Intrauterine insemination (IUI) does not improve pregnancy rates in infertile couples where semen parameters are
J H Check1, J Liss, A Bollendorf
1Cooper Medical School at Rowan University, Department of Obstetrics and Gynecology Division of Reproductive Endocrinology and Infertility, Camden, NJ, USA. laurie@ccivf.com
Purpose:
To determine if intrauterine insemination (IUI) improves pregnancy rates in couples with a correctable ovulatory defect but a male partner with an apparent normal semen analysis and a normal postcoital test.
Materials And Methods:
A prospective evaluation of clinical live delivered pregnancy rates following the first cycle where follicular maturation was demonstrated naturally or with a follicle maturing drug. The couples were given the option of IUI.
Results:
The live delivered pregnancy rates per IUI cycle were similar with intercourse only vs addition of IUI (18.7% vs 21.4%).
Conclusions:
There is no evidence to support the notion that IUI improves pregnancy rates in circumstances where the semen analysis and postcoital tests are normal.
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