[Male subfertility and conventional in vitro fertilization in Germany 1990 to 1993].

Abstract:

:A retrospective study was carried out to compare the results of in vitro fertilisation (IVF) in 20936 patients with different sperm parameters who underwent IVF in Germany between 1990 and 1993. The study was designed to evaluate prognostic factors for IVF outcome, such as sperm parameters and pre-treatment diagnosis. The percentage of subfertile sperm parameters ( < 10 millions sperm per ml and/or < 30% progressive mobility and/or < 30% normal morphology) increased from 31.4% in 1990 to 51.1% in 1993. The fertilisation rate per puncture varied between 87.9% in patients with normozoospermia and 38.7% in patients with severe oligo-astheno-teratozoospermia (OAT). The fertilisation rate in patients with tubal indication was significantly higher than in patients with male indication and comparable spermatozoa. The pregnancy rate per embryo transfer was 23% in patients with normozoospermia and 13.8% in patients with "severe OAT syndrome" in the IVF semen parameters. On the other hand, patients with male sterility as pre-treatment diagnosis showed significantly higher chances of pregnancy than patients with a tubal factor (24% versus 20%, p < 0.05). Comparing percoll and swim-up preparation techniques, we found significantly higher fertilisation rates in normozoospermia and significantly higher pregnancy rates in subfertile patients after percoll sperm preparation. The results of the study demonstrated that patients with moderate subfertile sperm parameters have good chances of fertilisation and pregnancy following conventional IVE. It seems reasonable to set the boundary at a sperm count of 10 millions sperm/ml with 30% progressive motility and 30% normal morphology. Below these limits intracytoplasmic sperm injection shows better IVF outcome.

authors

Tandler-Schneider A,Haeske-Seeberg H,Seeberg B,Schmiady H,Kentenich H

doi

10.1055/s-2007-1022280

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

139-45

issue

3

eissn

0016-5751

issn

1438-8804

journal_volume

56

pub_type

杂志文章
  • [Postoperative changes of plasma amino acids following abdominal and vaginal hysterectomy].

    abstract::This study on the metabolism of amino-acids following gynaecological operations confirms, that abdominal and vaginal hysterectomies cause a so-called post-aggression metabolism. The majority of the aminograms showed changes in the metabolism of nitrogen. The aminograms were carried out by the Stein-Moore chromatograph...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1037065

    authors: Behrendt W

    更新日期:1983-02-01 00:00:00

  • The Prognostic Impact of Grading in FIGO IB and IIB Squamous Cell Cervical Carcinomas.

    abstract::Background Tumor grade is one of the more controversial factors, and the data regarding its prognostic impact in squamous cell carcinoma (SCC) of the uterine cervix are controversial. Methods The histological slides of 467 surgically treated FIGO stage IB1 to IIB cervical SCC were re-examined regarding the prognostic ...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/a-0828-7681

    authors: Brambs CE,Höhn AK,Hentschel B,Fischer U,Bilek K,Horn LC

    更新日期:2019-02-01 00:00:00

  • [Psychological problems in heterologous insemination].

    abstract::Heterologous insemination is being established in increasing numbers in Anglo-Saxon, middle and north European countries, although some medical, legal and theological-ethical aspects are still not settled. Our experiences with this type of sterilisation in regard to marriage stability and psycho-physical development o...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Gigon U,Staub R

    更新日期:1975-01-01 00:00:00

  • [Christian Gerhard Leopold (1846-1911)].

    abstract::Christian Gerhard Leopold was one of the outstanding German gynaecologists at the turn of this century. Although interested in the entire discipline of obstetrics and gynaecology including related areas, he is merely known today for his obstetrical manoeuvres. Under his chairmanship, the Dresden Royal Gynaecological I...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 传,历史文章,杂志文章

    doi:10.1055/s-2007-1023756

    authors: Ulrich U

    更新日期:1992-05-01 00:00:00

  • [Urological investigation in women with stress incontinence prior and following anterior colporrhaphy and in control patients (author's transl)].

    abstract::The pre-operative and post-operative findings in 56 patients with urinary stress incontinence are compared amongst each other and with the result of 24 continent control patients. The 56 patients were selected prospectively. The urethral closure pressure with stress and the stress quotient in urethral cystometry are s...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1036786

    authors: Voigt R,Voigt P

    更新日期:1982-05-01 00:00:00

  • [Early detection of breast cancer in relation to patient and physician characteristics].

    abstract::Higher participation rates of women in regular examination for early cancer detection (Krebsfrüherkennungsuntersuchung, KFU) are expected to improve the effectiveness of breast cancer screening. In the Federal Republic of Germany the law guaranties yearly examination. The detection of early stages is also intended to ...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1026411

    authors: Biefang S

    更新日期:1988-10-01 00:00:00

  • [Androgens and other hormones in buserelin therapy].

    abstract::23 women of reproductive age were treated with Buserelin nose-spray for endometriosis, which had been diagnosed by laparoscopic and bioptic methods. The treatment period was 6 months. Various hormones in serum were determined after 2, 4, 8, 12, 16, 20 and 24 weeks during treatment. LH, E2, prolactin, progesterone, and...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2007-1023690

    authors: Fuchs U,Zwirner M

    更新日期:1991-02-01 00:00:00

  • [Improving diagnosis of blood supply of breast tumors by echo-contrast media].

    abstract::Doppler blood flow measurements allow differentiation of malignant lesions, that are characterised by an abnormal vascularity. The accuracy of this method is limited due to the physiological flow variation in normal breast parenchyma and in tumours. Magnetic resonance imaging in combination with contrast agents can al...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2007-1023741

    authors: Madjar H,Prömpeler H,Schürmann R,Göppinger A,Breckwoldt M,Pfleiderer A

    更新日期:1993-12-01 00:00:00

  • Twenty-five-year-old Woman with Bilateral Borderline Ovarian Tumour Desiring to Preserve Fertility - Case Report and Literature Review on the Current State of Fertility Preservation in Women with Borderline Ovarian Tumours.

    abstract::Borderline ovarian tumours are semimalignant tumours occurring unilaterally or bilaterally with a peak incidence among women of reproductive age. Since the affected women often wish to preserve fertility, particular precautions must be taken when counselling the patient and obtaining consent prior to planning an indiv...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-0042-109267

    authors: Findeklee S,Lotz L,Heusinger K,Hoffmann I,Dittrich R,Beckmann MW

    更新日期:2016-11-01 00:00:00

  • [Incidence of the risk factors age and obesity in patients with endometrial hyperplasia].

    abstract::This investigation pursued the question of how many patients with precancerous endometrial hyperplasia were not recommended for screening programs solely because of the lack of risk factors. The median age of precancerous hyperplasia patients in Erlangen is 54, 8 years before the median age for endometrial carcinoma. ...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Schneider ML

    更新日期:1986-06-01 00:00:00

  • Risk Factors for Chemotherapy-Associated Venous Thromboses in Gynaecological Oncology Patients.

    abstract::Introduction Venous thromboses and their consequences are among the main causes of death in patients with tumour diseases. The objective of this study is the analysis of risk factors and the evaluation of the applicability of two risk scores in a purely gynaecological oncology patient collective. The identification of...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/a-0834-6468

    authors: Nezi-Cahn S,Sicking I,Almstedt K,Battista M,Heimes AS,Krajnak S,Steetskamp J,Hasenburg A,Schmidt M

    更新日期:2019-10-01 00:00:00

  • [Active immunotherapy of habitual abortion: is the danger greater than the therapeutic gain?].

    abstract::Active immunotherapy is widely employed in the treatment of patients with habitual abortion, but it is comparable to the transfusion of blood or blood components with respect to possible complications such as undesirable immune responses and the possibility of transmitting infectious diseases. In fact, immunization wi...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1026255

    authors: Marzusch K,Mayer G,Dietl J

    更新日期:1991-12-01 00:00:00

  • HLA-J, a Non-Pseudogene as a New Prognostic Marker for Therapy Response and Survival in Breast Cancer.

    abstract::The human leukocyte antigen (HLA) genes are cell-surface proteins, essential for immune cell interaction. HLA-G is known for their high immunosuppressive effect and its potential as predictive marker in breast cancer. However, nothing is known about the HLA-J and its immunosuppressive, prognostic and predictive featur...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/a-1128-6664

    authors: Würfel FM,Wirtz RM,Winterhalter C,Taffurelli M,Santini D,Mandrioli A,Veltrup E,Rübner M,Fasching PA,Würfel W,Zamagni C

    更新日期:2020-11-01 00:00:00

  • [Gynecological and endocrinological studies of thalidomide-damaged girls].

    abstract::Gynaecological examinations were done for the first time in 32 girls, between age 13 and age 18 damaged by thalidomide. 11 of the girls had primary amenorrhoea at the time of examination. 9 of these cases showed genital malformations. 7 cases showed aplasia of the uterus. A rudimentary uterus and a hypo-plastic uterus...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1036884

    authors: Mühlenstedt D,Schwarz M

    更新日期:1984-04-01 00:00:00

  • [The significance of prenatal diagnosis of twins (author's transl)].

    abstract::By means of ultrasound and fetal electrocardiography the diagnosis of twin pregnancies can be made prenatally without any reservation; the diagnosis is even possible in the first half of pregnancy. Comparative analysis of two approximately equal collectives of in all 602 twin pregnancies--1,45% of all births in the ye...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Bolte A,Zippel HH,Berendes R,Meyer V

    更新日期:1978-04-01 00:00:00

  • [Successful pregnancy after kidney transplantation and cyclosporin A].

    abstract::A 21-year-old patient is described who, with a kidney transplant and immunosuppressive treatment with Cyclosporin A, successfully concluded pregnancy. Effective immunosuppression is especially important during pregnancy with its increased risk of transplant rejection. Aside from conventional substances such as azathio...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1036189

    authors: Grischke E,Kaufmann M,Dreikorn K,Linderkamp O,Kubli F

    更新日期:1986-03-01 00:00:00

  • [Effectiveness of intravesical administration of lidocaine gel in females with urge and urge incontinence].

    abstract::In a prospective study, 31 unselected patients with urge or urge incontinence, where previous treatment had been unsuccessful, were given repeated instillations of Lidocain gel for 11 days. Detailed histories were obtained by questionnaire both before instituting and after termination of the therapy. A cystourethroton...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1026539

    authors: Gassner K,Briel RC

    更新日期:1988-08-01 00:00:00

  • [Intrauterine fetal death in acute toxoplasmosis infection].

    abstract::This is a report on a rare incident of an intrauterine foetal death with toxoplasmosis in the 25th week of pregnancy. The diagnosis could be made serologically as well as pathologically. The issues connected with serological screening for toxoplasmosis are discussed on the basis of this case. ...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2007-1022334

    authors: Lagemann A,Wienegge C

    更新日期:1994-09-01 00:00:00

  • [Endometrioid carcinoma of the spinal canal (author's transl)].

    abstract::A woman, born in 1923, suffered since menarche of pain of the vertebra and has had a headache during menstrual periods. 1963 she developed a transverse lesion of the cord with an incomplete paraplegia because of an endometriosis externa of spinal canal. After a 12 years symptomless interval, she complained again of a ...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Richter K

    更新日期:1977-09-01 00:00:00

  • [Significance of 17-hydroxyprogesterone for the diagnosis of ovulation].

    abstract::In 30 sterility patients with normal course of the cycle, 17 OHP already rises significantly one day before the LH-peak. It influences not only progesterone and E2 but also hypothalamic opiate activity and LHRH and LH secretion. 17 OHP is on the one hand discussed as a further trigger for the LH peak and is on the oth...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1035886

    authors: Schurz B,Binder K,Huber J,Spona J

    更新日期:1987-09-01 00:00:00

  • [Documentation of the surgical report with graphic statistical data analysis--a simplification of daily routine work].

    abstract::A data collection system on microcomputer connected with an automatic medical report system for operations, was developed to facilitate both medical report as well as documentation. Linking different commercial software products by use of a Pascal programme, we were able to speed up daily routine work as well as estab...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1026352

    authors: Schramm W,Wierrani F,Grünberger W

    更新日期:1990-09-01 00:00:00

  • [Chemotherapy for Hodgkin's disease during pregnancy--a case report].

    abstract::Based on a case report of a 19-year-old woman with Hodgkin's disease in pregnancy and on several casuistic communications and comparative studies from the literature the problems of cytostatic therapy in pregnancy are discussed. The following conclusions may be drawn: Cytostatic therapy in varying combination seems no...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1036632

    authors: Wiesner-Bornstein R,Niesen M,Grobe-Einsler R,Schulte-Holtey M

    更新日期:1983-06-01 00:00:00

  • [Improved implantation rate following embryo transfer in an in vitro fertilization program].

    abstract::In spite of the efforts made in in-vitro fertilization and embryo transfer in recent years, little progress has so far been made with regard to the pregnancy rate. While embryo transfer rates of over 80% are now being attained, the pregnancy rate achieved with extracorporal fertilization in the majority of study group...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1035974

    authors: Diedrich K,Krebs D,Al-Hasani S,van der Ven H,Pless V

    更新日期:1986-11-01 00:00:00

  • [Duffy-blood-factor incompatibility during pregnancy (author's transl)].

    abstract::Routine screening of maternal antibodies showed presence of anti-Fya (from the antigen Fya of Duffy Blood Group System) in a 25 years old second time pregnant woman. The spectroscopic examination of amniotic fluid has been carried out and gave values which decrease within Zone II. In the beginning of 39. week of gesta...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Sachs H,Müller K

    更新日期:1977-07-01 00:00:00

  • [The relationship of maternal obesity, excessive weight gain in pregnancy and pre-eclampsia].

    abstract::The records of 2,671 pregnancies were reviewed regarding maternal obesity, excessive weight gain in pregnancy and pre-eclampsia. Pre-eclampsia is significantly more frequent in maternal obesity. Correlation between excessive weight gain in pregnancy and pre-eclampsia is only found for the signs of edema and hypertensi...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Höhn N,Junge S

    更新日期:1979-12-01 00:00:00

  • [Intramyometrial PGF2 alpha administration in the control of severe atonic postpartum hemorrhage].

    abstract::The authors report on five cases of massive atonic uterine haemorrhage which could be influenced neither by repeated application of oxytocin nor by methylergometrin. Intramyometrial application of PGF2 alpha succeeded in inducing a satisfactory uterine tone and stopping the haemorrhage. With regard to own experiences ...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1026501

    authors: Meinen K,Lange R,Breinl H

    更新日期:1988-04-01 00:00:00

  • [Singleton breech deliveries in the obstetric departments of a rural area (author's transl)].

    abstract::The management of singleton breech deliveries in a referral hospital of an exclusively rural area is described. Since many cases are referred during labour after an attempted domiciliary delivery a primary vaginal delivery with extended indications for Caesarean Section is the general plan of management. Between 1971 ...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Picha E

    更新日期:1977-08-01 00:00:00

  • [Unusual findings in gynecological surgery I. Case report of a retroperitoneal myoma (author's transl)].

    abstract::A 65 year old woman, who had vaginal hysterectomy 24 years ago, was admitted to the hospital because of a lower abdominal tumor. When laparotomy was performed a retroperitoneal myoma with a weight of 1,8 kg and 22 cm in diameter was found. ...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1037345

    authors: Schwanitz V,Distler W

    更新日期:1980-04-01 00:00:00

  • [The activity of L-cystine-aminopeptidase (oxytocinase) in the serum of pregnant women during intravenous application of oxytocin (author's transl)].

    abstract::The oxytocinase levels have been tested prior to, during and after oxytocin challenge tests in 42 pregnant women. There was no relation between labour and the activity of the enzyme. There was no change in the activity during and after oxytocin infusion. Repeated challenge tests did not change these results. The use o...

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:

    authors: Schumann K,Fährmann M

    更新日期:1978-12-01 00:00:00

  • [Descriptive epidemiology and prognosis of malignant gynecologic tumors].

    abstract::Based on data from the Saarland (W. Germany) Cancer Registry, epidemiology and prognosis of gynaecological malignancies is presented for the period 1971-1985. Breast cancer is the most frequent gynaecological tumour followed by tumours of the uterus (cervix + corpus). This is in accordance with worldwide observations....

    journal_title:Geburtshilfe und Frauenheilkunde

    pub_type: 杂志文章

    doi:10.1055/s-2008-1035842

    authors: Kolles H,Stegmaier C,von Seebach HB,Ziegler H

    更新日期:1989-06-01 00:00:00