype of their mate. Females paired with SS males laid significantly fewer eggs than females paired with FF males. Altogether these data show a trade-off, with the male SS genotype associated with their higher fertilization efficiency but at the cost of a negative impact on the fecundity of females mating with them.

Animals↗

Is survivorship a better fitness surrogate than fecundity?

Although fitness depends on both survivorship and fecundity, we tend to assume fecundity relates to fitness more directly than survivorship. In fact, several recent ecological studies suggest fitness depends more heavily on annual survivorship than annual fecundity for most taxa with lifespans longer than one year. These studies review elasticities of transition matrices for a broad range of taxa. Elasticities covary monotonically with selection gradients for demographic rates and are identical to selection gradients for traits rescaled to have mean values of zero and variance of one. For all taxa except semelparous perennial plants, adult survivorship has consistently higher elasticity than other suites of demographic rates. Fecundity only rarely has the highest elasticity. Thus, differences in yearly survival affect fitness disproportionately more than differences in yearly fecundity, even in many exponentially growing populations. This pattern reinforces the importance of interpreting the contribution of vital rates to fitness in the context of life history and population dynamics.

Animals↗

Measuring fecundity with standardised estimates of expected pregnancies.

Approaches to measuring fecundity include the assessment of time to pregnancy and day-specific probabilities of conception (daily fecundities) indexed to a day of ovulation. In this paper, we develop an additional approach of calculating expected pregnancies based on daily fecundities indexed to the last day of the menstrual cycle. Expected pregnancies can thus be calculated while controlling for frequency and timing of coitus. Comparing observed pregnancies with expected pregnancies allows for a standardised comparison of fecundity between studies or groups within studies, and can be used to assess the effects of categorical covariates on the woman or couple level, and also on the cycle level. This can be accomplished in a minimal data set that does not necessarily require hormonal measurement or the explicit identification of ovulation. We demonstrate this approach by examining the effects of age and parity on fecundity in a data set from women monitoring their fertility cycles with the Creighton Model FertilityCare System.

Biomarkers↗

Evolution of late-life fecundity in Drosophila melanogaster.

Late-life fecundity has been shown to plateau at late ages in Drosophila analogously to late-life mortality rates. In this study, we test an evolutionary theory of late life based on the declining force of natural selection that can explain the occurrence of these late-life plateaus in Drosophila. We also examine the viability of eggs laid by late-age females and test a population genetic mechanism that may be involved in the evolution of late-life fecundity: antagonistic pleiotropy. Together these experiments demonstrate that (i) fecundity plateaus at late ages, (ii) plateaus evolve according to the age at which the force of natural selection acting on fecundity reaches zero, (iii) eggs laid by females in late life are viable and (iv) antagonistic pleiotropy is involved in the evolution of late-life fecundity. This study further supports the evolutionary theory of late life based on the age-specific force of natural selection.

Aging↗

Effects of alcohol on blastocyst implantation and fecundity in the rat.

The effects of alcohol on blastocyst implantation and fecundity were determined. Pregnant rats (insemination = day 1) received vehicle only (water), or alcohol (2 or 4 g/kg body weight) daily by feeding tube on days 1-4 and the time of implantation determined on day 5 or fecundity assessed on day 19. Implantation sites were rendered visible by the blue-reaction; fecundity was expressed as the ratio of live fetuses to total implantations. The time course of blastocyst implantation was advanced by alcohol (2 g/kg dose). At 1000 hr, 1.9 vs. 0.9 blastocysts had implanted in treated vs. controls. By 1200 hr, 66 vs. 17% of blastocysts had implanted and by 1500 hr 90 vs. 52% had implanted in the 2 g/kg dose group vs. controls. Blastocyst implantation was not consistently advanced by the 4 g/kg dose of alcohol. The total number of blastocysts ultimately implanting did not differ between groups (control: 7.0 +/- 0.9; 2 g: 7.3 +/- 0.9; 4 g: 7.1 +/- 0.5 sites/cornu at 1800 hr). Fecundity did not differ markedly between control and the 2 g/kg dose group (97 vs. 96%, respectively), but was reduced in the 4 g/kg dose group (58%). The results indicate that daily administration of alcohol (2 g/kg body weight) during the preimplantation period (days 1-4) advances the time course of blastocyst implantation without reducing fecundity.

Alcohol Drinking↗

The influence of male and female body size on copulation duration and fecundity in Drosophila melanogaster.

We studied two components of the mating system, copulation duration and early fecundity, in relation to body size in Drosophila melanogaster. Body size variation was created experimentally by varying the degree of crowding (starvation) among larvae from an inbred strain, keeping the genetics and temperature as constant as possible. Hence, in contrast to most previous studies, where genetic and environmental variation have been confounded, we aimed at investigating how much pure phenotypic variation could influence copulation duration and early fecundity. It is shown that copulation duration and fecundity both strongly dependent on female body size, but either not or much less so on male body size. Small females mate faster than medium or large females and small females have the lowest fecundity. Among males, medium-size males are more fecund than smaller or larger males, resulting in stabilising selection for intermediate male size. These results are in contrast with previous findings.

Animals↗

Heterogeneity in fecundability studies: issues and modelling.

Modelization of fecundability stepped recently from demography and population-based contexts to reproductive biology and treatment of infertility. This created a strong call for flexibility and robustness. Indeed, explained and unexplained heterogeneities are non-negligible sources of bias that result in false conclusions as to the determinants of fertility or to the success rates of reproductive techniques, among other examples. There are two main sources of heterogeneity: biological heterogeneity and heterogeneity of sexual behaviour. A uniform presentation of time-to-pregnancy and Barrett-Marshall models is proposed to enlighten their similarities and differences in modelling heterogeneity of fecundability. Mixed models for fecundability studies are presented as tools to allow for unexplained heterogeneity and to quantify heterogeneity of the effect of observed factors and variability of size of this unexplained heterogeneity between subpopulations. Some criteria for the modelling strategy in fecundability studies are suggested with emphasis on the unit-treatment additivity criterion. The strong and complex selection process resulting from heterogeneity is described as well as the selection and cross-selection processes of observed and unobserved fecundability factors. Consequences regarding data collection and statistical inference are discussed. In the current context, a consensus setting general rules for data collection and statistical analysis would be useful to compare the results and increase the reliability of these results in medical practice.

Female↗