Incidence and main causes of infertility in a resident population ... [8] Semen quality and age-specific changes: A study between two ... [9] Semen quality in fertile US men in relation to geographical ... [10] Sexual, marital, and social impact of a man's perceived ... [11] Evaluation of the subfertile ... [12] Clinical relevance of oxidative stress in male ... [13] Chronic prostatitis and male accessory gland infection-is there an impact on ... [14] Semen analysis in laboratory practice: An overview ... [15] Decreased protein tyrosine phosphorylation and membrane ... [16] Is varicocelectomy indicated in subfertile men ... [17] Chronic orchitis: A neglected cause of male ... [18] Reproductive hazards of fire ... [19] Sexually transmitted infections: Impact ... [20] Testicular cytology in ... [21] Endocrine correlates of infertility in male ... [22] New method of evaluating sperm morphology with ... [23] Evidence for decreasing quality of semen ... [24] Evidence of deteriorating semen quality in the United ... [25] Caffeinated and alcoholic beverage intake in relation to ... [26] Occupationally related exposures ... [27] Semen quality in a population of volunteers ... [28] Prognostic value of meiotic spindle imaging ... [29] Effect of smoking on seminal plasma ascorbic ... [30] Is varicocelectomy indicated in subfertile men ... [31] Oxidative stress and medical antioxidant ... [32] Improving reproductive performance in overweight/obese ... [33] Clinical laboratory evaluation of male ... [34] The analysis of the sperm parameters in view of its concentration and ... [35] Factors associated with male ... [36] Male factor infertility: Five years ... [37] Prevalence of low sperm count and abnormal ... [38] Sonographic spectrum of scrotal ... [39] Contribution of environmental ... [40] factors ... Leukocytospermia in male infertility patients ... [41] Lifestyle and environmental ... Aims The evaluation of effective factors on male infertility is essential to diagnose and to treat the causes of infertility. The aim of this study was to investigate the factors affecting infertility and to determine the type of sperm disorders in Iranian infertile men. Materials & Methods This cross-sectional community-based study was conducted on 764 Iranian infertile men referred to the infertility clinic of Sarem women's hospital (Tehran, Iran) from April 2006 to March 2012. The patients' demographics, history of disease, surgery, and seminal fluid analysis were obtained from their medical records. The semen samples were collected according to the WHO standard protocol. The data were analyzed by Chi square test using SPSS 16 software. Findings The pure male factor infertility was found in 470 (61.5%) patients and 294 (38.5%) patients showed male factor infertility associated with other factors (mixed male factor infertility). Primary infertility was found in 593 (77.6%) patients and 171 (22.4%) patients showed secondary infertility. Asthenospermia and asthenoteratospermia were found in 236 (30.9%) and 225 (29.5%) patients, respectively...
Management of preterm labor [2] Cerclage: Shirodkar, McDonald, and Modifications [3] Williams Obstetrics [4] Cervical insufficiency and cervical cerclage [5] A comparative study of modified Shirodkar's cerclage and McDonald's cerclage in cervical incompetence [6] Atlas of pelvic anatomy and gynecologic surgery [7] Atlas of gynecologic oncology [8] Creasy and Resnik's Maternal-fetal medicine: Principles and practice [9] Cerclage outcome by the type of suture material (COTS): Study protocol for a pilot and feasibility randomised controlled trial [10] Cervical Incompetence Prevention Randomized Cerclage Trial (CIPRACT): Effect of therapeutic cerclage with bed rest vs. bed rest only on cervical length [11] Efficacy of cerclage on cervical length Aims The various cerclage techniques with different clinical outcomes are developed for women with cervix incompetence. Among those methods, the McDonald's cerclage is the most common and preferred technique. The objective of this study was to evaluate and compare the outcomes of the classic McDonald's cerclage with the modified McDonald's technique that was developed in Sarem women's hospital. Materials & Methods This analytical and historical cohort study was carried out on 105 pregnant women with documented cervical incompetence referred during one year to the Sarem women's hospital. The patients were divided into two groups depending on the type of cerclage including modified McDonald (n=69) and classic McDonald (n=36) groups. Required information was collected from the patients' medical records as well as through telephone call. The data were analyzed using SPSS 22 and GraphPad Prism 6 softwares by T-student, Fisher's exact and Chi-square tests. Findings Modified McDonald's cerclage was performed at higher gestational age compared to classic McDonald's cerclage (p=0.0001). Despite on the higher preterm labor in the classic McDonald group, the term and preterm delivery rates were not significantly different between two groups (p=0.0601). There was a significant difference in the increase of cervical length following modified McDonald's cerclage than classic McDonald's cerclage (p=0.0257) and the patients in modified McDonald's cerclage group showed a higher cervical length change after cerclage than the other group. Conclusion Although there are no differences in preterm labor outcome between the two methods, the modified McDonald's cerclage is a better treatment option because of the possibility to generate a longer cervical length compared to the classic McDonald's method.
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