The Ramblings of a Middle Aged Fertility Physician whose life revolves around Eggs, Sperms & Embryos....
Friday, September 5, 2008
The sophisticated sex lives of sea squirts
Lead researcher and PhD student with UQ's School of Integrative Biology, Angela Crean, said the marine organisms could tailor their reproductive cells depending on the level of competition in the sea.
“When there are lots of competing males trying to fertilise the eggs of females, males produce larger, more competitive sperm that live for longer,” Ms Crean said.
“Similarly, when females detect that there are too many males competing for her eggs (too many sperm can kill the eggs of some organisms) the females ‘play hard to get' producing smaller eggs that are harder for searching sperm to find.
“These changes make sense if you're stuck to a rock like sea-squirts are.
“If you can't run away from a highly competitive environment, you must therefore make your gametes more competitive in order to get a higher chance of successfully reproducing.”
The fact that sea squirts don't move made it possible for the majority of the investigation to be conducted in the Moreton Bay field environment.
In a Big Brother-style approach, the primary experiment involved placing a large number of sea squirts in a confined space for an extended period.
“We manipulated adult densities in the field by placing either one (low density) or 15 (high density) sea squirts in a cage for one month,” Ms Crean said.
“This research tells us a little as to how sex evolved in the first place.
“Specifically, it gives us some insight into why sperm are so tiny and males make millions of them whereas female eggs are much larger and are produced in fewer numbers.
“Because these organisms reproduce by the ancestral mode of reproduction, it gives us an indication as to how competition between males led to all sorts of reproductive strategies including the one used by humans: internal fertilisation.”
Thursday, September 4, 2008
IVF/ICSI cause of Congenital Birth Defects?
The use of in vitro fertilization (IVF) or another assisted fertility technique called intracytoplasmic sperm injection (ICSI) to conceive appears to increase the odds of Y-chromosome defects or "microdeletions" in male offspring, Chinese researchers report. Such deletions could result in defective sperm production and possibly also hypospadias -- a common birth defect of the penis that occurs when the urinary outlet develops on the underside of the penis rather than at the tip.
Although this study was small, it "at least sounds an alarm about the genetic safety of assisted reproductive technology," the investigators conclude. Prior research has tied assisted reproductive technologies with low birth weight, preterm delivery, cerebral palsy, and major birth defects, leading some researchers to hypothesize that these therapies may induce gene mutations.
In the new study, Dr. He-Feng Huang, from Zhejiang University, and colleagues sought to answer this question by testing for genetic mutations in 19 male infants conceived through IVF, 18 conceived through ICSI, and 60 conceived naturally. The fathers of the infants were also tested. In an effort to isolate the impact of the fertility treatment, the researchers only studied infants whose parents had a normal genetic background.
Huang and colleagues found Y-chromosome microdeletions in one infant conceived with IVF (5.3 percent) and in three conceived with ICSI (16.7 percent). By contrast, no Y-chromosome deletions were seen in the control group.
One of the four infants with microdeletions had hypospadias, the report indicates.
This is not the first study to link ICSI with hypospadias, the investigators note, but the mechanism has been unclear. The current findings suggest that the association may be mediated through Y-chromosome microdeletions.
ICSI is the main method used to overcome male infertility. With ICSI, a single sperm is injected directly into a single egg. If successful fertilization occurs, the embryo is then placed into the female to undergo development as usual.
Larger studies "should be conducted to confirm our preliminary results," the researchers conclude.
Wednesday, September 3, 2008
Fertility a matter of mind as well as body
Infertile women's brains - and not just their bodies - may be blocking them from conceiving a baby, a new book says.
Some women may be sabotaging their chances of having a baby by failing to address their emotional needs, according to Melbourne author Michaela Ryan. Her new book, Trying to Conceive, tells 15 stories of women who miraculously fell pregnant after they solved a range of personal issues.
The stories include Deb and Keith, who endured 23 cycles of IVF and several miscarriages before Deb fell pregnant after she quit her job and reconnected with her long lost dad.
And there is Naomi, who spent eight years trying to conceive, but was successful only when she started relaxing more and believing in herself.
Ryan was moved to collect the stories after her own experience.
"I tried to conceive for 12 stress-filled months, then as soon as I stopped obsessing about having a baby, I fell pregnant," she said.
"So I became very interested in looking at the possible effects of emotional issues and the impact this might be having for couples wanting to fall pregnant."
Ryan, 32, a freelance writer from Elwood and her husband Ted, 34, are now the proud parents of Declan, 3.
"For a lot of the people I spoke to there were hidden fears that hadn't really been addressed like fear of repeating the mistakes of the past, fear of subsequent miscarriage or fears of not being a good mother," Ryan said.
"It's a really individual thing, but the common feeling is at some point there's an emotional shift -- a letting go -- and many women fall pregnant soon after that."
Ryan said medical science "has really caught up, and there are improved pregnancy rates for those on stress reduction programs, for instance".
"A lot of women are only given very physical approaches and this offers another angle. "
Dr Lynn Burmeister, clinical director of Monash IVF, said there was an underlying association between emotions and the body when it came to fertility.
"There are no studies in humans to confirm this, but what we do know is that stress can reduce fertility in a number of ways," she said.
"We do our best to make sure we look after our patients' minds as well as their bodies.
"Some do acupuncture and others attend our lifestyle modification clinics or see counsellors."
Dr Burmeister said she had seen patients with similar stories to those in the book.
"I have had patients who have made an appointment with us and just doing that has taken a weight off their shoulders, and they ring back saying that they are not going to need us," she said.
Some women may be sabotaging their chances of having a baby by failing to address their emotional needs, according to Melbourne author Michaela Ryan. Her new book, Trying to Conceive, tells 15 stories of women who miraculously fell pregnant after they solved a range of personal issues.
The stories include Deb and Keith, who endured 23 cycles of IVF and several miscarriages before Deb fell pregnant after she quit her job and reconnected with her long lost dad.
And there is Naomi, who spent eight years trying to conceive, but was successful only when she started relaxing more and believing in herself.
Ryan was moved to collect the stories after her own experience.
"I tried to conceive for 12 stress-filled months, then as soon as I stopped obsessing about having a baby, I fell pregnant," she said.
"So I became very interested in looking at the possible effects of emotional issues and the impact this might be having for couples wanting to fall pregnant."
Ryan, 32, a freelance writer from Elwood and her husband Ted, 34, are now the proud parents of Declan, 3.
"For a lot of the people I spoke to there were hidden fears that hadn't really been addressed like fear of repeating the mistakes of the past, fear of subsequent miscarriage or fears of not being a good mother," Ryan said.
"It's a really individual thing, but the common feeling is at some point there's an emotional shift -- a letting go -- and many women fall pregnant soon after that."
Ryan said medical science "has really caught up, and there are improved pregnancy rates for those on stress reduction programs, for instance".
"A lot of women are only given very physical approaches and this offers another angle. "
Dr Lynn Burmeister, clinical director of Monash IVF, said there was an underlying association between emotions and the body when it came to fertility.
"There are no studies in humans to confirm this, but what we do know is that stress can reduce fertility in a number of ways," she said.
"We do our best to make sure we look after our patients' minds as well as their bodies.
"Some do acupuncture and others attend our lifestyle modification clinics or see counsellors."
Dr Burmeister said she had seen patients with similar stories to those in the book.
"I have had patients who have made an appointment with us and just doing that has taken a weight off their shoulders, and they ring back saying that they are not going to need us," she said.
Tuesday, September 2, 2008
Microfluidic Chip Could Someday Lead to a More Targeted Embryo Selection Process
New technology could eventually make infertility treatments more effective and less expensive. Though it has so far only been tested with mouse embryos, the hope is that it could improve the process of selecting the most viable embryos for in vitro fertilization. Research on the new technology, informally called "lab on a chip," has been published in Analytical Chemistry.
In vitro fertilization, known as IVF, involves combining eggs and sperm outside the body in a laboratory. Once an embryo or embryos form, they are then placed in the uterus. IVF is a complex and expensive procedure. The average cost of IVF is more than $12,000.
Currently, fertility doctors evaluate the quality of an embryo being considered for IVF through microscopic examination of the embryo's physical characteristics, such as cell shape. This process is time-consuming and not reliable enough, according to researchers.
Almost 130,000 women undergo IVF procedures each year in the U.S. -- yet the success rate is only about 30%. To boost a woman's chances of conceiving, doctors may put more than one embryo into the uterus. This can lead to multiple births and makes the pregnancy riskier for both mother and child.
The scientists -- from the Massachusetts Institute of Technology and Fertility Laboratories of Colorado -- worked with a device called a microfluidic chip, which they hope will someday lead to a more targeted embryo selection process. The chip, about the size of a quarter, is designed to evaluate the health of embryos being considered for transplant by measuring how the embryo alters key nutrients in the tissue culture medium surrounding embryos, according to the study.
Researchers collected fluids surrounding 10 mouse embryos and analyzed the fluids using the computer-controlled chip. Within minutes, the device could accurately measure the metabolism of the embryos from the surrounding fluids. Long-term, the chip could improve the quality of embryos selected for human IVF, and it could also reduce the cost associated with the procedure, according to the study's authors.
Monday, September 1, 2008
The World's First Test-Tube Boy Finally Speaks!
The world's first test tube baby boy has launched a campaign for a "long overdue" award for the scientist who pioneered the IVF process that gave him life.
Alastair MacDonald, 29, said it is astonishing that Professor Robert Edwards has received dozens of accolades from all over the globe but he has had little recognition in his own country.
Mr Edwards, who studied at Edinburgh and Glasgow Universities, pioneered in-vitro fertilisation with Dr Patrick Steptoe, who died of cancer in 1988 aged 75, one week before he was due to receive his knighthood from the Queen at Buckingham Palace.
Mr MacDonald, from Glasgow, has written to the Prime Minister to have the man known to him as an "uncle" properly recognised.
He has the support of experts in the field from all over the world including doctors at Cambridge University, the British Fertility Society, the Society for Reproduction and Fertility, the American Society for Reproductive Medicine, Royal College of Obstetricians and Gynaecologist and the European Society for Human Reproduction and Embryology.
Although Leeds-born Mr Edwards was made a CBE 20 years ago, his peers say his achievements far outweigh that award and he "more than deserves" greater recognition, possibly a knighthood.
Professor Martin Johnson, of Cambridge University Anatomy School, described Mr Edwards as the "father of his subject".
"Prof Robert Edwards is the single most important and influential figure internationally in human reproductive biology.
"It is an indisputable fact that he has contributed more to the treatment of human infertility than any other individual and, in so doing, has made the early stages of our own development accessible to study. This achievement clearly places him in a league on his own. He is truly and uniquely the father of his subject'."
His comments were echoed in other clinics and research centres. They included Dr Key Elder, of the Bourn Clinic in Cambridgeshire, which was founded by Mr Edwards and the late Dr Steptoe, and is still going strong. It sees around 850 or 900 women a year, with an average age of 37, and around one in three cycles results in a successful birth.
Dr David Adamson, president of the ASRM, said: "I strongly support Prof Edwards and hope he will receive a knighthood, which is so justified and overdue."
Both Mr MacDonald, now a systems engineering officer with the Royal Fleet Auxiliary, and his mother, Grace, now 62, who separated from his father when he was four, believe Mr Edwards should be recognised for what they said were his "unequalled" achievements.
He wrote to Gordon Brown: "Prof Edwards has been honoured around the world . . . it is a travesty that he has not been honoured by his own country.
"I was born as the second ever IVF baby in 1979 and I have grown up very close to Prof Edwards. I simply would not be alive if it wasn't for Prof Edwards. It saddens me greatly that at his age of 83, he has never been honoured when he has given so much and has never requested anything in return.
"I hope that Prof Edwards can still be alive to see his rightful honour given to him, unlike Patrick Steptoe the co-pioneer with Robert Edwards, who died before he received his knighthood.
"I hope this government does not make that same mistake. I hope you can use your influence to give a truly great man the rightful status he deserves."
Sunday, August 31, 2008
Saturday, August 30, 2008
Proud Bostonian
From the county where drunk driving is considered a sport, comes this story. Recently a routine police patrol parked outside of a bar in Boston. After last call the officer noticed a man leaving the bar so apparently intoxicated that he could barely walk.
The man stumbled around the parking lot for a few minutes, with the officer quietly observing. After what seemed an eternity in which he tried his keys on five different vehicles, the man managed to find his car and fall into it. He sat there for a few minutes as a number of other patrons left the bar and drove off.
Finally he started the car, switched the wipers on and off -- it was a fine, dry summer night -- flicked the blinkers on and off a couple of times, honked the horn and then switched on the lights. He moved the vehicle forward a few inches, reversed a little and then remained still for a few more minutes as some more of the other patrons' vehicles left. At last, when his was the only car left in the parking lot, he pulled out and drove slowly down the road.
The police officer, having waited patiently all this time, now started up his patrol car, put on the flashing lights, promptly pulled the man over and administered a breathalyzer test. To his amazement, the breathalyzer indicated no evidence that the man had consumed any alcohol at all !!!
Dumbfounded, the officer said, I'll have to ask you to accompany me to the police station. This breathalyzer equipment must be broken.'
'I doubt it,' said the truly proud Bostonian, 'Tonight I'm the designated decoy.'
The man stumbled around the parking lot for a few minutes, with the officer quietly observing. After what seemed an eternity in which he tried his keys on five different vehicles, the man managed to find his car and fall into it. He sat there for a few minutes as a number of other patrons left the bar and drove off.
Finally he started the car, switched the wipers on and off -- it was a fine, dry summer night -- flicked the blinkers on and off a couple of times, honked the horn and then switched on the lights. He moved the vehicle forward a few inches, reversed a little and then remained still for a few more minutes as some more of the other patrons' vehicles left. At last, when his was the only car left in the parking lot, he pulled out and drove slowly down the road.
The police officer, having waited patiently all this time, now started up his patrol car, put on the flashing lights, promptly pulled the man over and administered a breathalyzer test. To his amazement, the breathalyzer indicated no evidence that the man had consumed any alcohol at all !!!
Dumbfounded, the officer said, I'll have to ask you to accompany me to the police station. This breathalyzer equipment must be broken.'
'I doubt it,' said the truly proud Bostonian, 'Tonight I'm the designated decoy.'
Subscribe to:
Posts (Atom)