Use of exogenous gonadotropins for ovulation induction in
Gonadotropin releasing hormone. (GnRH) agonists can also be used to trigger ovulation by stimulating a sudden release of endogenous FSH and LH (32). PCOS
Understanding-ovulation-and-the-fertile-window.pdf
When you want to have a baby you can improve your chance of getting pregnant if you know about ovulation and the. 'fertile window' in the menstrual cycle.
Follicular Development and Ovulation in Sows: Effect of hCG and
in sows ovulating spontaneously and sows in which the ovulation was attempted in- duced by hCG or GnRH. Indwelling catheters were placed on day 1 (weaning=
Medications for Inducing Ovulation
Ovulation induction with fertility drugs is also used in patients without ovulatory dysfunction. The goal is to stimulate the ovaries to produce more than one
Ovulation Induction With Bromocriptine (CB154) in Patients With
04-Nov-1977 Two of these subjects conceived and the third had cycles of ovarian response of follicular maturation only or ovulation with deficient corpus ...
Induction of ovulation after GnRH antagonists
antagonist in controlled ovarian stimulation ovulation or maturation of the oocyte can
Medications for Inducing Ovulation
These medications can help a woman to ovulate more regularly increasing her chance of getting pregnant. These medicines
Novel Signaling Pathways That Control Ovarian Follicular
It is localized to granulosa cells of ovulating follicles between 4–12 hours after exposure to the. LH surge just prior to ovulation. Thus
Ovarian Proteolytic Enzymes and Ovulation
of ovulation and in many in- stances a thin translucent stigma
Natural and controlled ovulation in South American camelids
17-Feb-2018 Based on daily ultrasonography of the ovaries in llamas spontaneous ovulation occurred in 2 of 25 (8%) unmated llamas and failure to ovulate ...
BIOLOGYOFREPRODUCTION10,216-235(1974)
LAWRENCEL.ESPEY
TrinityUniversity,SanAntonio,Texas78284
Mammalianovulationisadynamicphe-
nomenonwhichrequiresdisruptionofthe vascularsystemanddisplacementofthe connectivetissueinthewalloftheGraafian follicleastheovumisreleased.Inmost mammals,thewholefollicleprotrudes moremarkedlyfromtheovariansurface atthetimeofovulation,andinmanyin- stancesathintranslucentstigma,the maculapellucida,formsattheapexofthe follicleasthefinalsignofimpendingrup- ture.Thisunusualmorphologicalchange hasleftastrikingimpressiononthosewho haveactuallyobservedit.Kelly(1931)was
sofascinatedwhileobservingarabbitfol- liclenearrupturehestated"astension portionaroundthepolebeginsto bulge....Itnowstandsoutlikethenip- pleonabreast."Themomentofrupture sometimesappearsasanexplosiveevent, leadingobserverstocompareittoa"vol- canoerupting"(Hilletal.,1935)ora
"blisterthatbursts"(Blandau,1966).Thereareseveralreportswhichprovide
detailedaccountsofthemacroscopicand microscopicchangesthatoccurduringthis process(WaltonandHammond,1928;Blandau,1966).
Untilthepastdecadelittleprogresshas
beenmadeintheelucidationoftheactual mechanismoffollicularrupture.Lackof knowledgeOnthisimportanteventinthe ofmoststudiesconductedpriorto1960 waslimitedtovisualandhistologicalobser- vationsofthefollicle.Buteventhereports oftheseexperimentswereeithernegative orsoinconsistentthat[theinvestigators] wereunabletoproduceanyconclusiveevi- dence"(GuttmacherandGuttmacher,1921),and"theproblemstillremainsin
thisconditionofuncertainty"(Kraus,1947).AsHisaw(1961)counseledadozen
yearsago,"thesolutionoftheproblemof ovulationmaybefoundbyinvestigating thebasicphysiologicalprocessesthatgoon inthefollicle."Theinformationpresented inthissymposium,whichDr.Nalbandov hassotimelyorganized,revealsthatsteps havebeentakenintherightdirection.NONENZYMATICTHEORIES
Manyhypothesestoexplainovulation
wereformulatedpriorto1960,eventhough sounilexperimentaldatawerelacking.Hisaw(1947)hasthoroughlyreviewedthe
theoriesuptothemiddleofthetwentieth century.BlandauandRumery(1963)have extendedthereviewthroughthenext15 yr,andRondell(1970a)hascoveredthe importantliteratureduringthepast decade.Therearenumerousotherreports whichincludeextensivereferencematerial onthemechanismofovulation(Asdell,1962;Blandau,1966,1967,1968;Espey,
1964;EspeyandBetteridge,1970;Espey
andLipner,1965).Ishallnotendeavor toitemizeallthetheorieswhichhavebeen publishedinthismaterial;however,several pointsarenoteworthy.Intrafollicularpressure.Upto1963,the
mostpopularspeculationsincorporatedthe ideathatruptureresultedfromanincrease inintrafollicularpressure.Thisdeduction216Downloaded from https://academic.oup.com/biolreprod/article/10/2/216/2841277 by guest on 23 October 2023
PROTEOLYTICENZYMESANDOVULATION217
wasbasedprimarilyonthedynamic changesonthesurfaceofthefollicleat thetimeofovulation.Itissurprisingthis "pressuretheory"wasnotchallengedmore seriouslybeforethepastdecade.Asearly as1919,Corner(1919)pointedoutthat thethecaexternaofthefollicle"iscom- posedchieflyofcollagenousfibrilsand theirassociatedfibroblasts."Becauseofthe hightensilestrengthofthiscollagenous layerofthefolliclewall,GuttmacherandGuttmacher(1921)couldnotinducerup-
tureinsowfolliclesbymaintainingacon- stantheadofpressureofwellover300 mmllgintheovarianarteriesforhours atatime.Theynotedthat"thefollicular vesselscouldbeseentowashoutclearly butrupturedidnotoccurinasinglein- stance,eventhoughonebracedhimself againstawallandpushedthepistonof theinjectionsyringewithallofthephysical strengthavailable."Yet,seriousquestion ofthepressuretheoriesdidnotcomeuntil the1960swhenthreeseparatestudies (BlandauandRumery,1963;EspeyandLipner,1963;Rondell,1964)demonstrated
thatfollicularpressuredoesnotincrease priortoovulation.(Thisisnottoirnpl\ thatthelowintrafollicularpressurewhich existsisnotanessentialhydrostaticforce inthedissociationofa"weakened"follicle wall.)Smoothmuscle.In1849,Kolliker(1849)
firstmentionedsmoothmuscleasastruc- turalconstituentoftheovary.Severalyears laterthehypothesiswasformulated (Rouget,1858;Grohe,1863)that,incon- tracting,themusclefibersoftheovary compressedthebloodvessels,andthe congestionfromimpairedvenousreturnled totheruptureofthematurefollicles.This ideahasbeensupportedforthepast100 yrbynumeroushistologicalreports(seeEspey,1964)ofsmoothmusclecellsinthe
thecaltissue.However,observationswitha polarizingmicroscope(Claesson,1947)do notrevealsmoothmusculatureinthefol- liclewallincow,swine,rabbit,orguinea andYatvin,1970)revealedsmoothmuscle cellsintheovarianfollicle.Furtherchal- lengetothesmoothmuscletheorycame fromevidencethatawidevarietyof smoothmusclestimulantsfailedtoinduce contractileactivityinsowfollicles(Espey,1964).Inaddition,recordingofintrafol-
licularpressuresduringovulationdonot indicatethatsmoothmusclecontractions areimportantinthisprocess(EspeyandLipner,1963).
Inspiteofalltheevidencetothecon-
trary,duringthepastseveralyearsthere hasbeenaresurginginterestinthepossible roleofsmoothmusclecellsinthemecha- nismofovulation.Newreportssupportthe presenceofthistypeofcellandthetheory thatthey"mayplayaroleintheprocess ofovulation"(O'Shea,1970)bycausing "folliculardehiscenceandatusia"(Fum- agallietal.,1971)through"acontractile forcewhichseemstobeeffectivein dissociatingtheconnectivetissue"(Okam- uraetat.,1972)leadingto"anopeningof thestigmaandtheextrusionofthefolli- cularcontents'(PaltiandFreund,1972).However,itismyopinionthatnoneofthe
recentultrastructuralstudiesclearlydem- onstratesmoothmusclecellsinthethecal layerofthefolliclewall.Inonecase (Okamuraetat.,1972),theelectronmicro- graphwhichreportedlydemonstratesa "smoothmusclecell"appearsactually tobetakenfromaregionoftheovarian stroma,ratherthanthethecafolliculi.Intheotherreports,forthemostpart
theinvestigatorshavefailedtorecognize thatitisnotuncommontoobservecyto- plasmicfilamentsinfibroblasts(seeHaust andMore,1967).Iwouldnotdenythat thefolliclewallmayoccasionallycontain whatappeartobemyofibroblasts,butthese cellsarerare,andprobablyrepresentan anomalywhichhasnosignificantfunc- tionalroleinthemechanismofovulation.Mechanical(mathematical)models.The
matureovarianfollicleisarigidspheresurroundedbyadenselayerofcollagenousDownloaded from https://academic.oup.com/biolreprod/article/10/2/216/2841277 by guest on 23 October 2023
218ESPEY
connectivetissue.Anidealizedmathemati- calandphysicalmodelofthisspherehas beenusedbyRodbard(1968)toanalyze theprocessofovulation.Heconcluded(1) thatbyusingthephysicalcharacteristics ofthemodelthepreciseconditionsforovu- lationcouldbestatedmathematically,(2) thatasfolliclesreachacriticalsizethe stigmaformationmaybeexplainedby mechanicalfactors,and,finally,(3)that byprovidingamechanicalfinalcommon pathway,thisapproachhasbeenableto reconcilepreviousconflictingdataandthe- oriesconcerningtheeventsofovulaton.However,hismodelisnotonlyoversimpli-
fied,butbasedonmanygrossassumptions regardingthephysiologicalprocesses withintheovarianfollicle.Anymechanical modelwhichistobecomparedwiththe follicleduringovulationmustincorporate theknownchangesindistensibilityand breakingstrengthofthefolliclewall (Rondell,1970a).Lardner(personalcom- municationfromDr.ThomasLardner,Dept.Mech.Eng.,M.I.T.)supportsthis
positionofRondellregardingmathematical models.Ibelievethat,becauseofthemany assumptionswhicharenecessaryinthe conversionofalivingsystemintoamathe- maticalmodel,itisdoubtfulthisanalytical approachwillprovideanyusefulinforma- tiononthemechanismofrupture.DEGRADATIONOFTHEFOLLICLE
Macroscopicchanges.Itisnotdifficultto
recognizefrommacroscopicobservations thatthereisagrosschangeintheintegrity oftheconnectivetissueofafolliclenear rupture(unpublished).Afterhandling hundredsofthousandsofsowovaries,it becomesobviousthatnearovulationfolli- clesaredistinctlymoreflaccid:Exertion ofonlyslightmanualpressurecausessuch folliclestoburst.Asanotherexample,if thewallofarabbitfollicleispenetrated withamicropipette(fordeterminationof gibleforceisrequiredtopenetratethesur- faceofthefollicleifitisclosetorupture.Thirdly,whenattemptsaremadetodissect
wholefolliclesfromthesurfaceoftherab- bitovary,thefolliclesinprecoitalrabbits aredifficulttoextirpatebecauseofconnec- tivetissueadhesionswhichinterlacethe follicularthecawiththeovarianstroma.However,nearrupturethisc:innectivetis-
sueappearsdecomposedandthefollicles "peelout"withminimalsurgery.Collec- tively,thesequalitativeobservationssug- gestthereisactivedecompositionofthe connectivetissueintheovarynearrupture.Microscopicchanges.Microscopictech-
niqueshaveelucidatedsomeofthetransi- tionsinthefinestructureofthefollicle wallasitapproachesrupture.Duringovu- lationintherabbit,thethecaltissueap- pearstoundergosignificantdeterioration (Espey,1967a).Thisinvolvesdissolution oftheextracellulargroundsubstanceand dissociationofthefollicularcollagen.Not onlyisthereaseparationofthecollagen fibers,butthecellsalsoappeartobesparse incomparisontothoseinmaturefolicles distantfromovulation.Intheminutespre- cedingrupture,thefibrousouterlayersof thefolliclewallthintolessthanone-fifth theiroriginalwidth.Thispreovulatory thinningofthefolliclewallhasalsobeen observedintherat(Blandau,1967).Theseobservationssuggestedthatlyso-
somalhydrolasesmightbeactiveinthe ovulatoryprocess.However,examination oftheultrastructureofmaturerabbitfol- liclesinthislaboratoryhasrevealednegli- giblelysosomalbodies(Stutts,1968).With theexceptionofthegerminalepithelium, lysosomesweresparseinthecellsofthe folliclevall,nordidthosepresentundergo anyconspicuouschangesduringovulation.quotesdbs_dbs48.pdfusesText_48[PDF] oxford english conversation book
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