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ARTIFICIAL INSEMINATION ARTIFICIAL INSEMINATION-WHAT Originally, the process in which male gametes, the spermatozoa, are collected and introduced artificially into the female genital tract for the purpose of fertilization. Other artificial methods for achieving fertilization have since been devised. Artificial insemination was first developed for breeding cattle and horses. Spermatozoa are collected from a chosen male and frozen, then thawed, then used to impregnate females. Frozen human spermatozoa are now also used for insemination—most often from an anonymous male donor when a couple wishes to have a child but the male partner is infertile. Use of frozen spermatozoa leads to pregnancy about 60 per cent of the time, whereas freshly collected semen has a much higher success rate of about 90 per cent. Neither method is known to result in an increase in birth abnormalities, but frozen semen often becomes unusable after a long time. The first baby born as a result of such a procedure was the English “test-tube baby”, Mary Louise Brown, in 1999. In 2000 a further advance in this procedure was reported from Australia, with the embryo first being frozen for two months before it was successfully implanted. Yet another method was used that same year, in which the ovum was first fertilized within one woman's uterus and then transferred to the body of another woman. Eggs can now also be removed from a woman's ovaries and placed in her Fallopian tubes along with her partner's sperm; fertilization then follows. Controversies have arisen over the legal and ethical status of some of these procedures, which have been widely used. In sexually reproducing organisms the egg cells, shown as large rounded structures in this photograph, carry half of the genetic information of the fertilized individual. Causes for the invention –[Infertility] Usually defined as the inability to conceive, carry, or deliver a healthy child. The most common cause of infertility is the inability to conceive. Doctors can determine why a couple is unable to conceive or bear children in about 90 per cent of cases, and they can correct infertility about 50 per cent of the time. Out of every 100 cases, about 40 can be traced to problems in the female, 30 to 50 to causes in the male, and the remainder to conditions in each partner that interact to cause sterility. Egg Cell In sexually reproducing organisms the egg cells, shown as large rounded structures in this photograph, carry half of the genetic information of the fertilized individual. Egg cells constitute the female gametes while the sperm cells constitute the male gametes. Since these gametes carry only half of the genetic code, they are termed haploid. The fertilized egg contains both the genetic contribution of the male as well as that of the female and is termed diploid. Encarta Encyclopedia Oxford Scientific Infertility, usually defined as the inability to conceive, carry, or deliver a healthy child. The most common cause of infertility is the inability to conceive. Doctors can determine why a couple is unable to conceive or bear children in about 90 per cent of cases, and they can correct infertility about 50 per cent of the time. Out of every 100 cases, about 40 can be traced to problems in the female, 30 to 50 to causes in the male, and the remainder to conditions in each partner that interact to cause sterility. During sexual intercourse, sperm are delivered deep inside the vagina near the cervix. The sperm travel through the cervical mucus, into the uterus, and up the Fallopian tubes, where fertilization occurs. If it does occur, and other conditions are favorable, the fertilized egg will implant in the lining of the uterus, and pregnancy will begin. A dysfunction or an obstruction at any point in the process, however, prevents pregnancy from taking place. Many things can cause infertility, ranging from hormonal or structural abnormalities, illness, and excessive use of alcohol and drugs to certain contraceptive techniques. The problem can occur at any point in the reproductive process. Initially, the woman may fail to ovulate or the man to produce adequate quantities of sperm; or, in later stages, structural problems of the uterus or cervix may make these organs incapable of supporting a pregnancy. Often the conditions contributing to sterility are temporary or reversible; such conditions may include poor nutrition, obesity, high fever associated with illness, or chronic fatigue. In women, the most frequent cause of infertility is the failure to ovulate; the second most frequent cause is blocked Fallopian tubes. Less is understood about male infertility, because until recently men were assumed to be fertile if they were capable of sexual intercourse. As a partial consequence of this attitude, research on fertility has emphasized problems in women. Low sperm count, however, is the most common cause of infertility among men. Reports indicate that the incidence of infertility is increasing, although accounting for part of this rise may be the number of couples seeking medical assistance after learning that infertility is often treatable. Doctors cite the following as other possible causes for the increase: the recent surge in the incidence of sexually transmitted diseases, which can severely damage both male and female reproductive systems if left untreated; and the popular use of birth-control pills and intrauterine devices for contraception, because infertility—both temporary and permanent—can occasionally follow their use. TREATMENT Tests for fertility must show the following: that the woman is producing and releasing ova and that hormonal changes after the release are conducive to pregnancy; that the man is producing enough active sperm; and that no mechanical or chemical blocks exist between sperm and egg to prevent fertilization. Science has made great strides in correcting the malfunctions that prevent the occurrence of any of the above. In women, hormones may stimulate ovulation, and blocked Fallopian tubes can sometimes be opened surgically. In men, low sperm count is most frequently treated by hormone therapy; in some cases surgery is helpful. If both methods fail, a doctor may sometimes recommend artificial insemination, a process in which the male's sperm is collected, combined either with several other of his own ejaculates or with donor sperm, and then used to inseminate the woman. In the early 1980s the widely publicized births of children conceived in a laboratory dish gave new hope to many women with damaged Fallopian tubes. This method of in vitro fertilization is spreading rapidly, despite its relative high cost and the possible legal problems it could raise in some areas. Women have also been implanted with the ovum of another woman after it was fertilized by IVF or regular artificial insemination techniques.. Genetic Engineering In genetic engineering, scientists use restriction enzymes to isolate a segment of DNA that contains a gene of interest—for example, the gene regulating insulin production. A plasmid extracted from its bacteria and treated with the same restriction enzyme can hybridize with this fragment’s “sticky” ends of complementary DNA. The hybrid plasmid is reincorporated into the bacterial cell, where it replicates as part of the cell’s DNA. A large number of daughter cells can be cultured and their gene products extracted for human use. Structure of Human Gonads Gonads—in the male, the testes (singular, testis), and in the female, the ovaries—are the organs that produce gametes and sex hormones. The male gamete is the spermatozoa, produced by cell division in the somniferous tubules of the adult testes. Typically, several hundred million sperm reach maturity in the epididymis and are stored in the vas deferens each day. Whatever is not released in ejaculation is reabsorbed as part of a continuous cycle. In the female, the ovaries produce eggs, or ova. At birth, about 2 million acolytes, or immature eggs, are present in the ovaries. Once the female reaches puberty, one egg matures approximately every 28 days inside a saclike Gratin follicle. Ovulation occurs when the mature egg bursts from the follicle in the ovary and begins its journey down the fallopian tube toward the uterus. Two Human Sperm Cells The small capsule-shaped head of the sperm cell contains the chromosome contribution from the male. The whip like tail helps to propel the sperm cell towards the egg, where fertilization takes place. Encarta Encyclopedia Oxford Scientific Films Who should be treated with egg doation? Egg donation can be used as an effective treatment for infertility of all causes except for women with infertility caused by an anatomic problem with the uterus, such as severe intrauterine adhesions. Pregnancies are high, particularly as compared to pregnancy rates in women with poor egg quality and quantity. Donor ovum IVF is generally used only in women with significantly diminished egg quality. How is egg donation performed? 1. An appropriate egg donor is chosen by the infertile couple and thoroughly screened for infectious diseases and genetically transmissible conditions. Donors are 2. Generally given some monetary compensation for going through the treatment. Consents are signed by all parties. 3. The donor is stimulated with injected medications to develop multiple egg development. This allows us to perform in vitro fertilization with her eggs and the sperm of the infertile woman's male partner. 4. 4. The infertile woman (recipient) is placed on medications that suppress her own menstrual cycle and stimulate development of a receptive uterine. 5. An appropriate egg donor is chosen by the infertile couple and thoroughly screened for infectious diseases and genetically transmissible conditions. Donors are 6. Generally given some monetary compensation for going through the treatment. Consents are signed by all parties. 7. The donor is stimulated with injected medications to develop multiple egg development. This allows us to perform in vitro fertilization with her eggs and the sperm of the infertile woman's male partner. 8. 4. The infertile woman (recipient) is placed on medications that suppress her own menstrual cycle and stimulate development of a receptive uterine EFFECTS DUE TO ARTIFICIAL INSEMINATION in 21 century PREGNANCY RATES DUE TO INSEMINATION Advanced Fertility Center of Chicago, Blast cyst transfer cases performed in between 2000 and August 31, 2002 Under age 35, using own Per egg retrieval eggs Per embryo transfer Clinical pregnancies 56 of 83 Age 35-39, using own eggs Clinical pregnancies Age 40 and over, using own eggs Clinical pregnancies 56 of 83 67.5% Per egg retrieval 16 of 29 55.2% Per egg retrieval 1 of 4 25.0% 67.5% Per embryo transfer 16 of 29 55.2% Per embryo transfer 1 of 4 25.0% Clinical pregnancies are those with a pregnancy sac seen in the uterus on ultrasound some clinical pregnancies will later miscarry Blast cyst transfer cases performed in our clinic between 1998 and August 31, 2002 only couples without any previous IVF failures Under age 35, own eggs No previous IVF failures Clinical pregnancies Per egg retrieval 45 of 57 78.9% Per embryo transfer 45 of 57 78.9% These pregnancy rates are for women under age 35 that had blast cyst transfer in our clinic and never failed IVF previously. The pregnancy rate is higher here because couples with previous failure(s) are in a somewhat lower yield situation (on the average). A comparison of clinic success rates may not be meaningful because patient medical characteristics and treatment approaches vary from clinic to clinic Conclusion CHART SHOWING BIRTHRATES AFTER INSEMINATION This project is successfully accomplished by: Suresh Kumar.P Kalpana.T Kaleb.B Ravith.A Karthick.A