Asian Fertility Expert Meeting (AFEM) was taken place in Ho Chi Minh City from 20th to 23rd December, 2003. 11 reports were presented at the meeting. Out of them there were 2 reports of 2 Vietnamese lectures: Vuong Thi Ngoc Lan with report of experiences of using Orgalutran in Vietnam, and Ho Manh Tuong reported the development of first 12-25 months of age infants who were born by IVF/ICSI methods. The other reports and discussions focused on some topics: some forms of ovarian stimulation drugs in infertility treatment and in vivo fertilization (IVF)
Congresses as Topic ; Fertility ; Asian Continental Ancestry Group

Authors have presented some statistics on the treatment of infertility. 48 male subjects were treated successfully, 39 of them treated by endocrinological methods, others by mixed methods. Among 640 female subjects treated successfully, 425 were treated by ovarian stimulation, 2 by IVF with a total successful rate of 90.65%. Results were analysed and recommendations were suggested.
Infertility ; Therapeutics ; Gynecology

The authors studied on 527 infertile women. All patients were done: clinical examination, spermatogram analysis, hysterosalpingography and quantitative determination of 5 hormones LH, FSH, PRL, E2, A4P. The classification of hormonal causes of female infertility is following: - Primary ovarian failure (POF): 18 cases- 3.42%. - Hyperprolactinemia: 12 cases 2.28%.- Anovulation: 241 cases 45.92%. - Ovulation cycle: 182 cases 34.54%. - Uncomprehensible: 73 cases 13.85%.
Infertility ; Infertility, Female ; Enzyme-Linked Immunosorbent Assay

The authors studied on 242 infertile cases due to an ovulation in 296 cycles of treatment by FSH-HCG from 1995 to 1997. The pregnancy rate is 28,51% of cases and 23,31% of cycles. The rate of spontaneous abortion plus embryos death in utero is high 52,7%. The rate of ovarian hyperstimulation is 8,45%. The monitoring of ovarian function by ultrasound and serum estradiol level is very important to prevent the risk of severe hyperstimulation. It is difficult to decrease the rate of abortion and embryo death in utero
Ovulation Induction ; Abortion, Spontaneous

The authors studied in two years on 296 cycles of induced ovulation. The ovarian hyperstimulation syndrome (OHSS) was occurred in 14, 19% of total cycles, in which there are 4,05% of severe OHSS. The rate of pregnancy is 41% of OHSS, instead of 30% of induced ovulation cycles with HMG-HCG. The prevention of OHSS is strictly controlled basing on the monitoring of the function of ovary when induced ovulation with HMG-HCG by serum E2 analysis and follicle diameter measurement with sonography. The HCG after HMG is eliminated when appeared OHSS odd degree I is occurred; and the infusion of serum in case of OHSS of degree III could interrupt the progress of more severe OHSS, and bring the patient to the normal situation.
Ovarian Hyperstimulation Syndrome ; Ovulation

This paper summarized 120 cases of intraceteral insemination IUI during 3 years. The IUI found the encouraging results that 6 infertile cases due to both wives and husbands among 120 cases of infertility (5%). All 6 cases must be received the ovulation stimulation. 4/6 cases implemented with the cryo- preservation sperms.
Insemination, Artificial ; diagnosis ; therapeutics

The rate of infertility in Vietnam is 13% of couples of reproductive age, in which the primary infertility is 1.5%; the secondary infertility with childless is 1.5% and with at least 1 living child is 2%. It means there are 5% of couples needing a treatment of infertility. The principal cause of infertility is the infections of genital tract leading to tubal occlusion in 40% of female infertility; the hydrotubation is done the proximal tubal occlusion. Surgery with coelioscopy is the most proper method for tubal occlusion; Pregnancy rate is 30% of the tubal occlusion cases. The rate of anovulation and dysovulation about 25%. The treatment of these cases is clomiphene citrate of HMG-HCG. The rate of hyperprolactinemia is 30% of amenorrheic women having galactorrhea or not. Bromocryptine pregnancy rate is more than 30%.
Infertility ; Sterilization, Tubal ; Disease Management

The study included 715 anovulatory women on 1065 cycle's therapy with 3 preparations of CC: Clomid, Ovofar and Serophene. The result of ovulatory induction was approximately 50%, of clinical pregnancy was 30%. Ovofar give the clinical pregnancy a little higher (47%) of the total cycle therapy, so the loss of pregnancy (missed abortion + still abortion + GEU) is higher so (31% od the total pregnancy), in comparison with Ovofar (25%), and with Serophene (12%). The authors intend to investigate the new Clomid on the other group of women anovulatory infertility
Clomiphene ; Pregnancy ; women