1
|
Peng H, Yuan B, Mao J, Wang J, Luo S. Efficacy of Letrozole Combined with Urinary Gonadotropin for Ovulation Induction in Endocrine Abnormal Infertility Patients: A Retrospective Single-Center, Case-Control Study. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:5363754. [PMID: 35860181 PMCID: PMC9293500 DOI: 10.1155/2022/5363754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 06/01/2022] [Accepted: 06/24/2022] [Indexed: 12/04/2022]
Abstract
Aims To ask lots of questions and try to find the truth about the medicine-based effectiveness of letrozole (LE) combined with human menopausal gonadotropin (HMG) in the treatment of inability to have children crops patients with endocrine (things that are different from what is usually expected and the effect on ovulation-related chemicals produced by the body). Materials and Methods A total of 160 unable to have children crops patients with endocrine things that are different from what is usually expected who were treated in our hospital from March 2019 to March 2022 were selected as the subjects of this look at how things were in the past study and were divided into instance of watching, making a statement group was treated with human menopausal gonadotropin on the basis of the control group. The differences in serum related to the process of making children, chemical produced by the body levels, ovarian function, and ovulation induction effect between the two groups were watched and compared. Results After treatment, LH, FSH, PRL, and E2 in the observation group were better than those in the control group. The ovarian volume, follicle size, follicle diameter, and endometrial thickness of the two groups of patients were significantly improved, and the observation group was better than the control group. Significance is P < 0.05. After treatment, the ovarian volume, follicle size, follicle diameter, and endometrial thickness in the two groups were significantly improved, and the observation group was better than the control group, and the difference was statistically significant (P < 0.05). The ovulation rate, pregnancy rate, singleton pregnancy rate, and multiple pregnancy rate of the observation group were higher than those of the control group, and the difference was statistically significant by the chi-square test (P < 0.05). Conclusion Letrozole can promote the improvement of sex hormones in infertile patients. After being combined with human menopausal gonadotropin treatment, the follicle development and ovulation of patients are significantly improved, and infertility is improved to a certain extent. It has a certain reference value in the clinical treatment of endocrine abnormal infertility.
Collapse
Affiliation(s)
- Hao Peng
- Department of Obstetrics and Gynecology, Huangshi Central Hospital, Affiliated Hospital of Hubei Polytechnic University, Edong Healthcare Group, Huangshi, 435000 Hubei Province, China
| | - Ben Yuan
- Department of Reproductive Medicine, Huangshi Central Hospital, Affiliated Hospital of Hubei Polytechnic University, Edong Healthcare Group, Huangshi, 435000 Hubei Province, China
| | - Junbiao Mao
- Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Wuhan University of Science and Technology, Wuhan, 430000 Hubei Province, China
| | - Junling Wang
- Department of Reproductive Medicine, Huangshi Central Hospital, Affiliated Hospital of Hubei Polytechnic University, Edong Healthcare Group, Huangshi, 435000 Hubei Province, China
| | - Shuhong Luo
- Department of Reproductive Medicine, Huangshi Central Hospital, Affiliated Hospital of Hubei Polytechnic University, Edong Healthcare Group, Huangshi, 435000 Hubei Province, China
| |
Collapse
|
2
|
Antunes BN, DA Costa D, DE Ataide MW, Moreira AV, Pedrotti LF, JÚnior FS, Nhoato CS, Stadler RA, Silva MAM, Brun MV. Coelioscopic-assisted prefemoral ovariosalpingectomy in a d`Orbigny slider (Trachemys dorbigni) using a digital otoscope. J Vet Med Sci 2020; 82:1802-1807. [PMID: 33071253 PMCID: PMC7804040 DOI: 10.1292/jvms.20-0243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The purpose of this study was to assess the unilateral prefemoral coelioscopic-assisted approach for ovariosalpingectomy in a d`Orbigny slider (Trachemys dorbigni) using a digital otoscope. Twenty healthy turtles were randomly assigned to one of two groups, for right (GR; n=10) or left (GL; n=10) prefemoral access, for coelioscopic-assisted ovariosalpingectomy. Anesthesia and surgery times, body weight, and ovary/oviduct weight data were recorded. Anesthesia and surgery times did not differ significantly between the groups. Wound closure was the most time-consuming surgical step. Ovary and body weights significantly affected the exposure time of the ipsilateral and contralateral ovaries, respectively. Two intraoperative complications were reported. All the animals recovered uneventfully. The digital otoscope can be safely and effectively used for coelioscopic-assisted single-access, unilateral prefemoral ovariosalpingectomy in d`Orbigny slider.
Collapse
Affiliation(s)
- Bernardo Nascimento Antunes
- Department of Small Animal Clinics, Center of Rural Science, Federal University of Santa Maria, Roraima Av., 1000, 97105-900, Camobi, Rio Grande do Sul State, Brazil
| | - Diego DA Costa
- Veterinery Hospital of Passo Fundo, University of Passo Fundo (UPF), BR 285, 99052-630, São José, Rio Grande do Sul State, Brazil
| | - Michelli Westphal DE Ataide
- Department of Small Animal Clinics, Center of Rural Science, Federal University of Santa Maria, Roraima Av., 1000, 97105-900, Camobi, Rio Grande do Sul State, Brazil.,Veterinery Hospital of Passo Fundo, University of Passo Fundo (UPF), BR 285, 99052-630, São José, Rio Grande do Sul State, Brazil
| | - Allana Valau Moreira
- Veterinery Hospital of Passo Fundo, University of Passo Fundo (UPF), BR 285, 99052-630, São José, Rio Grande do Sul State, Brazil
| | - Luis Fernando Pedrotti
- Department of Small Animal Clinics, Center of Rural Science, Federal University of Santa Maria, Roraima Av., 1000, 97105-900, Camobi, Rio Grande do Sul State, Brazil
| | - Francisco Schulz JÚnior
- Veterinery Hospital of Passo Fundo, University of Passo Fundo (UPF), BR 285, 99052-630, São José, Rio Grande do Sul State, Brazil
| | - Cassiano Schmitz Nhoato
- Veterinery Hospital of Passo Fundo, University of Passo Fundo (UPF), BR 285, 99052-630, São José, Rio Grande do Sul State, Brazil
| | - Renan Alves Stadler
- Gramado Zoo, RS 115, 95670-000, Várzea Grande, Rio Grande do Sul State, Brazil
| | | | - Maurício Veloso Brun
- Department of Small Animal Clinics, Center of Rural Science, Federal University of Santa Maria, Roraima Av., 1000, 97105-900, Camobi, Rio Grande do Sul State, Brazil
| |
Collapse
|
3
|
Bardi E, Antolini G, Lubian E, Bronzo V, Romussi S. Comparison of Lateral and Dorsal Recumbency during Endoscope-Assisted Oophorectomy in Mature Pond Sliders ( Trachemys scripta). Animals (Basel) 2020; 10:ani10091451. [PMID: 32825061 PMCID: PMC7552648 DOI: 10.3390/ani10091451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 08/08/2020] [Accepted: 08/17/2020] [Indexed: 11/16/2022] Open
Abstract
Simple Summary Ovariectomy via the prefemoral fossa, with or without endoscopic assistance, is a well-described technique for elective and therapeutic sterilization in chelonians. The choice between lateral and dorsal recumbency is generally left to the surgeon’s preference, with no data supporting an objective superiority of one over the other. In pond sliders, common pets but also an invasive alien species in Europe, we compared two different recumbencies (right lateral with a left fossa approach, and dorsal with a right fossa approach) regarding ease of access to the coelomic cavity, ease of identification of the ovary opposite to the surgical breach, first and second ovary removal times, and total surgical time. No significant difference was found between the two groups for any evaluated parameter. Endoscope-assisted prefemoral ovariectomy in mature pond sliders can be indifferently performed in lateral or dorsal recumbency, depending on the preference of the surgeon, on the animal’s pathophysiologic status, or on the necessity to perform concurrent procedures. Abstract Ovariectomy via the prefemoral fossa is a well-described technique for sterilization in chelonians. The choice between lateral and dorsal recumbency is generally left to the surgeon’s preference, with no data supporting an objective superiority of one over the other. Twenty-four sexually mature female pond sliders (Trachemys scripta) were enrolled for elective prefemoral endoscope-assisted oophorectomy, and were randomly divided in two groups: 12 animals were placed in right lateral recumbency with a left fossa approach (Group A), and 12 in dorsal recumbency with a right fossa approach (Group B). Scoring systems were applied to assess the ease of access to the coelomic cavity, and the ease of identification of the ovary opposite to the surgical incision. A negative correlation was found between the body weight of the animals and the ease of access to the coelom (p = 0.013), making the access easier in smaller animals. No significant difference was found between the two groups in terms of ease of access to the coelomic cavity, first ovary removal time, ease of identification of the second ovary, second ovary removal time, or total surgery time.
Collapse
Affiliation(s)
- Edoardo Bardi
- Department of Veterinary Medicine, University of Milan, via dell’Università 6, 26900 Lodi, Italy; (G.A.); (V.B.); (S.R.)
- Correspondence: ; Tel.: +39-38-9829-8365
| | - Giulia Antolini
- Department of Veterinary Medicine, University of Milan, via dell’Università 6, 26900 Lodi, Italy; (G.A.); (V.B.); (S.R.)
| | - Emanuele Lubian
- Veterinary Clinical and Husbandry Centre (CCVZS), University of Milan, via dell’Università 6, 26900 Lodi, Italy;
| | - Valerio Bronzo
- Department of Veterinary Medicine, University of Milan, via dell’Università 6, 26900 Lodi, Italy; (G.A.); (V.B.); (S.R.)
| | - Stefano Romussi
- Department of Veterinary Medicine, University of Milan, via dell’Università 6, 26900 Lodi, Italy; (G.A.); (V.B.); (S.R.)
| |
Collapse
|
4
|
Hatt JM, Kummrow M, Wenger S, Clauss M. Orchiectomy in Testudo species: technical aspects and effect on courtship behaviour. Vet Rec 2019; 184:555. [PMID: 30878949 DOI: 10.1136/vr.105095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 01/15/2019] [Accepted: 02/17/2019] [Indexed: 11/04/2022]
Abstract
Courtship behaviour of tortoises includes biting, ramming, chasing, same-sex sexual behaviour, and it commonly is excessive in European tortoise species kept as pets. As a result, males are kept individually. To assess the effect of orchiectomy on excessive courtship behaviour in European tortoises, 50 tortoises (Testudo graeca , T hermanni and T marginata ) underwent endoscopically assisted orchiectomy from April through September 2013 to 2017. Statistical analyses were performed in relation to species, body mass, testicular size and season and owners were invited to fill out a follow-up questionnaire. Body mass of the tortoises ranged from 334 to 2645 g (mean 1056 g) and the age from 5 to estimated 60 years. Testicular length ranged from 1.4 to 7.0 cm (mean 2.7 cm) and testicular mass from 0.6 to 12.6 g (mean 3.9 g). A complete or partial reduction (allowing group-housing) of the excessive courtship behaviour was noted by 95 per cent of owners and 59 per cent of the owners reported a noticeable change of behaviour within a month of surgery. Given the seasonal variation in testicular size, the best period for castrations in male European tortoises is shortly after brumation (April, May), when testes are proportionally smaller.
Collapse
Affiliation(s)
- Jean-Michel Hatt
- Clinic for Zoo Animals, Exotic Pets and Wildlife, University of Zurich, Zurich, Switzerland
| | - Maya Kummrow
- Clinic for Zoo Animals, Exotic Pets and Wildlife, University of Zurich, Zurich, Switzerland
| | | | - Marcus Clauss
- Clinic for Zoo Animals, Exotic Pets and Wildlife, University of Zurich, Zurich, Switzerland
| |
Collapse
|
5
|
Perry SM, Mitchell MA. Reproductive Medicine in Freshwater Turtles and Land Tortoises. Vet Clin North Am Exot Anim Pract 2017; 20:371-389. [PMID: 28169185 DOI: 10.1016/j.cvex.2016.11.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Chelonian reproductive medicine is an extremely important facet to ensuring captive populations for the pet trade and conservation efforts around the globe. This article covers basic chelonian reproductive anatomy and physiology, natural history, behavior, and sexing chelonians, in addition to discussing reproductive disorders that are commonly seen by veterinarians. Reproductive disorders covered include infertility, dystocia, follicular stasis, egg yolk coelomitis, phallus prolapse, and reproductive neoplasia. It is hoped that this information will allow clinicians to recognize, understand, and successfully treat reproductive disorders in chelonians, thus providing the best available care for our chelonian patients.
Collapse
Affiliation(s)
- Sean M Perry
- Department of Veterinary Clinical Sciences, Louisiana State University, School of Veterinary Medicine, Skip Bertman Drive, Baton Rouge, LA 70803, USA.
| | - Mark A Mitchell
- Department of Veterinary Clinical Sciences, Louisiana State University, School of Veterinary Medicine, Skip Bertman Drive, Baton Rouge, LA 70803, USA
| |
Collapse
|