Document Detail


Intrauterine insemination in Jamaica as a low-cost subfertility treatment in a low-resource region.
MedLine Citation:
PMID:  21247564     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To determine the impact of intrauterine insemination on the management of subfertility in Jamaica. METHODS: The present study was a retrospective analysis of all intrauterine insemination cycles completed from May 1, 2002, to August 31, 2005, at the University of the West Indies, Mona, Jamaica. The cycle pregnancy rate (CPR), live-birth rate (LBR), and cumulative pregnancy rate were obtained and prognostic factors were reviewed. RESULTS: The CPR, LBR, and cumulative pregnancy rate were 10.1%, 8.8%, and 13.9%, respectively. Improved success was significantly associated with a shorter period of infertility (3.10±1.43years vs 5.22±2.89years; P=0.01). Women younger than 40years of age, men with increased post-preparation sperm counts, and couples undergoing 2-3 cycles had improved outcomes. CONCLUSION: Intrauterine insemination represents a safe and cost-effective option for mild male factor infertility or unexplained infertility, especially in resource-poor regions such as the Caribbean. Repeated failed cycles identify those who would probably benefit from early intervention with in vitro fertilization.
Authors:
Loxley R Christie; John A Harriott; Vernon E Dacosta; Shaun H Wynter; Denise M Everett; Rochelle A Foster
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-17
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  -     ISSN:  1879-3479     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2010. Published by Elsevier Ireland Ltd.
Affiliation:
Department of Obstetrics and Gynecology, University of the West Indies, Mona, Jamaica.
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