Assisted Reproductive Technologies in Germany: A Review of the Current Situation

Trappe, Heike

doi:10.1007/978-3-319-44667-7_13

Cited by 12 publications

(7 citation statements)

References 15 publications

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“…Oligoasthenospermic infertile men represent a subpopulation of infertile men who have two therapeutic options to father their own children: (a) to receive pharmaceutical agents in order to improve quantitative and qualitative sperm parameters and achieve subsequently a pregnancy via sexual intercourse; and (b) to participate in assisted reproductive technology (ART) programmes. Considering that employment of ART (a) is not an inexpensive approach for the management of male infertility, (b) it may result in multiple pregnancies which are known to be related to risks for the health of the female partner (Trappe, ) and (c) it has risks for the female partner due to the ovarian hormonal stimulation (Loutradis et al., ), it appears that administration of micronutrients or pharmaceutical agents for the treatment of oligoasthenospermia in infertile men is of great clinical importance. In addition, even when pregnancies do not follow the improvement in sperm parameters after administration of micronutrients/pharmaceutical agents, the outcome of ART techniques may be positively influenced by the above treatments as there is a paternal influence on human preimplantation embryo development and blastocyst formation (Janny & Menezo, ; Sofikitis, Miyagawa, Incze, & Andrighetti, ; among others).…”

Section: Introductionmentioning

confidence: 99%

Effects of a micronutrient supplementation combined with a phosphodiesterase type 5 inhibitor on sperm quantitative and qualitative parameters, percentage of mature spermatozoa and sperm capacity to undergo hyperactivation: A randomised controlled trial

et al. 2018

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The main objective of this study was to evaluate the effects of a micronutrient supplementation (MS) combined with avanafil on sperm function. Oligoasthenospermic men (n = 217) were treated daily for 90 days with either an MS (45 men, Group A), l-carnitine (44 men, Group B), MS plus avanafil (43 men, Group C) or avanafil (43 men, Group D); another group of 42 men with oligoasthenospermia (Group E) received no treatment. Sperm parameters were evaluated before and after the end of treatment in each Group A, B, C and D respectively. The same sperm parameters were measured in each participant of Group E before and at the 90-day experimental period. Within Groups A, C or D, the total percentage of motile spermatozoa, the hypoosmotic swelling test (HOST) result and the percentage of hyperactivated spermatozoa after incubation under conditions known to induce sperm capacitation were significantly greater after MS or MS plus avanafil treatment, or avanafil treatment than before the respective treatment. We suggest that MS or MS plus avanafil combined administration or avanafil alone improves sperm membrane permeability with an overall result improvement in sperm motility, outcome of HOST and increase in the percentage of hyperactivated spermatozoa.

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Section: Introductionmentioning

confidence: 99%

Effects of a micronutrient supplementation combined with a phosphodiesterase type 5 inhibitor on sperm quantitative and qualitative parameters, percentage of mature spermatozoa and sperm capacity to undergo hyperactivation: A randomised controlled trial

et al. 2018

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“…[18] The transabdominal approach is an alternative option that would increase the total number of oocytes retrieved with no statistical difference in complication or pregnancy rates. [18] Ultrasound-guided transabdominal follicular aspiration is the safest and most effective technique when transvaginal access to the ovaries is compromised. [19] Transabdominal oocyte retrieval will provide an alternative to retrieving more oocytes for cases with difficult transvaginal access.…”

Section: Discussionmentioning

confidence: 99%

“…[17] Although severe post-ovum retrieval complications such as intraabdominal excessive bleeding requiring homeostasis and blood transfusion, infections, and recurring hospital admissions are rare, clinicians must be aware of their occurrence to provide an accurate diagnosis and prompt intervention. [18] The transabdominal approach is an alternative option that would increase the total number of oocytes retrieved with no statistical difference in complication or pregnancy rates. [18] Ultrasound-guided transabdominal follicular aspiration is the safest and most effective technique when transvaginal access to the ovaries is compromised.…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of ten cases of transabdominal follicular aspiration for Oocytes retrieval and cryopreservation in patients with malignant diseases

Abduljabbar

Hashim²,

Abduljabar

et al. 2022

Medicine: Case Reports and Study Protocols

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Introduction: Oocyte cryopreservation is used to preserve a woman's oocytes. It is a technique that enables females to postpone pregnancy to a later date, for reasons such as medical (cancer treatment) or in some countries for social reasons such as employment or study.Patient concerns and diagnoses: Cryopreservation of oocytes in ten young, single, and virgin women with malignant disease Interventions: Transabdominal follicular aspiration for oocyte retrieval and cryopreservation Outcome: A total of 148 oocytes were retrieved. The number of mature oocytes retrieved were 112. The operative time ranged from 45 minutes to 120 minutes. None of the patients had complications after the procedure. Conclusion:Transabdominal ultrasound-guided aspiration can be the modality of choice for women with malignant disease, especially unmarried/ virgin women who desire to retain intact hymen for cultural reasons.

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“…ART is limited to married heterosexual couples. Health insurance covers the costs only up to the age of 40 for women and 50 for men (Trappe 2017).…”

Section: Country Variation and Cultural Assimilation Among Migrantsmentioning

confidence: 99%

“…This is a much higher rate than what has been stated in the scarce literature to date (2 percent, Stöbel-Richter et al 2012). This increase, however, seems not implausible considering the rise in the number of children born after medical treatment according to the German in-vitro fertilization register (IVF register) in the recent decades (Haug et al 2018;Trappe 2017;Passet-Wittig 2017). The rate that we estimated is similar, however, to 8 percent in a sample of childless migrants in Smidt/ Wippermann's study (2014).…”

Section: Tabmentioning

confidence: 99%

Women’s Attitudes toward Assisted Reproductive Technologies – A Pilot Study among Migrant Minorities and Non-migrants in Germany

Haug

Milewski

2019

CPoS

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This study examines attitudes toward assisted reproductive technologies (ART) among immigrant women and non-migrants in Germany. The social relevance of ART is increasing in Western countries due to overall low birth rates, a high rate of childlessness, and a gap between the desired and the actual numbers of children. Previous literature has been scarce, however, on attitudes toward ART, and immigrant minorities have rarely been included in studies on ART.Our working hypotheses are drawn from theoretical considerations on political socialisation and cultural integration. The analysis is based on data collected in a pilot study in 2014 and 2015. The sample includes 960 women aged 18 to 50 living in Germany. About 81 percent of the sample are immigrants who originate from Turkey, Poland, the Balkan countries, or countries of the (Russian) Commonwealth of Independent States (CIS). We study the social norm to use ART to have a child, the personal attitude of whether a woman would use ART herself, and the methods that they would consider for their own use.Our results show that ART is overall socially acceptable, and the majority of women said that they would use it if necessary. There is significant variation between the origin groups, however. Non-migrants show the lowest acceptance rates and migrants from Poland and Turkey the highest approval. There is also variation in the ART procedures considered for use with the migrants more approving of heterologous methods than non-migrants. The differences between the origin groups diminish only partly when controlling for further explanatory variables, i.e. gender-role attitudes, religiosity, and socio-demographic characteristics of the respondents.We conclude that attitudes toward ART are shaped less by socio-demographic characteristics, but rather by cultural factors and the socialization in the migrants’ countries of origin. The diversity in attitudes toward ART by cultural background should be acknowledged in research and public discourses on ART as well as in regulating policies. * This article belongs to a special issue on migrant fertility.

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Assisted Reproductive Technologies in Germany: A Review of the Current Situation

Cited by 12 publications

References 15 publications

Effects of a micronutrient supplementation combined with a phosphodiesterase type 5 inhibitor on sperm quantitative and qualitative parameters, percentage of mature spermatozoa and sperm capacity to undergo hyperactivation: A randomised controlled trial

Effects of a micronutrient supplementation combined with a phosphodiesterase type 5 inhibitor on sperm quantitative and qualitative parameters, percentage of mature spermatozoa and sperm capacity to undergo hyperactivation: A randomised controlled trial

Retrospective analysis of ten cases of transabdominal follicular aspiration for Oocytes retrieval and cryopreservation in patients with malignant diseases

Women’s Attitudes toward Assisted Reproductive Technologies – A Pilot Study among Migrant Minorities and Non-migrants in Germany

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