Some effects of intrauterine devices on reproductive funtion in the ewe

Uterine contraction patterns and fertility in early postpartum ewes

Three experiments were conducted to determine: (1) the direction of uterine contractions in Days 32 and 52 postpartum ewes (Experiment 1); (2) the effect of PGF(2alpha) on direction of uterine contractions (Experiment 2); and (3) the effect of PGF(2alpha) on fertility rates in Day 32 postpartum ewes (Experiment 3). In Experiment 1, non-lambing (>90 days postpartum) and lambing ewes (day of lambing=Day 0) received medroxyprogesterone acetate (MAP) vaginal sponges for 8 days and 500 IU of eCG at sponge withdrawal (Days 30 or 50 postpartum). At the time of eCG injection, ewes were divided into the following groups: (1) non-lambing (control; n=29); (2) Day 32 postpartum dry (n=15) and lactating (n=16); and (3) Day 52 postpartum dry (n=14) and lactating (n=16). At estrus or 60h post-eCG, the uterus was exteriorized through a mid-ventral incision, and the origin and direction of uterine contractions were recorded for 10min. In Experiment 2, ewes received MAP sponges on Day 16 postpartum followed by 500 IU of eCG on day of sponge removal (Day 30). At estrus, the ewes were divided into the following treatments: (1) two injections of saline 4h apart (n=10) and (2) 12.5mg of PGF(2alpha) followed by another 12.5mg 4h later (n=7). After the second injection, ewes were laparotomized and uterine contractions were counted. In Experiment 3, estrus was induced in postpartum ewes, and ewes were mated to two rams, then received the same two treatments as described in Experiment 2 (ram+saline; n=32 and ram+PGF(2alpha); n=28). Two days following mating, ewes were laparotomized and the oviducts flushed for recovery of ova. In Experiment 1, lactational status had no effect, therefore, the data were pooled. Control ewes had a greater percentage (p<0.05) of uterine contractions (69%) moving towards the oviducts than did Day 32 (8%) or Day 52 (43%) ewes. In Experiment 2, PGF(2alpha) treatment increased the proportion of contractions (p<0.05) moving toward the oviducts (controls 16%, PGF(2alpha) 42%). Number of PGF(2alpha)-treated ewes (Experiment 3) with fertilized ova were not significantly different from the control ewes (5/32 versus 2/28; respectively). In conclusion, it can be said that the direction of uterine contractions moving toward the oviducts increased as the postpartum interval progressed or if they received PGF(2alpha) injection. PGF(2alpha) treatment did not improve fertility rates in Day 32 postpartum ewes.

Transport and fate of spermatozoa after insemination of cattle

Sperm capable of fertilizing ova reach the isthmus of cows about 8 h after mating and remain in the caudal 2 cm of the isthmus until ovulation. Then small numbers of sperm move to the site of fertilization at the junction of the isthmus and ampulla. Within a few hours after deposition of semen in the uterine body, most sperm have drained to the exterior in cervical mucus. By 12 to 24 h after insemination, only a few percent of the sperm remain in the reproductive tract, and most of these are in the vagina. Contractions of the reproductive tract appear to be the primary mechanism of sperm transport. Flagellation of sperm is probably required for sperm to enter the folds of the cervix, and flagellation may be helpful or essential for sperm to pass through the uterotubal junction, move from the isthmus to the ampulla, and penetrate ova. High proportions of sperm undergo the acrosome reaction only in the ampulla on the side of ovulation and only after ovulation. The fertilization rate in cattle can be improved by use of semen from high fertility bulls and perhaps by timing insemination with semen from lower fertility bulls after the end of estrus.

Absence of chorionic gonadotropin in sera of women who use intrauterine devices

A controlled study was undertaken to determine whether unnoticed pregnancies routinely occur in users of the intrauterine contraceptive device (IUD). Starting on day 10 of the menstrual cycle and continuing through the onset of menstruation or until the diagnosis of pregnancy, we collected daily blood samples from three groups of normally menstruating young women. The study groups were (A) IUD users (n = 30), (B) women with tubal ligation (n = 30), and (C) women trying to become pregnant (n = 15). The sequential serum samples were analyzed by radioimmunoassay for progesterone (P), human luteinizing hormone (hLH), and human chorionic gonadotropin (hCG). No positive hCG assays in luteal phase blood sera of IUD users were observed. The only positive hCG determinations of IUD users coincided with the preovulatory surge of hLH. Two subjects who became pregnant, as judged by progressive increases in hCG and P levels in the luteal phase, belonged to the group planning pregnancy. The finding of two pregnancies in 15 months of exposure is consistent with the assumption of natural fertility. The probability of no pregnancies in 30 months at risk, as observed among the IUD users, is between 1 in 200 and 1 in 100,000, depending on the assumption made for natural fertility. The study demonstrates that IUD users do not retain their natural fertility, and that IUDs do not exert their antifertility effect as abortifacient agents. If a confirmed pregnancy is detected in an IUD user, it may be assumed to represent an isolated case of contraceptive failure.

Sperm survival and transport in the female reproductive tract

Fertilization failure, mostly due to absence of sperm in the oviducts, is a major cause of reproductive inefficiency of farm animals. Sperm may be transported to the oviducts of cattle and sheep within a few minutes after mating or insemination, but these sperm probably fertilize few ova. Slower transport, with establishment of sperm populations in each segment of the reproductive tract, requires a few to several hours. In swine, sperm capable of fertilizing ova reach the oviducts in less than 1 h. Smooth muscle contractions of the reproductive tract, ciliary beats, fluid currents, and flagellar activity of sperm are primary mechanisms of sperm transport. Sperm become hyperactive in the oviducts in association with capacitation. Most sperm in an inseminate drain from the female reproductive tract within a few minutes or hours after insemination; remaining sperm are removed from the tract by slower drainage or phagocytosis. Sperm survival and transport in estrous ewes is reduced drastically by pastures with high estrogen content and by regulating estrus with progestogen or prostaglandin F2 alpha. The cervix is the initial site of inhibition of sperm transport in ewes, and endocrine imbalances probably are the basis of inhibition. Sperm transport problems generally are associated with immobilization and death of sperm in the uterus and anterior segments of the cervix within 2 h after mating. After gilts are inseminated with frozen-thawed semen, relatively few sperm are retained in the reproductive tract, apparently accounting for lowered fertilization rates. Sperm transport has been improved by adding to semen or administering to females such compounds as prostaglandin F2 alpha, oxytocin, estradiol, phenylephrine, or ergonovine. Estradiol, prostaglandin F2 alpha, phenylephrine, and ergonovine administered to rabbits at insemination each increased fertilization rates.

Effect of Lippes loop on sperm recovery from human fallopian tubes

Recovery of human sperm from the fallopian tubes after natural insemination have been studied in sixty women; out of these, thirty cases were fitted with the Lippes loop, type C, for at least six months. The mean sperm count/high power field (HPF X 400) and percentage of motile sperm in the cervical mucus in both control and Lippes loop groups showed no significant differences. No sperm were recovered from the fallopian tubes of the Lippes loop group, while fourteen control cases had a positive recovery of sperm from the tubal washings. The mean number of white blood corpuscles in the tubal washings of Lippes loop-fitted cases was found to be significantly higher than in control cases. The phagocytic capacity of these cells may explain the low incidence of sperm recovered from the fallopian tubes in such cases.