A 32 year old female presented with a history of 2 miscarriages at 6 weeks of pregnancy followed by 10 years of infertility. A bilateral wedge resection for polycystic ovaries had been carried out 8 years ago and had resulted in regular periods. A post-surgical laparoscopy revealed a blocked left tube and a tortuous right tube with multiple adhesions, which were partially freed. An unsuccessful...

Assessment of embryo quality in order to choose the embryos that most likely result in pregnancy is the critical goal in assisted reproductive technologies (ART). The current trend in human in vitro fertilization/embryo transfer (IVF/ET) protocols is to decrease the rate of multiple pregnancies after multiple embryo transfer with maintaining the pregnancy rate at admissible levels (according to...

17 Introduction 18 Ovarian stimulation 20 In vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) 23 Immature sperm conception 25 Egg donation and surrogacy 28 Oocyte maturation 28 Embryo culture 30 Assisted hatching 31 Cryopreservation 32 Preimplantation genetic diagnosis (PGD) 34 Cytoplasmic donation and mitochondrial DNA (mDNA) transfer 37 Fertility preservation 39 Conclusion 41

BACKGROUND Irradiation is one of the major causes of induced sperm DNA damage. Various studies suggested a relation between sperm DNA damage and fertilization rate after intra-cytoplasmic sperm injection (ICSI). OBJECTIVE In this study, fertilization rate and premature chromosome condensation (PCC) formation after ICSI of hamster oocytes with irradiated sperms from normal and oligosperm indiv...

evidence suggests that human sperm chromatin anomalies adversely affect reproductive outcomes and infertile men possess substantially amount of sperm with chromatin anomalies than fertile men. routine semen analysis evaluates parameters such as sperm motility and morphology, but does not examine the nuclear dna integrity of spermatozoa. it has been suggested that altered nuclear chromatin struc...

Background: C-reactive protein (CRP) can be increased after hormonal stimulations. The changes of CRP might affect the success of in-vitro fertilization (IVF). Objective: The aim of this study was to determine the possible relationship between the serum CRP level and outcome of controlled ovarian stimulation, and pregnancy rate in patients undergoing IVF or intra cytoplasmic sperm injection (IC...

BACKGROUND Intracytoplasmic sperm injection (ICSI) is an advanced technique employed in assisted reproductive clinics for treatment of infertile couples. The reproductive endocrinologists try their level best to identify factors that enhance success rate after ICSI. OBJECTIVE To compare estradiol progesterone ratio on ovulation induction day amongst pregnancy outcome groups following ICSI. ...

OBJECTIVE To observe effect of peak estradiol (E2) levels on outcome after intra cytoplasmic sperm injection (ICSI). METHODS Quasi experimental design conducted in "Islamabad Clinic Serving Infertile Couples" from June 2010 till August 2011. Down regulation with mid luteal suppression of 564 females aged 18-41 years was done with gonadotrophin releasing hormone agonist followed by controlled ...

BACKGROUND Reducing the percentage of sperm anomalies in insemination samples remains a goal to be achieved in the intra-cytoplasmic sperm insemination (ICSI) procedure. The aim of this study was to evaluate the efficiency of density gradient centrifugation (DGC) and Zeta methods to recover sperm with intact chromatin, and to evaluate whether the combined DGC/Zeta procedure improved ICSI outcom...