Müllerian Agenesis: Diagnosis, Treatment, and Future Fertility

Abstract Background Testicular torsion is a urological emergency and needs urgent intervention to prevent testicular loss and impaired future fertility. It is commonly seen in the neonatal and adolescent age groups. Testicular torsion can also present outside these common age groups with uncommon symptoms and signs. We report case series of patients managed at Lily Hospitals Limited, Warri, Delta State, Nigeria with atypical presentation of testicular torsion. Case Presentation The first patient was a 35-year-old male that presented with recurrent right testicular pain of 1-year duration, described as dull aching with no constitutional symptoms, physical examination findings were not pathognomonic of testicular torsion, he had scrotal exploration with right orchidectomy and left orchidopexy. The second patient was a 39-year-old male who presented with recurrent right testicular pain of 4-days duration, described as dull aching with no constitutional symptoms. Physical examination findings were not classical for testicular torsion, he had scrotal exploration with bilateral orchidopexy. Conclusion Testicular torsion although common in neonatal and adolescent age groups can also present outside these age groups with uncommon symptoms and signs, a high index of suspicion is thus invaluable in any patient presenting with testicular pain despite the age and severity to avoid missing the diagnosis as this can lead to testicular loss.

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Successful pregnancy after localized resection of perforated uterus in choriocarcinoma and a literature review

International Journal of Gynecological Cancer ◽

10.1136/ijgc-00009577-200602001-00084 ◽

2006 ◽

Vol 16 (Suppl 1) ◽

pp. 445-448 ◽

Cited By ~ 4

Author(s):

N. Behtash ◽

S. Ansari ◽

F. Sarvi

Keyword(s):

Acute Abdominal Pain ◽

Young Patients ◽

Rare Event ◽

Myometrial Invasion ◽

Exploratory Laparotomy ◽

The Body ◽

Uterine Perforation ◽

Term Pregnancy ◽

Successful Pregnancy ◽

Future Fertility

Choriocarcinoma is an aggressive neoplasm arising in the body of the uterus. Rapid growth and myometrial invasion may be followed by uterine perforation. In this study, we present the cases of two young patients (18 and 19 years of age) with acute abdominal pain and shock, while they were under chemotherapy due to persistent trophoblastic disease. During emergent exploratory laparotomy, localized resection of uterus was performed. They had their first successful term pregnancy 5 and 4 years after surgery, respectively. Uterine perforation following choriocarcinoma is a rare event. Hysterectomy is recommended in emergency conditions, but localized resection of uterus should be considered in women who are desirous of future fertility.

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Sperm Selection Procedures for Optimizing the Outcome of ICSI in Patients with NOA

Journal of Clinical Medicine ◽

10.3390/jcm10122687 ◽

2021 ◽

Vol 10 (12) ◽

pp. 2687

Author(s):

Kaan Aydos ◽

Oya Sena Aydos

Keyword(s):

In Vitro Selection ◽

Assisted Reproductive Technologies ◽

Reproductive Technologies ◽

Testicular Sperm Extraction ◽

Obstructive Azoospermia ◽

Sperm Retrieval ◽

Vitro Fertilization ◽

Great Hope ◽

Future Fertility

Retrieving spermatozoa from the testicles has been a great hope for patients with non-obstructive azoospermia (NOA), but relevant methods have not yet been developed to the level necessary to provide resolutions for all cases of NOA. Although performing testicular sperm extraction under microscopic magnification has increased sperm retrieval rates, in vitro selection and processing of quality sperm plays an essential role in the success of in vitro fertilization. Moreover, sperm cryopreservation is widely used in assisted reproductive technologies, whether for therapeutic purposes or for future fertility preservation. In recent years, there have been new developments using advanced technologies to freeze and preserve even very small numbers of sperm for which conventional techniques are inadequate. The present review provides an up-to-date summary of current strategies for maximizing sperm recovery from surgically obtained testicular samples and, as an extension, optimization of in vitro sperm processing techniques in the management of NOA.

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Fertility intentions among the working population of Dalian City born between 1980 and 1989

Journal of Biosocial Science ◽

10.1017/s0021932021000213 ◽

2021 ◽

pp. 1-12

Author(s):

Hongyan Qiu ◽

Qun Zhang ◽

Jin Zhang ◽

Qingshan Wang ◽

Lihong Liu ◽

...

Keyword(s):

Family Income ◽

Reproductive Behaviour ◽

Fertility Intentions ◽

Second Child ◽

Number Of Children ◽

Child Policy ◽

Future Fertility ◽

The Future ◽

Dalian City ◽

Ideal Number

Abstract In October 2015, the Chinese Government announced that the one-child policy had finally been replaced by a universal two-child policy. China’s universal two-child policy is highly significant because, for the first time in 36 years, no one in an urban city is restricted to having just one child. This cross-sectional study was conducted to explore future fertility intentions and factors influencing individual reproductive behaviour (whether to have two children) in Dalian City. A total of 1370 respondents were interviewed. The respondents’ mean ideal number of children was only 1.73, and urban respondents’ sex preference was symmetrical. A total of 19.0% of the respondents were unmarried, 64.5% were married and had childbearing experience and only 6.3% of married respondents had two children. Among the 1370 participants, 30.4% stated that they would have a second child, while 69.6% refused to have a second child in the future. Binary logistic regression analysis (Model 1) showed that the following characteristics were associated with having only one child in the future: being female, being older, having a lower education level, being born in Dalian, having a lower family income and reporting one child as the ideal number of children. Model 2 (comprising only respondents with childbearing experience) showed that respondents who were female, had a lower family income and were unable to obtain additional financial support from parents were more likely to intend to stick at one child. In addition, respondents’ ideal number of children and childbearing experiences had a significant influence on future fertility intentions. These results suggest that fertility intentions and reproductive behaviours are still below those needed for replacement level fertility in Dalian City. China’s policymakers should pay more attention to these factors (socioeconomic characteristics, economic factors, desired number of children and childbearing experiences) and try to increase individual reproductive behaviour.

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