scholarly journals Should the state fund assisted reproductive technologies for HIV-discordant couples in South Africa who want to have children?

2018 ◽  
Vol 11 (1) ◽  
pp. 38
Author(s):  
Alastair W Moodley
2007 ◽  
Vol 19 (1) ◽  
pp. 239 ◽  
Author(s):  
R. Krisher ◽  
A. Auer ◽  
K. Clark ◽  
K. Emsweller ◽  
S. Rogers ◽  
...  

The objective of this experiment was to develop in vitro embryo production (IVP) technologies in springbok (Antidorcas marsupialis), a southern African antelope. Springbok, a fairly common species on game farms in parts of South Africa, may be used as a model species for gamete rescue and IVP techniques to be applied to the conservation of other threatened antelope species. Springbok belong to the family bovidae, subfamily antilopinae, tribe antilopini, which comprises about twenty species in genera Gazella, Antilope, Procapra, Antidorcas, Litocranius, and Ammodorcas. In this tribe alone, there are 4 species or subspecies that are critically endangered, 3 that are endangered, and 10 that are considered vulnerable, demonstrating the need for antelope conservation efforts. In addition, our studies contributed to the South African biological resource bank, so that banked springbok semen and embryos might be used in the future for managed genetic contribution to isolated captive or wild populations via assisted reproductive technologies. Oocytes were recovered (3 replicates) from ovaries obtained at supervised culls for management purposes in South Africa, and cultured in defined Gmat or undefined TCM-199 with FCS maturation medium for 28-30 h (Brad et al. 2004 Reprod. Fertil. Dev. 16, 223). Oocytes were fertilized with frozen-thawed springbok epididymal spermatozoa in modified SOF fertilization medium with caffeine (Herrick et al. 2004 Biol. Reprod. 71, 948–958). Eighteen hours after insemination, a randomly selected subset of the zygotes were fixed to determine fertilization success. The remaining zygotes were cultured in G1/G2 media. On Day 7 of culture, embryos were analyzed for development to the morula or blastocyst stage. A total of 259 selected oocytes were collected from 50 females (5.2 selected oocytes/female on average). There was no difference in the percentage of oocytes normally fertilized (2 pronuclei, PN) between oocytes matured in Gmat (n= 43; 12%) and those matured in TCM-199 (n= 42; 10%). There were significantly (P < 0.05) more oocytes penetrated (e2 PN) when matured in TCM (50%) compared to Gmat (23%). There were no differences in embryonic cleavage or morula/blastocyst development (of total oocytes inseminated) between treatments (Gmat,n= 89, 54%, 9.0%; TCM-199, n= 85, 68%, 9.4%, respectively). In both treatments, the average blastocyst grade was 2.125 using the standard bovine grading system (Curtis, Cattle Embryo Transfer Procedure, 1991). In conclusion, in vitro oocyte maturation, fertilization, and embryo culture to the blastocyst stage is possible in springbok. Importantly, blastocysts can be produced in vitro under semi-defined conditions, demonstrating that oocyte maturation without serum does support developmental competence. This is important for the potential international movement of IVP embryos to be used for genetic management in the conservation of antelope species.


2020 ◽  
Vol 19 (4) ◽  
pp. 70-74
Author(s):  
L.D. Belotserkovtseva ◽  
◽  
N.V. Klimova ◽  
L.V. Kovalenko ◽  
V.V. Danilogorskaya ◽  
...  

Objective. To study the state of the breasts in women who undergo assisted reproductive technologies treatment, using modern methods of radiation imaging. Patients and methods. Pre- and prospective examination and analysis of the data of radiation imaging of the breasts of 220 women, having tubal factor infertility in combination with benign mammary dysplasia, who have successful or unsuccessful experience of participation in assisted reproductive technology programmes. The average age of patients was 42.5 years. Assessment points were: breast tissue density according to the findings of ultrasound, mammography and tomosynthesis, presence of clustered microcalcifications, presence of benign dysplastic processes and fibroadenomas of the breasts. Results. In the group of 35–39-year old patients, the most common pathological processes were fibrocystic mastopathy and fibroadenomas. The main diagnostic methods were ultrasound visualization and US-controlled core-needle vacuum-assisted biopsy. In the group of 40–44-year old women, the predominant pathological process was microcalcification clusters alongside high mammographic density. The main diagnostic methods were digital x-ray tomosynthesis and X-ray-guided core-needle vacuum-assisted biopsy. In the group of 45–49-year old women, cases of breast cancer were diagnosed. 12 women in this group had breast implants. Conclusion. Hormonal medication used in assisted reproductive technologies under the protocols of in-vitro fertilization and intracytoplasmatic sperm injection influence the state of the breasts, increasing a risk of developing diffuse benign mammary dysplasias and, quite possible, a risk of developing breast cancer later in life. Key words: breast diseases, assisted reproductive technologies, tomosynthesis, mammotome, clustered microcalcifications


2018 ◽  
Vol 46 (1) ◽  
pp. 1090-1096 ◽  
Author(s):  
Thinawanga Joseph Mugwabana ◽  
Khathutshelo Agree Nephawe ◽  
Voster Muchenje ◽  
Tshimangadzo Lucky Nedambale ◽  
Nkhanedzeni Baldwin Nengovhela

2012 ◽  
Vol 58 (1) ◽  
pp. 54-60 ◽  
Author(s):  
I V Kopylova ◽  
I I Vitiazeva

The authors review the publications devoted to the problem of health quality in the children born through assisted reproductive technologies. The data on the state of somatic and psychic health of such children are discussed. The main lines of investigations into the possible consequences of extracorporeal fertilization and its modifications are proposed. Special attention is given to the problem of comparability of different studies, the relevance and reliability of conclusions based on their results.


2017 ◽  
Vol 16 (4) ◽  
pp. 64-70
Author(s):  
V.V. Soboleva ◽  
◽  
N.S. Trifonova ◽  
L.S. Aleksandrov ◽  
A.I. Ishchenko ◽  
...  

Pharmacia ◽  
2020 ◽  
Vol 67 (4) ◽  
pp. 269-276
Author(s):  
Olha Zaliska ◽  
Khrystyna Stasiv ◽  
Nataliia Maksymovych ◽  
Yaryna Hrynkiv

The prevalence of infertility has risen 2.9 times in recent years in Ukraine. The use of assisted reproductive technologies (ART) is needed. The State program for infertility treatment by budget funds was approved in Ukraine since 2004. However, funding for this program is enough only for 500–600 cycles per year, but ART centers conducted more than 27,000 cycles in 2018. This means that many women have to pay out-of-pockets. Our research has shown that between 2000 and 2018, the number of ART clinics and the number of cycles, pregnancies, and children born increased significantly in Ukraine. The rate of ART cycles per 1 million population in Ukraine has increased from 226.9 to 655.3, but it is lower than the WHO recommended rate 800–1000 cycles per 1 million population. Changes in the structure of ART cycles for 2000–2018, the increase of ICSI, and egg donation cycles are shown. It requires an adequate supply by hormonal drugs for ovarian stimulation in ART centers. Since 2004 Ministry of Health of Ukraine annually approved the list of medicines for State program of ART. Only 8 drugs were purchased by the state funds, which amounted for USD 227 438 in 2017, 2018. A retrospective analysis of drug prescriptions in short and long stimulation protocols was performed. The frequency of drug prescriptions according to the ATC-classification based on medical records was determined, all prescriptions were accordance with the requirements of ART treatment standards in Ukraine. The costs of the three hormonal stimulation schemes, which were the most prescribing in ART center, were calculated. It was found that costs for hormonal schemes increased by 22–54% during 2015–2020, it significantly reduces the availability and affordability of ART for the population in Ukraine.


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