Ovarian Endocrinology

Oct 7, 2017 by in GYNECOLOGY Comments Off on Ovarian Endocrinology

Fig. 1.1 Schematic of GnRH synthesis. A, Representation of prepro-GnRH, including a 23-amino acid signal sequence, GnRH, a proteolytic processing site (Gly-Lys-Arg), and GnRH-associated peptide (GAP). The arrow indicates the site…

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Immature Oocyte Retrieval for IVM Treatment

Oct 7, 2017 by in GYNECOLOGY Comments Off on Immature Oocyte Retrieval for IVM Treatment

Fig. 24.1 IVM protocols at IVF Osaka Clinic. Fresh or frozen IVM are applied depending on the thickness of endometrium on the day of HCG administration Appropriate Timing for Retrieval Although…

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Accessible Infertility Care: From Dream to Reality

Oct 7, 2017 by in GYNECOLOGY Comments Off on Accessible Infertility Care: From Dream to Reality

Fig. 20.1 Proposed flowchart for the TWE diagnostic clinic (T WE The Walking Egg, FAM Fertility awareness methods, IUI Intrauterine insemination, NC Natural cycle, COH Controlled ovarian hyperstimulation, TI Timed intercourse,…

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Follicular Development and Oocyte Growth

Oct 7, 2017 by in GYNECOLOGY Comments Off on Follicular Development and Oocyte Growth

Fig. 2.1 The structures of different follicles and its development are shown in a clockwise direction proceeding from the primordial follicle to pre-ovulatory follicle as well from ovulating to corpus luteum…

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Natural Cycle IVF with Spontaneous LH Surge

Oct 7, 2017 by in GYNECOLOGY Comments Off on Natural Cycle IVF with Spontaneous LH Surge

Unsolved problems Possible solutions Advantages/drawbacks Uncontrolled LH surge Flexible scheduling Very challenging GnRH antagonists Additional cost, inefficient? Low-dose clomiphene Endometrial effect? Premature ovulation NSAIDs Cheap, efficient Empty follicle Follicular flushing…

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Minimal Stimulation for IVF with Clomiphene Citrate

Oct 7, 2017 by in GYNECOLOGY Comments Off on Minimal Stimulation for IVF with Clomiphene Citrate

Fig. 14.1 Protocol for minimal stimulation and natural cycle IVF. GnRHa GnRH agonist, OR oocyte retrieval, ET embryo transfer, Cryo cryopreservation Method for Determining the Oocyte Retrieval Period After confirming follicular…

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