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Allerstorfer C, Reiter E, Shebl O, Oppelt P, Reid AM, Schimetta W, Binder H, Beckmann MW. Influence of basic knowledge about female health, physiology, and contraception on unintended pregnancies: an international multicenter survey among women in Austria, Germany and Switzerland. Arch Gynecol Obstet 2024:10.1007/s00404-024-07441-1. [PMID: 38436720 DOI: 10.1007/s00404-024-07441-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Accepted: 02/07/2024] [Indexed: 03/05/2024]
Affiliation(s)
- Christina Allerstorfer
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, 4040, Linz, Austria.
| | - Elisabeth Reiter
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, 4040, Linz, Austria
| | - Omar Shebl
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, 4040, Linz, Austria
| | - Peter Oppelt
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, 4040, Linz, Austria
- Faculty of Medicine, Johannes Kepler University Linz, Linz, Austria
| | | | - Wolfgang Schimetta
- Department of Applied Systems Research and Statistics, Johannes Kepler University Linz, Linz, Austria
| | - Helge Binder
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, 4040, Linz, Austria
- Department of Obstetrics and Gynecology, Friedrich Alexander University of Erlangen-Nuremberg (FAU), Erlangen, Germany
| | - Matthias W Beckmann
- Department of Obstetrics and Gynecology, Friedrich Alexander University of Erlangen-Nuremberg (FAU), Erlangen, Germany
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Shebl O, Trautner PS, Enengl S, Reiter E, Allerstorfer C, Rechberger T, Oppelt P, Ebner T. Ionophore application for artificial oocyte activation and its potential effect on morphokinetics: a sibling oocyte study. J Assist Reprod Genet 2021; 38:3125-3133. [PMID: 34642877 PMCID: PMC8666403 DOI: 10.1007/s10815-021-02338-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 10/01/2021] [Indexed: 12/19/2022] Open
Abstract
PURPOSE To evaluate whether ionophore application at the oocyte stage changes the morphokinetics of the associated embryos in cases of artificial oocyte activation. METHODS In a prospective sibling oocyte approach, 78 ICSI patients with suspected fertilization problems had half of their MII-oocytes treated with a ready-to-use ionophore (calcimycin) immediately following ICSI (study group). Untreated ICSI eggs served as the control group. Primary analyses focused on morphokinetic behavior and the presence of irregular cleavages. The rates of fertilization, utilization, pregnancy, and live birth rate were also evaluated. RESULTS Ionophore-treated oocytes showed a significantly earlier formation of pronuclei (t2PNa) and a better synchronized third cell cycle (s3) (P < .05). The rate of irregular cleavage was unaffected (P > .05). Ionophore treatment significantly improved the overall rates of fertilization (P < .01) and blastocyst utilization (P < .05). CONCLUSION Ionophore application does not negatively affect cleavage timing nor is it associated with irregular cleavage.
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Affiliation(s)
- Omar Shebl
- Department of Gynecology, Obstetrics, and Gynecological Endocrinology, Kepler University Hospital, MedCampus IV, Krankenhausstr. 26-30, A-4020, Linz, Upper Austria, Austria
| | - Philip Sebastian Trautner
- Department of Gynecology, Obstetrics, and Gynecological Endocrinology, Kepler University Hospital, MedCampus IV, Krankenhausstr. 26-30, A-4020, Linz, Upper Austria, Austria
| | - Sabine Enengl
- Department of Gynecology, Obstetrics, and Gynecological Endocrinology, Kepler University Hospital, MedCampus IV, Krankenhausstr. 26-30, A-4020, Linz, Upper Austria, Austria
| | - Elisabeth Reiter
- Department of Gynecology, Obstetrics, and Gynecological Endocrinology, Kepler University Hospital, MedCampus IV, Krankenhausstr. 26-30, A-4020, Linz, Upper Austria, Austria
| | - Christina Allerstorfer
- Department of Gynecology, Obstetrics, and Gynecological Endocrinology, Kepler University Hospital, MedCampus IV, Krankenhausstr. 26-30, A-4020, Linz, Upper Austria, Austria
| | - Tamara Rechberger
- Department of Gynecology, Obstetrics, and Gynecological Endocrinology, Kepler University Hospital, MedCampus IV, Krankenhausstr. 26-30, A-4020, Linz, Upper Austria, Austria
| | - Peter Oppelt
- Department of Gynecology, Obstetrics, and Gynecological Endocrinology, Kepler University Hospital, MedCampus IV, Krankenhausstr. 26-30, A-4020, Linz, Upper Austria, Austria
| | - Thomas Ebner
- Department of Gynecology, Obstetrics, and Gynecological Endocrinology, Kepler University Hospital, MedCampus IV, Krankenhausstr. 26-30, A-4020, Linz, Upper Austria, Austria.
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Enzelsberger SH, Allerstorfer C, Mayer R, Oppelt P. Geburtenregister für tiefinfiltrierende Endometriose – weltweite Erfassung von Entbindungsdaten von Patientinnen mit tiefinfiltrierender Endometriose. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- S.-H Enzelsberger
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie
| | - C Allerstorfer
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie
| | - R.B Mayer
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie
| | - P Oppelt
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie
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Enzelsberger SH, Allerstorfer C, Mayer RB, Oppelt P. Geburtenregister für tiefinfiltrierende Endometriose – weltweite Erfassung von Entbindungsdaten von Patientinnen mit tiefinfiltrierender Endometriose (operiert/nicht operiert). Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1713191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- S-H Enzelsberger
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie, Linz, Österreich
| | - C Allerstorfer
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie, Linz, Österreich
| | - R B Mayer
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie, Linz, Österreich
| | - P Oppelt
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie, Linz, Österreich
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Altmann R, Allerstorfer C, Scharnreitner I, Arzt W. Typical changes of ethmocephaly and holoprosencephaly in a fetus at 14 weeks of gestation. Case Reports in Perinatal Medicine 2019. [DOI: 10.1515/crpm-2018-0042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Background
This case report is to show the details of the face of a very rare ethmocephaly at 14 weeks of gestation.
Case presentation
After the regular transabdominal two-dimensional (2D) scan for nuchal translucency we could describe the following malformations: holoprosencephaly, proboscis and an abnormal face, omphalocele containing bowel, hyperechoic kidneys and megacystis. In addition, we acquired transvaginal three-dimensional (3D) ultrasound volume blocks of the fetal head, scanned with different insonation angles and stored them for later analysis. Using the multiplanar mode the volume blocks taken from the front show all details of the face: proboscis, hypotelorism, microphthalmia, cleft palate, accelerated development of the frontal bones and premature closure of the metopic suture. The volume blocks taken through the squamosal suture show all details of the fossa posterior and brain: fused thalami surrounded by the typical monoventricle, normal brain stem, elongation of anterior membranous area. Render mode shows a precise 3D image of the face. To better demonstrate the changes of the fetal face a post-mortem photo of the fetal face is included.
Conclusion
This case report can demonstarte the typical changes of ethmocephaly in the first trimester using transvaginal 3D scan.
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Affiliation(s)
- Reinhard Altmann
- Department of Gynecology, Obstetrics and Gynecological Endocrinology , Kepler University Hospital , Johannes Kepler University Linz , Linz , Austria
- Department of Prenatal Medicine , Kepler University Hospital , Linz , Austria
| | - Christina Allerstorfer
- Department of Gynecology, Obstetrics and Gynecological Endocrinology , Kepler University Hospital , Johannes Kepler University Linz , Linz , Austria
| | - Iris Scharnreitner
- Department of Gynecology, Obstetrics and Gynecological Endocrinology , Kepler University Hospital , Johannes Kepler University Linz , Linz , Austria
- Department of Prenatal Medicine , Kepler University Hospital , Linz , Austria
| | - Wolfgang Arzt
- Department of Prenatal Medicine , Kepler University Hospital , Linz , Austria
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Mayer RB, Ebner T, Weiss C, Allerstorfer C, Altmann R, Oppelt P, Shebl O. The Role of Endometrial Volume and Endometrial and Subendometrial Vascularization Parameters in a Frozen Embryo Transfer Cycle. Reprod Sci 2018; 26:1013-1018. [PMID: 30419800 DOI: 10.1177/1933719118804421] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The role of three-dimensional power Doppler ultrasonography of the endometrium in assisted reproduction is still far from clear. In this retrospective cohort study, transvaginal three-dimensional power Doppler examinations were performed 30 min before frozen-thawed embryo transfer. After pregnancy tests, two cohorts were established: P (pregnant, n = 31) and NP (nonpregnant, n = 31). The study only included nullipara with no uterine abnormalities who were undergoing infertility treatment at the Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Linz, Austria. The main outcome measures were the vascularization flow index (VFI), flow index (FI), and vascularization index (VI) in the endometrium/subendometrium, assessed using Virtual Organ Computer-aided AnaLysis (VOCAL™), and the endometrial volume. A total of 62 patients were enrolled in the study, forming two cohorts (pregnant, P; nonpregnant, NP). There were no significant differences between the two cohorts with regard to demographic data, numbers of embryos transferred, or embryo grading, but there was a significant difference in endometrial volume (cohort P, 3.17 ± 0.84 mL; cohort NP, 2.36 ± 0.9 mL; P = 0.001) and the pregnancy rate rises with larger volume. No differences were observed in the vascularization parameters FI, VFI, and VI in the endometrium and subendometrium. In the cohort of pregnant patients, there were 26 (41.9%) live births, with 21 term deliveries (80.8%). The endometrial volume was larger in the cohort of pregnant patients. Measurements were performed 30 min before embryo transfer, and no differences were observed in vascularization parameters in the subendometrium and endometrium.
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Affiliation(s)
- Richard Bernhard Mayer
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, Linz, 4040, Austria.
| | - Thomas Ebner
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, Linz, 4040, Austria
| | - Christoph Weiss
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, Linz, 4040, Austria
| | - Christina Allerstorfer
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, Linz, 4040, Austria
| | - Reinhard Altmann
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, Linz, 4040, Austria
| | - Peter Oppelt
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, Linz, 4040, Austria
| | - Omar Shebl
- Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, Linz, 4040, Austria
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Allerstorfer C, Reiter E, Shebl O, Binder H, Oppelt P. Umfrage zur Erhebung des Zusammenhanges zwischen dem Wissensstand zum Thema „Verhütung, sexuelle Gesundheit und Vorgänge im weiblichen Körper“ und ungeplanten Schwangerschaften sowie dem soziodemographischen Status. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- C Allerstorfer
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Linz, Österreich
| | - E Reiter
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Linz, Österreich
| | - O Shebl
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Linz, Österreich
| | - H Binder
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Linz, Österreich
| | - P Oppelt
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Linz, Österreich
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Mayer R, Enengl S, Oppelt P, Shebl O, Allerstorfer C, Weiss C. Hat die Geburtseinleitung mit Misodel bei Patientinnen älter als 35 Jahre einen negativen Einfluss auf das fetale Outcome. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- R Mayer
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Gynäkologie, Geburtshilfe und Gynäkologische Endokrinologie, Linz, Österreich
| | - S Enengl
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Gynäkologie, Geburtshilfe und Gynäkologische Endokrinologie, Linz, Österreich
| | - P Oppelt
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Gynäkologie, Geburtshilfe und Gynäkologische Endokrinologie, Linz, Österreich
| | - O Shebl
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Gynäkologie, Geburtshilfe und Gynäkologische Endokrinologie, Linz, Österreich
| | - C Allerstorfer
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Gynäkologie, Geburtshilfe und Gynäkologische Endokrinologie, Linz, Österreich
| | - C Weiss
- Kepler Universitätsklinikum, Johannes Kepler Universität Linz, Gynäkologie, Geburtshilfe und Gynäkologische Endokrinologie, Linz, Österreich
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Allerstorfer C, Reiter E, Mayer RB, Shebl O, Oppelt P. Delivery after operation for deeply infiltrating endometriosis. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- C Allerstorfer
- Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
| | - E Reiter
- Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
| | - RB Mayer
- Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
| | - O Shebl
- Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
| | - P Oppelt
- Kepler Universitätsklinikum, Johannes Kepler Universität, Linz, Österreich
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Enzelsberger SH, Trautner P, Allerstorfer C, Oppelt P. Evaluierung von prädiktiven Faktoren für eine erfolgreiche medikamentöse Einleitung bei Missed Abortion mit Mifepriston und Misoprostol – Eine explorative retrospektive Datenanalyse. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- SH Enzelsberger
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie, Linz, Österreich
| | - P Trautner
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie, Linz, Österreich
| | - C Allerstorfer
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie, Linz, Österreich
| | - P Oppelt
- Kepler Universitätsklinikum, Universitätsklinik für Gynäkologie, Geburtshilfe und Gyn. Endokrinologie, Linz, Österreich
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Allerstorfer C, Dörfler D, Radler E, Schimetta W, Shebl O, Oppelt P. Umfrage zum Einfluss von soziodemographischen Faktoren auf den Wissensstand von Männern zum Thema „Verhütung, sexuelle Gesundheit und Vorgänge im weiblichen Körper“. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1602281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- C Allerstorfer
- Universitätsklinik für Gynäkologie, Geburtshilfe und gyn. Endokrinologie, MedCampus IV, Kepler Universitätsklinikum Linz
| | - D Dörfler
- Universitätsklinik für Gynäkologie, Geburtshilfe und gyn. Endokrinologie, MedCampus IV, Kepler Universitätsklinikum Linz
| | - E Radler
- Universitätsklinik für Gynäkologie, Geburtshilfe und gyn. Endokrinologie, MedCampus IV, Kepler Universitätsklinikum Linz
| | - W Schimetta
- Universitätsklinik für Gynäkologie, Geburtshilfe und gyn. Endokrinologie, MedCampus IV, Kepler Universitätsklinikum Linz
| | - O Shebl
- Universitätsklinik für Gynäkologie, Geburtshilfe und gyn. Endokrinologie, MedCampus IV, Kepler Universitätsklinikum Linz
| | - P Oppelt
- Universitätsklinik für Gynäkologie, Geburtshilfe und gyn. Endokrinologie, MedCampus IV, Kepler Universitätsklinikum Linz
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Radler E, Allerstorfer C, Mayer RB, Ebner T, Oppelt P, Shebl O. Endometriose als Einflussfaktor bei Transfer kryokonservierter Embryonen. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Mayer R, Shebl O, Oppelt P, Weiss C, Allerstorfer C, Ebner T. 3-D Sonografie des Endometriums in der assistierten Reproduktionsmedizin. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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