Document Detail


Controlled ovarian hyperstimulation and intrauterine insemination in subfertility. How many treatment cycles are sufficient?
MedLine Citation:
PMID:  9800675     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the combined effects of factors influencing the pregnancy rates following controlled ovarian hyperstimulation (COH) and intrauterine insemination (IUI). STUDY DESIGN: After utilizing the couple as the unit of analysis, 416 couples undergoing COH and IUI with the husband's sperm were studied retrospectively. RESULTS: The woman's age, postwash total motile sperm counts and number of IUI treatment cycles were three major factors that affected the results of IUI. The predicted cumulative pregnancy rates under different values of the above three factors were therefore calculated using multiple logistic regression analysis and were compared to the pregnancy rate achieved by a cycle of in vitro fertilization and tubal embryo transfer. CONCLUSION: Three treatment cycles of IUI are optimal for women aged < or = 34 with postwash total motile sperm counts > 5 x 10(6). For women either aged > or = 35 or with postwash total motile sperm counts < 5 x 10(6), the cumulative pregnancy rates achieved by IUI are extremely low, and other means of assisted reproduction are recommended for couples in those categories. However, this conclusion pertains to our clinics, and other institutions should establish their own data.
Authors:
J H Yang; M Y Wu; K H Chao; S U Chen; H N Ho; Y S Yang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  43     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-26     Completed Date:  1999-01-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  903-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Female
Humans
Infertility, Female / therapy*
Infertility, Male
Insemination, Artificial, Homologous / methods*
Male
Middle Aged
Ovulation Induction*
Pregnancy
Pregnancy Outcome
Uterus

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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