What Every Gynecologist Should Know About Perimenopause
CLINICAL OBSTETRICS AND GYNECOLOGY
Authors: Verrilli, Lauren; Berga, Sarah L.
Abstract
Perimenopause often represents a physiologically challenging phase in women's lives. The clinical presentation of the perimenopause includes infertility, irregular menstrual cycles, menorrhagia, and new onset of or worsening of mood disorders. Unlike menopause, which is characterized by low levels of estradiol and progesterone, the hallmark of perimenopause is highly variable levels of estradiol and progesterone with abrupt increases and decreases that are often described as a hormonal roller coaster. This chapter invites general gynecologists to understand the hormonal basis of the common complaints of perimenopause and offers information about the physiology of these issues and helpful treatment options.
Elevated blood urea nitrogen alters the transcriptome of equine embryos
REPRODUCTION FERTILITY AND DEVELOPMENT
Authors: Boakari, Yatta Linhares; El-Sheikh Ali, Hossam; Dini, Pouya; Loux, Shavahn; Fernandes, Claudia Barbosa; Scoggin, Kirsten; Esteller-Vico, Alejandro; Lawrence, Laurie; Ball, Barry
Abstract
High blood urea nitrogen (BUN) in cows and ewes has a negative effect on embryo development; however, no comparable studies have been published in mares. The aims of the present study were to evaluate the effects of high BUN on blastocoele fluid, systemic progesterone and Day 14 equine embryos. When a follicle with a mean (+/- s.e.m.) diameter of 25 +/- 3mm was detected, mares were administered urea (0.4 g kg(-1)) with sweet feed and molasses (n = 9) or sweet feed and molasses alone (control; n = 10). Blood samples were collected every other day. Mares were subjected to AI and the day ovulation was detected was designated as Day 0. Embryos were collected on Day 14 (urea-treated, n = 5 embryos; control, n = 7 embryos). There was an increase in systemic BUN in the urea-treated group compared with control (P < 0.05), with no difference in progesterone concentrations. There were no differences between the two groups in embryo recovery or embryo size. Urea concentrations in the blastocoele fluid tended to be higher in the urea-treated mares, with a strong correlation with plasma BUN. However, there was no difference in the osmolality or pH of the blastocoele fluid between the two groups. Differentially expressed genes in Day 14 embryos from urea-treated mares analysed byRNA sequencing were involved in neurological development, urea transport, vascular remodelling and adhesion. In conclusion, oral urea treatment in mares increased BUN and induced transcriptome changes in Day 14 equine embryos of genes important in normal embryo development.