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Showing papers in "Fertility and Sterility in 1993"


Journal ArticleDOI
TL;DR: Men with varicocele was palpable in 35% (352/1,001) of men with primary infertility and 81% (79/98) men with secondary infertility.

579 citations



Journal ArticleDOI
TL;DR: Intracytoplasmic sperm injection and SUZI can successfully treat couples who fail IVF or who cannot benefit from IVF, and sperm morphology influenced the implantation rate of the embryos obtained with these two procedures.

318 citations


Journal ArticleDOI
TL;DR: Depressive symptoms are common in infertile women and psychological interventions aimed at reducing depressive symptoms need to be implemented, especially for women with a definitive diagnosis and for those with durations of 2 to 3 years of infertility.

273 citations


Journal ArticleDOI
TL;DR: In this article, the efficacy of goserelin versus a low-dose cyclic oral contraceptive (OC) in improving pelvic pain in women with endometriosis and to compare recurrence of symptoms during follow-up was evaluated.

272 citations


Journal ArticleDOI
TL;DR: Antibodies against endogenous hCG may not be responsible for habitual abortion in patients immunized with PhCG-tetanus toxoid conjugate.

261 citations


Journal ArticleDOI
TL;DR: In this paper, the authors evaluated the stromal vascularization of different appearances of peritoneal endometriosis, and found that the activity of endometrial cancer is related to the vascularity.

259 citations


Journal ArticleDOI
TL;DR: In this article, intact preantral follicles were isolated and cultured for up to 120 hours in a serum-free Dulbecco's modified Eagle's medium (GIBCO, Grand Island, NY) with ITS + (insulin, transferrin, selenium, linoleic acid, and bovine serum albumin) with or without FSH.

259 citations


Journal ArticleDOI
TL;DR: In this article, the prevalence of hyperhomocysteinemia in women with unexplained recurrent early pregnancy loss was found to be more than two times greater compared with the nulliparous subjects (33% and 14%, respectively).

255 citations


Journal ArticleDOI
TL;DR: In this paper, the expression of insulin and growth factor I (IGF-I) receptor and insulin receptor transcripts were analyzed by Northern blot and showed that both insulin and IGF-I receptor genes are expressed and that insulin and insulin can stimulate steroid production in human thecal cells.

224 citations


Journal ArticleDOI
TL;DR: Patients with endometriosis treated with GnRH-a are highly likely to suffer a recurrence of their disease, particularly if their disease is severe at the outset.

Journal ArticleDOI
TL;DR: It is shown that although the twisted adnexa appears ischemic-hemorrhagic, it can safely be revived by detorsion with preservation of ovarian function and a new "adnexal-sparing" approach should be applied instead of the traditional salpingo-oophorectomy in young women with twisted ischems.

Journal ArticleDOI
TL;DR: Oocyte donation, through the use of oocytes from young normal women and an increased level of P replacement to aging recipients, corrects both of these defects in oocyte quality and uterine receptivity.

Journal ArticleDOI
TL;DR: Ovulation suppression is an ineffective treatment for endometriosis-associated infertility and well-designed trials of laparoscopic ablation deserve a high priority.

Journal ArticleDOI
TL;DR: The study demonstrates that transvaginal ultrasonography has an efficiency of 88% in differentiating endometriomas from other ovarian masses with a specificity of 90%.

Journal ArticleDOI
TL;DR: The similar fertilization and cleavage rates obtained in groups A and B suggest that pre-hCG elevation in plasma P does not lead to decreased oocyte quality, and the lower PR observed when plasma P rises prematurely suggests that the prolonged but discrete elevation in Plasma P occurring in these cases might alter endometrium receptivity to embryo implantation.

Journal ArticleDOI
TL;DR: A moderate dose of estrogen appears to increase insulin sensitivity but higher doses may attenuate this benefit and progestins may cause a decrease in insulin sensitivity.

Journal ArticleDOI
TL;DR: These data indicate that erectile function and sexual activity and feelings are restored by relatively low T levels, which may help explain why some partially hypogonadal men continue to have normal sexual function and the absence of good correlation between serum T levels in the normal range and sexual function.

Journal ArticleDOI
TL;DR: Measurement of seminal leukocytes in routine semen analysis appears to be of little prognostic value with regard to male fertilizing potential, and the term "immunologic male infertility" should be redefined.

Journal ArticleDOI
TL;DR: Careful ultrasound evaluation of such pregnancies for monochorionicity is strongly recommended, both for planning of prenatal care and when considering a multifetal pregnancy reduction procedure.

Journal ArticleDOI
TL;DR: Endometrial thickness the day of hCG administration is prognostic of fecundity and continuing pregnancy in cycles of ovulation induction, and endometrial pattern was unrelated to pregnancy.

Journal ArticleDOI
TL;DR: In this paper, the presence of angiogenic factors in peritoneal fluid (PF) and follicular fluid (FF) was investigated in 48 women with or without endometriosis.

Journal ArticleDOI
TL;DR: Data support the hypotheses that a two-factor hypothesis of cryodamage applies to human spermatozoa and that an interaction exists between cooling rate and warming rate and suggest that motility, plasma membrane integrity, and mitochondrial function are not differently affected by cooling and warming during cryopreservation.

Journal ArticleDOI
TL;DR: The superoxide anion scavenging capacity of seminal plasma was measured by inhibition of nitroblue tetrazolium reduction due to the superoxide generated by the combination Xanthine plus xanthine oxidase as mentioned in this paper.

Journal ArticleDOI
TL;DR: Embryo quality is influenced by the semen quality and especially by sperm head abnormalities, suggesting an important role of the male gamete on the early stages of embryogenesis.

Journal ArticleDOI
TL;DR: These data demonstrated, for the first time, the presence of T3 and T4 in human FF and the presence and binding of antithyroid hormone antibodies in human granulosa cells and suggest a role for thyroid hormone in the regulation of human GCs.

Journal ArticleDOI
TL;DR: By reviewing the literature it appears that LH exhibits an important role in the development of the growing follicle and maturation of the oocyte, and it seems that hypersecretion of LH during the follicular phase implies adverse effects on the fertility process.

Journal ArticleDOI
TL;DR: Suggestive but inconclusive data in the literature indicate that degenerating endometrial tissue may release a biochemical factor(s) into the peritoneal environment that is capable of inducing ectopic endometrium formation.

Journal ArticleDOI
TL;DR: It is concluded that although severe postovum retrieval complications are rare, one has to be aware of their occurrence with the aim of accurate diagnosis and prompt intervention.

Journal ArticleDOI
TL;DR: The cumulative proportions of women who became pregnant and gave birth, subdivided according to previous obstetric history, were calculated by the product limit method and compared using the log rank test.