Timed intercourse after intrauterine insemination for treatment of infertility

被引:3
作者
Huang, FJ [1 ]
Chang, SY [1 ]
Chang, JC [1 ]
Kung, FT [1 ]
Wu, JF [1 ]
Tsai, MY [1 ]
机构
[1] Chang Gung Mem Hosp, Dept Obstet & Gynecol, Kaohsiung, Taiwan
来源
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 1998年 / 80卷 / 02期
关键词
intrauterine insemination; timed intercourse; pregnancy rates;
D O I
10.1016/S0301-2115(98)00114-6
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To compare the pregnancy rates, between intrauterine insemination (IUI) followed by timed intercourse and IUI only for treatment of the infertile couples. Study design: A prospective study of two different protocols of intrauterine insemination in two hundred and one infertile couples with a normal spermiogram was carried out. Of these, 101 couples were treated with TUI alone and 100 couples had bath IUI and timed intercourse within a 12-18 h period. The pregnancy rates were compared between groups. Results: The characteristics of the two groups were similar in terms of the mean age, as well as the duration and causes of infertility. The cycle characteristics following follicular stimulation were also similar between two groups. The pregnancy rate per cycle increased with increasing numbers of total motile sperm per insemination in the IUI alone group (P=0.045). Timed intercourse increased pregnancy rate in patients with lower motile sperm number (<40X10(6)) (27.7% versus 10.5%, P=0.023), but not in patients with higher sperm number (greater than or equal to 40x10(6)) (25.7% versus 22.7%, P=0.671). Conclusions: In IUI with low number of motile sperm inseminated, timed intercourse significantly increases the pregnancy rates over IUI alone in infertile couples with a normal sperminogram. This alternative treatment appears to be a practical, simple, and inexpensive addition that improves the pregnancy rate in patients receiving ovulation induction and intrauterine insemination program. (C) 1998 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:257 / 261
页数:5
相关论文
共 24 条
[1]  
ALLEN NC, 1985, FERTIL STERIL, V44, P569
[2]  
*AM FERT SOC, 1985, FERTIL STERIL, V43, P351
[3]   Effect of motile sperm count after swim-up on outcome of intrauterine insemination [J].
Berg, U ;
Brucker, C ;
Berg, FD .
FERTILITY AND STERILITY, 1997, 67 (04) :747-750
[4]  
BERGER T, 1985, FERTIL STERIL, V43, P268
[5]  
BRASCH JG, 1994, FERTIL STERIL, V62, P150
[6]   The influence of sperm morphology and the number of motile sperm inseminated on the outcome of intrauterine insemination combined with mild ovarian stimulation [J].
Burr, RW ;
Siegberg, R ;
Flaherty, SP ;
Wang, XJ ;
Matthews, CD .
FERTILITY AND STERILITY, 1996, 65 (01) :127-132
[7]  
BYRD W, 1990, FERTIL STERIL, V53, P521
[8]  
Campana A, 1996, HUM REPROD, V11, P732
[9]  
CONFINO E, 1986, FERTIL STERIL, V46, P55
[10]  
DODSON WC, 1991, FERTIL STERIL, V55, P457