Search Results (155)

Obesity has become increasingly prevalent, impacting up to 41 percent of women in the United States between 2021 and 2023, leading to a rise in short- and long-term adverse health events. With regard to reproductive health, obesity is associated with menstrual irregularities, poorer reproductive and obstetric outcomes, and an increased risk of endometrial cancer. Obesity can lead to hyperandrogenism and anovulation, which is consistent with polycystic ovarian syndrome (PCOS). The prevalence of obesity is higher in women with PCOS compared to the general population. Although PCOS increases the risk of obesity, not all women with PCOS are obese, and not all women with obesity develop PCOS. However, individuals with both PCOS and obesity often present with a more extreme phenotype, with increased risk of chronic anovulation, glucose intolerance, dyslipidemia, metabolic syndrome, vitamin D deficiency, and decreased fertility. Therefore, weight loss is the backbone of patient management in women with obesity and PCOS, and is associated with improvement in cardiovascular risk, as well as improvement in menstrual cycles, ovulation, and pregnancy rate. Lifestyle modifications are often the first-line intervention, with data supporting low glycemic index diets, including ketogenic and DASH diets, along with vitamin D supplementation to improve hormonal imbalances, insulin sensitivity, and menstrual cycles in those who do not have normal vitamin D levels. Furthermore, with the recent widespread adoption of newer FDA-approved medications for weight loss, including GLP-1 (glucagon-like peptide) receptor agonists, new data are emerging regarding the impact of PCOS and longer-term cardiovascular risk. The treatment of PCOS requires a personalized approach, with consideration of a patient’s reproductive goals, tolerance of risk, and acceptance of behavioral and financial commitments, as well as consideration of other medical comorbidities. This narrative review explores different weight loss treatment options, comparing lifestyle modifications (including diet, physical activity, mindfulness, stress management, and cognitive behavioral training), weight loss medications, and bariatric surgery and their respective impact on PCOS to assist clinicians in guiding their patients towards an effective, individualized intervention. Full article

This study was designed to identify factors, including estrous cycle length, affecting the incidence of double ovulations in dairy cows. The study population comprised 748 primiparous cows undergoing spontaneous estrous cycles that had undergone their first postpartum artificial insemination following the second observed estrus. A subset of 341 cows with inter-estrus intervals (IEIs) of 18 to 30 days were selected to investigate the impacts of IEI, which was classified as normal (18–23 days) or lengthened (24–30 days). The odds ratio (OR) for double ovulations was 0.82 (p < 0.0001) for each unit increase in genomic prediction values for twin pregnancies, 2.3 (p < 0.0001) for cows inseminated during the negative photoperiod, compared to cows inseminated during the positive photoperiod, and 2.8 (p = 0.02) for cows with lengthened cycles, compared to cows with normal cycles. The OR for lengthened IEIs was 0.91 (p = 0.001) for each unit increase in genomic prediction value, and 4.4 (p < 0.0001) for cows inseminated during the negative photoperiod. In conclusion, lengthened estrous cycles were associated with double ovulations, genomic prediction values were able to identify the risk of lengthened cycles, and the negative photoperiod was found to favor both lengthened cycles and double ovulations. Full article

Reproductive outcomes following synchronized ovulation protocol in beef cattle are influenced by multiple factors, making protocol selection based on farm-specific conditions essential. This retrospective study analyzed the relationship between pregnancy rates and associated factors under the CIDR (GnRH with CIDR insertion–PGF_2α with CIDR removal–GnRH), GPG (GnRH–PGF_2α–GnRH), and GPPG (GnRH–PGF_2α–PGF_2α–GnRH) protocols in Hanwoo cattle. The highest pregnancy rate was observed with the CIDR protocol (58.3%), whereas the GPG protocol yielded the lowest (47.5%). The CIDR protocol demonstrated superior suitability compared with the GPG protocol in first service (61.0% vs. 47.0%) and young breeding cattle (parity: 0–2; 61.6–70.0% vs. 47.5–48.6%). The dominant follicle size strongly associated with pregnancy success was 13–16 mm, and the CIDR protocol induced these follicles more frequently than the GPG protocol (50.2% vs. 35.5%). Although interpretive bias may exist from data collected from pregnant animals only, CIDR protocol significantly increased luteinizing hormone levels compared to GPG. The GPPG protocol produced outcomes that were improved relative to the GPG protocol and statistically comparable to the CIDR protocol. These findings addressed the study’s objective, identifying optimal synchronized ovulation strategies and underscoring reproductive management importance for Korean Hanwoo operations. Full article

Low fruit set in Wurfbainia villosa var. villosa has been a major constraint in its cultivation, with the effective pollination period (EPP) identified as a key factor. In this study, the EPP was assessed for the first time by examining stigma receptivity, style suitability, pollen tube growth rate, and ovule longevity, determined by fluorescence emission microscopy, along with initial fruit set (IFS) determined by sequential hand-pollination of flowers of two cultivars of W. villosa var. villosa under field conditions in Xishuangbanna, South China, in 2022 and 2023. The results showed that the inner surface of the stigma is the receptive region, with receptivity lasting more than three days, as confirmed by pollen adhesion and pollen germination. Style suitability, determined by successful pollen tube entry into the ovule, was maintained for two days; most pollen tubes reached the ovules within one day when stigma receptivity was highest. Ovule longevity persisted for at least three days. The IFS was highest when pollinated at 0–1 days after anthesis (DAA) but dropped sharply to near 0% by 2 DAA. Both EPP estimates, based on its components and IFS, indicated that the EPP is two days, with style suitability being the primary limiting factor. Full article

Letrozole, a third-generation aromatase inhibitor initially developed for breast cancer, has become the preferred first-line agent for ovulation induction (OI), particularly in women with polycystic ovary syndrome (PCOS). This narrative review critically evaluates the efficacy, safety, and clinical applications of letrozole across diverse infertility contexts. Compared to clomiphene citrate, letrozole is associated with higher ovulation and live birth rates, a lower risk of multiple gestation, and a more favorable endometrial environment. Its pharmacokinetics—marked by transient estrogen suppression and a short half-life—limit embryonic exposure, supporting its favorable safety profile. Emerging data from large, randomized trials and meta-analyses demonstrate no increase in congenital anomalies, miscarriage, or adverse perinatal outcomes in letrozole-conceived pregnancies. Moreover, maternal side effects are generally mild, and the risk of ovarian hyperstimulation syndrome is low. Letrozole has also shown utility in mild stimulation protocols, fertility preservation for estrogen-sensitive malignancies, and clomiphene-resistant PCOS. Key clinical strategies—such as early-cycle initiation, lowest effective dosing, and individualized monitoring—optimize therapeutic outcomes while minimizing potential risks. While long-term offspring data remain limited and mechanistic concerns persist, current evidence robustly supports letrozole as a safe and effective option for OI, balancing reproductive success with maternal–fetal safety across a range of infertility indications. Full article

Infertility is a complex and common problem in reproductive medicine consultations. Three factors must be examined during the preconception phase: breeding management, the fertility of the bitch, and the fertility of the stud dog. Among these factors, improper breeding management remains the main cause of reproductive failure, with accurate recognition of ovulation being crucial for successful mating. Artificial insemination allows for a thorough evaluation of semen quality compared to natural mating. In addition, genetic selection, nutritional factors, and reproductive health management can either impair or improve the fertility of females and males. Idiopathic infertility can occur in bitches, but it is important to rule out other possible causes first. In bitches with irregular estrus cycles, ovarian dysfunction and endocrine imbalances should be investigated. In bitches with regular cycles, uterine disorders such as cystic endometrial hyperplasia, endometritis or congenital anomalies may be the cause. Both mating-related and chronic endometritis are recognized as contributing factors to infertility. Infectious agents, particularly Brucella spp. and Mycoplasma spp., should also be evaluated, although interpretation of Mycoplasma test results requires caution. In males presenting with poor semen quality, potential causes include infectious diseases (with brucellosis always requiring exclusion), hormonal imbalances, and the impact of exogenous treatments. The article underscores the critical role of comprehensive diagnostic protocols, proactive health surveillance, and data-driven breeding strategies in systematically addressing this multifaceted challenge. Full article

The asynchrony of cytoplasmic and nuclear maturation in cumulus–oocyte complexes (COCs) due to prematurely declining concentrations of cyclic adenosine monophosphate (cAMP) has been shown to result in reduced oocyte developmental competence. The objective of this study was to evaluate the effect of pre-IVM treatment with cAMP modulators for different durations on the developmental potential of equine oocytes used for cloned embryo production. Collected COCs were transferred to cryovials filled with transport medium at 20–22 °C. Within the cryovials, the COCs were either untreated (Control) for 18 h or treated with 50 µM forskolin and 100 µM 3-isobutyl-1-methylxanthine for the first 4 h (Pre-IVM 4 h) or the entire 18 h (Pre-IVM 18 h). Oocytes were then transferred to maturation medium and incubated for a further 22–24 h at 38.5 °C in 5% CO₂ in air. Somatic cell nuclear transfer embryos were then produced using the meiotically mature oocytes and donor cells from six different fibroblast cell lines. The rates of maturation and embryo development did not differ significantly between the groups, though blastocyst formation tended to be inferior in the Pre-IVM 4 h group compared with the Control group (p = 0.06). Of 67 blastocysts produced, 23 were transferred to recipient mares on Day 4 or 5 post-ovulation. Regarding the pregnancy outcomes, no significant differences were found between the groups, and four viable foals were born, each derived from a different donor cell line. The findings expand on those from previous evaluations of this biphasic IVM system, and indicate that the cAMP-modulating treatments exert limited effects under the pre-IVM conditions used here. Full article

Many researchers focus on improving reproductive health in sows and ensuring successful breeding by accurately identifying the optimal time of ovulation through estrus detection. One promising non-contact technique involves using computer vision to analyze temperature variations in thermal images of the sow’s vulva. However, variations in camera distance during dataset collection can significantly affect the accuracy of this method, as different distances alter the resolution of the region of interest, causing pixel intensity values to represent varying areas and temperatures. This inconsistency hinders the detection of the subtle temperature differences required to distinguish between estrus and non-estrus states. Moreover, failure to maintain a consistent camera distance, along with external factors such as atmospheric conditions and improper calibration, can distort temperature readings, further compromising data accuracy and reliability. Furthermore, without addressing distance variations, the model’s generalizability diminishes, increasing the likelihood of false positives and negatives and ultimately reducing the effectiveness of estrus detection. In our previously proposed methodology for estrus detection in sows, we utilized YOLOv8 for segmentation and keypoint detection, while monocular depth estimation was used for camera calibration. This calibration helps establish a functional relationship between the measurements in the image (such as distances between labia, the clitoris-to-perineum distance, and vulva perimeter) and the depth distance to the camera, enabling accurate adjustments and calibration for our analysis. Estrus classification is performed by comparing new data points with reference datasets using a three-nearest-neighbor voting system. In this paper, we aim to enhance our previous method by incorporating the mean pixel intensity of the region of interest as an additional factor. We propose a detailed four-step methodology coupled with two stages of evaluation. First, we carefully annotate masks around the vulva to calculate its perimeter precisely. Leveraging the advantages of deep learning, we train a model on these annotated images, enabling segmentation using the cutting-edge YOLOv9 algorithm. This segmentation enables the detection of the sow’s vulva, allowing for analysis of its shape and facilitating the calculation of the mean pixel intensity in the region. Crucially, we use monocular depth estimation from the previous method, establishing a functional link between pixel intensity and the distance to the camera, ensuring accuracy in our analysis. We then introduce a classification approach that differentiates between estrus and non-estrus regions based on the mean pixel intensity of the vulva. This classification method involves calculating Euclidean distances between new data points and reference points from two datasets: one for “estrus” and the other for “non-estrus”. The classification process identifies the five closest neighbors from the datasets and applies a majority voting system to determine the label. A new point is classified as “estrus” if the majority of its nearest neighbors are labeled as estrus; otherwise, it is classified as “non-estrus”. This automated approach offers a robust solution for accurate estrus detection. To validate our method, we propose two evaluation stages: first, a quantitative analysis comparing the performance of our new YOLOv9 segmentation model with the older U-Net and YOLOv8 models. Secondly, we assess the classification process by defining a confusion matrix and comparing the results of our previous method, which used the three nearest points, with those of our new model that utilizes five nearest points. This comparison allows us to evaluate the improvements in accuracy and performance achieved with the updated model. The automation of this vital process holds the potential to revolutionize reproductive health management in agriculture, boosting breeding success rates. Through thorough evaluation and experimentation, our research highlights the transformative power of computer vision, pushing forward more advanced practices in the field. Full article

Treating endometritis is one of the major challenges faced by veterinarians. The effect of post-insemination intrauterine infusion Wharton’s jelly mesenchymal stromal/stem cell-derived conditioned medium (WJ-MSC-CM) on the uterine response and pregnancy outcomes in problem mares was evaluated in this study. The cycles of 12 problem mares were treated seven/eight hours after insemination with intrauterine infusion of 20 mL of WJ-MSC-CM (TRT) or non-conditioned Ringer’s lactate solution (CTR). Before (PRE) and 12 h after (POST) treatment, an ultrasonographic examination and a low-volume flush (LVF) for efflux clarity evaluation and bacteriological and cytological analysis were made. Pregnancy diagnosis was performed at 14 days and confirmed at 60 days after ovulation. A decrease (p < 0.05) in polymorphonuclear neutrophils infiltration and a trend toward significance in LVF efflux clarity (p < 0.1) were observed in TRT cycles. The TRT (50%) had a higher pregnancy rate (p < 0.05) than CTR group (0%) at first cycle. Only a trend toward significance was observed comparing pregnancy frequencies between the two groups (CTR 12.5% vs. TRT 54.5%), the pregnancy rate of TRT cycles was comparable to that of normal mares (p > 0.05) and higher (p < 0.05) than that reported for problem mares in the literature. Post-insemination uterine infusion of WJ-MSC-CM in mares restores pregnancy rates to normal levels, by its anti-inflammatory effect. Full article

Endometriosis, a prevalent gynecological condition affecting 10–15% of reproductive-age women, involves the growth of endometrial-like tissue outside the uterine cavity. This chronic inflammatory disease can significantly impact fertility by disrupting ovulation, tubal transport, and implantation. Clinical manifestations vary widely, ranging from asymptomatic cases to severe pelvic pain, dysmenorrhea, and dyspareunia. Accurate diagnosis remains challenging, often requiring a combination of patient history, clinical examination, and imaging studies. This paper will discuss the clinical approach to endometriosis during a first-line gynecological appointment, focusing on patient history, including detailed assessment of menstrual, pelvic, and bowel symptoms, and clinical examination; thorough gynecological examination, including abdominal and pelvic palpation, speculum examination, and bimanual examination; imaging evaluation (particularly of the role of ultrasound in identifying and characterizing endometriotic lesions, including the use of the #ENZIAN classification for deep infiltrating endometriosis and evaluation of fertility impact); and discussion of the Endometriosis Fertility Index (EFI) as a tool for assessing fertility potential. This comprehensive approach aims to guide clinicians in identifying and managing endometriosis effectively, improving patient outcomes and optimizing fertility management strategies. Methods: A literature search for suitable articles published from January 1974 to 2024 in the English language was performed using PubMed. Results: Endometriosis is associated with infertility rates ranging from 20% to 68%, with mechanisms including pelvic adhesions, chronic inflammation, and immune dysregulation. The revised American Society for Reproductive Medicine (rASRM) classification and #ENZIAN classification were identified as essential tools for staging and characterizing the disease. Transvaginal ultrasound (TVS) demonstrated high diagnostic accuracy for deep infiltrating endometriosis, with a sensitivity of up to 96% and specificity of 99%. EFI emerged as a valuable predictor of natural conception post-surgery. Additionally, the review underscores the frequent co-occurrence of adenomyosis in women with endometriosis, which may further compromise fertility. Despite advancements in imaging techniques and classification systems, the variability in symptom presentation and disease progression continues to challenge early diagnosis and effective management. Conclusions: Endometriosis is a prevalent gynecological condition affecting women of reproductive age and is associated with infertility. This paper describes the diagnostic approach to endometriosis during a first-line gynecological appointment, focusing on clinical history, physical examination, and the role of imaging, particularly ultrasound, in identifying and characterizing endometriosis lesions. The adoption of standardized classification systems such as #ENZIAN and EFI enhances disease staging and fertility prognosis, allowing for tailored treatment strategies. Despite improvements in non-invasive diagnostic methods, challenges persist in correlating symptom severity with disease extent, necessitating continued research into biomarkers and novel imaging techniques. Additionally, the frequent coexistence of adenomyosis further complicates fertility outcomes, underscoring the need for comprehensive management strategies. Further research is needed to enhance early detection strategies and optimize fertility preservation techniques for affected women. Full article

The efficacy of sweet cherry production is highly dependent on the regularity of flowering events and genetic-determined relations between female sporophyte and male gametophyte, which became even more important with higher flowering temperatures caused by climate change. Special attention is paid to the genetic diversity that provides essential sources of potential temperature-tolerance genes. Our study aimed at the genetic and reproductive characterization of Balkan cherry cultivars of autochthonous origin (‘Canetova’, ‘G-2’, ‘Dolga Šiška’ and ‘Ohridska Crna’), and six potential pollenizers. To identify S-haplotypes, the polymerase chain reaction (PCR) method was used to detect the S-ribonuclease (S-RNase) and S-haplotype-specific F-box protein (SFB) alleles, combined with fragment analysis and S-RNase sequencing. Pollination experiments were performed at three Balkan localities over two flowering seasons, and the fluorescence microscopy method was used to assess the cultivars’ male/female reproductive behaviour. A novel S-RNase allele S₄₀ was identified in ‘Ohridska Crna’ for the first time. ‘Ohridska Crna’ also demonstrated the best adaptability to higher temperatures regarding primary ovule longevity. This feature makes it desirable from the aspect of breeding new cultivars that can withstand the impacts of climate change. The findings on male-female relations and their temperature dependence open up the possibility for yield prediction and smart horticultural decisions that can be made to guide cherry production. Full article

This study investigated the effects of prenatal herbal methionine supplementation on growth, puberty onset, reproductive efficiency, and blood metabolites in first-generation G1 Alpine doelings. Sixty pregnant multiparous goats (G0), each with at least three parturitions, were assigned during the last trimester of pregnancy to either herbal methionine (H-MET-G0; 1% Optimethione^®; n = 30) or a control group (CTL-G0; n = 30). Only female offspring (G1 doelings) were studied (H-MET-G1:19; CTL-G1:25) from weaning (45 days old) to 10 months (first breeding). G1 doelings were weighed and monitored weekly for metabolites, IGF-1, insulin, and progesterone. Ovulation of the G1 doelings was induced using vasectomized bucks, followed by breeding with intact bucks. Postweaning growth, age at puberty (H-MET-G1:216 vs. CTL-G1:229 days), and live weight at puberty (H-MET-G1:20.5 vs. CTL-G1:21.0 kg) did not significantly differ (p > 0.05). Age at puberty and conception were negatively correlated with live weight (p < 0.001). First-cycle conception rates were 81% in CTL-G1 and 66% in H-MET-G1, with similar days to conception (p > 0.05). The number of pregnant doelings and the number of kids in utero did not significantly differ (p > 0.05) between treatments. Plasma IGF-1 and insulin levels were significantly higher (p < 0.001) in H-MET-G1 doelings, whereas plasma metabolites related to nutrition showed no differences between groups (p > 0.05). Prenatal herbal methionine supplementation had no carry-over effect on growth, puberty onset, or reproductive efficiency. Age at puberty and conception were negatively correlated with live weight and positively correlated with IGF-1 and insulin levels. Full article

Background/Objectives: Polycystic ovarian syndrome (PCOS) is a complex endocrine disorder affecting up to 15% of reproductive-age women, characterized by hyperandrogenism, chronic oligo-ovulation, and metabolic dysfunction. This study aims to evaluate serum sortilin levels in women with PCOS for the first time and investigate their potential associations with metabolic and hormonal alterations. Material and Methods: Eighty PCOS patients and 80 healthy controls were included; serum sortilin levels were measured using ELISA kits, with documented intra-assay and inter-assay variations below 6% and 8%, respectively, ensuring high specificity and sensitivity. Results: Serum sortilin levels were significantly elevated in PCOS patients (69.51 ± 27.75 pg/mL) versus controls (48.60 ± 21.20 pg/mL) (p < 0.001). PCOS patients exhibited higher mean HOMA-IR, free androgen index values, serum glucose, insulin, triglycerides, high-sensitivity C-reactive protein, luteinizing hormone, total testosterone, and DHEA-S levels, alongside reduced high-density lipoprotein cholesterol and sex hormone-binding globulin levels (all, p < 0.05). Notably, inverse correlations were observed between sortilin and low-density lipoprotein cholesterol levels in both groups (p = 0.028 and 0.033). Conclusions: This pioneering study indicates that serum sortilin may be implicated in PCOS pathogenesis and serves as a potential biomarker for metabolic dysfunction in PCOS. Larger, diverse studies with longitudinal designs are needed for further validation. Full article

“How old are angiosperms” is a frequently asked but still unanswered question. Although the underlying reason includes a lack of consensus on the criterion for fossil angiosperms, limited fossil finds, and other factors, the final answer to the question apparently lies in fossils, not wrangling among different schools. The currently mainstream idea in palaeobotany is that angiosperms cannot have existed earlier than the Early Cretaceous. This 64-year-old stereotype was recently iterated again in 2017. However, another hard-to-ignore fact is that this view is challenged by increasing pre-Cretaceous fossil evidence of angiosperms as well as molecular clock estimates. Here, we report a Permian angiosperm, Yuzhoua gen. nov. from Henan Province, China. This fossil plant has enclosed ovules, a defining feature idiosyncratic of angiosperms. In addition, a conspicuous style is seen on the top of the ovary, underscoring its distinction from known fossil seeds in gymnosperms. The combination of the Permian (Palaeozoic) age and these two unique features of Yuzhoua indicates that angiosperms first appeared much earlier than widely accepted, implying a much longer history of flowering plants. The occurrence of four specimens preserved in various states and unique morphology of Yuzhoua are beyond the expectations of all known theories on plant evolution, shedding new light on a previously unknown aspect of plant evolution in geological history. Full article

Elevated body temperature (HEAT) in sexually receptive females is a normal part of the periovulatory microenvironment. The objective was to identify direct (first 6 h) and delayed (4 h or 18 h of recovery) effects at 41 °C exposure during in vitro maturation (IVM) on transcripts involved in steroidogenesis, oocyte maturation, or previously impacted by elevated temperature using targeted RNA-sequencing. Most transcripts (72.3%) were impacted in the first 2 to 4 hIVM. Twelve of the fifteen transcripts first impacted at 4 hIVM had a higher abundance and three had a lower abundance. Direct exposure to 41 °C impacted the transcripts related to progesterone production and signaling, germinal vesicle breakdown, oocyte meiotic progression, transcriptional activity and/or alternative splicing, cell cycle, cumulus expansion, and/or ovulation. Three transcripts demonstrated a delayed impact; changes were not seen until the COCs recovered for 4 h. The use of multidimensional scaling plots to ‘visualize’ samples highlights that oocytes exposed to an acute elevation in temperature are more advanced at the molecular level during the initial stages of maturation. Described efforts represent important steps towards providing a novel insight into the dynamic physiology of the COC in the estrual female bovid, during HEAT and after body temperature returns to baseline. Full article