TREATMENT BY ASSISTED CONCEPTION OF SEVERE MALE FACTOR INFERTILITY DUE TO SPINAL-CORD INJURY OR OTHER NEUROLOGIC IMPAIRMENT

被引:26
作者
BRACKETT, NL
ABAE, M
PADRON, OF
LYNNE, CM
机构
[1] The Miami Project to Cure Paralysis, University of Miami School of Medicine, Miami, 33136, Florida, 1600 N.W. 10th Avenue
[2] Center for Advanced Reproductive Endocrinology, Plantation, Florida
[3] Department of Urology, University of Miami School of Medicine, Miami, Florida
关键词
ELECTROEJACULATION; SPINAL CORD INJURY; IUI; IVF; GIFT;
D O I
10.1007/BF02211801
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Purpose: This retrospective study evaluated the pregnancy rates of 23 couples with male factor infertility due to traumatic spinal cord injury (N = 21), multiple sclerosis( N = 1) or transverse myelitis (N = 1). Methods: Ovulation induction by clomiphene citrate or gonadotropins was used in combination with intrauterine insemination as an initial approach for assisted conception in all but one couple. Results: Six pregnancies occurred in 60 cycles of intrauterine insemination (mean of 2.6 cycles). In this group, the cumulative pregnancy rate was 26%, Six couples who failed after a total of 33 intrauterine insemination cycles (mean of 5.5 cycles), and 1 couple with no previous intrauterine insemination cycles, initiated 10 cycles of in vitro fertilization (mean of 1.4 cycles). In this group, five pregnancies occurred. The pregnancy rare was 71%. Conclusion: We conclude that ovulation induction in combination with intrauterine insemination offers an effective initial therapy of seve e male factor infertility due to spinal cord injury.
引用
收藏
页码:210 / 216
页数:7
相关论文
共 20 条
  • [1] SL, Fine PR, Spinal Cord Injury: The Facts and Figures, (1986)
  • [2] Bors E., Comarr A.E., Neurological disturbances of sexual function with special reference to 529 patients with spinal cord injury, Urol Surv, 10, pp. 191-222, (1960)
  • [3] Bennett C.J., Seager S.W., Vasher E.A., McGuire E.J., Sexual dysfunction and electroejaculation in spinal cord injury: Review, J Urol, 139, (1988)
  • [4] Brackett N.L., Lynne C.M., Weizman, Bloch W.E., Abae M., Endocrine profiles and semen quality of spinal cord injured males, J Urol, 151, pp. 114-119, (1994)
  • [5] Perkash I., Martin D.E., Warner H., Blank, Collins D.C., Reproductive biology of paraplegics: Results of semen collection, testicular biopsy and serum hormone evaluation, J Urol, 44, pp. 284-287, (1988)
  • [6] Denil J., Ohl D.A., Menge A.C., Keller L.M., McCabe M., Functional characteristics of sperm obtained by electroejaculation, J Urol, 147, pp. 69-72, (1992)
  • [7] Russell J.K., Artificial insemination (husband) in the management of childlessness, Lancet, 2, pp. 1223-1225, (1960)
  • [8] Barwin B.N., Intrauterine insemination of husband semen, J Reprod Fertil, 36, pp. 101-105, (1974)
  • [9] Dicket R.P., Olar T.T., Taylor S.N., Curole M.D., Rye P.H., Relationship of follicle number of other factors to fecundability and multiple pregnancy in clomiphene citrate-induced intrauterine insemination cycles, Fertil Steril, 57, pp. 613-619, (1992)
  • [10] Kemmann E., Bohrer M., Shelden R., Fiasconaro G., Beardsly L., Active ovulation management increases the monthly probability of pregnancy occurrence in ovulatory women who receive intrauterine insemination, Fertil Steril, 48, pp. 916-920, (1987)