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Related Concept Videos

In Vitro Fertilization01:24

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In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
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Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
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Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
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Comparison of Intrauterine Insemination Success Rates Using Donor Sperm Between Heterosexual and Female Couples: A

Andreia Gomes1, Cristina Nogueira-Silva1, Pedro Brandão2

  • 1Escola de Medicina da Universidade do Minho, Braga, Portugal.

JBRA Assisted Reproduction
|August 12, 2025
PubMed
Summary

Intrauterine insemination with donated sperm showed similar success rates for both heterosexual and female couples. This suggests seminal fluid may not be essential for reproductive outcomes in assisted reproduction.

Keywords:
female couplesfertilityheterosexual couplesintrauterine inseminationlive birth ratemedically assisted reproduction

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Area of Science:

  • Reproductive Medicine
  • Infertility Treatment
  • Sperm Donation

Background:

  • Intrauterine insemination (IUI) is a common assisted reproductive technology.
  • Donated sperm is used when male factor infertility is present or for single women and female couples.
  • The role of seminal fluid in IUI success is debated, particularly for female couples.

Purpose of the Study:

  • To compare the success rates of intrauterine insemination with donated sperm.
  • To evaluate outcomes between heterosexual couples and female couples undergoing IUI.

Main Methods:

  • Retrospective cohort study of 519 women undergoing IUI with donated sperm.
  • Comparison between 193 women in heterosexual relationships and 326 women in female relationships.
  • Inclusion criteria: first reproductive treatment, age 18-38, no known female fertility disorders.

Main Results:

  • No significant differences in reproductive outcomes between heterosexual and female couples.
  • Pregnancy rates: 35.8% (heterosexual) vs. 29.1% (female couples).
  • Live birth rates: 29.5% (heterosexual) vs. 24.8% (female couples).

Conclusions:

  • Intrauterine insemination with donated sperm yields comparable outcomes for heterosexual and female couples.
  • Absence of seminal fluid exposure in female couples did not negatively impact success rates.
  • Further research is needed on seminal fluid's role and potential immune tolerance in assisted reproduction.