IMR Press / CEOG / Volume 43 / Issue 5 / DOI: 10.12891/ceog3337.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Evaluation of ten years of intrauterine insemination results at a tertiary center
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1 Süleymaniye Maternity Research and Training Hospital, Istanbul
2 Haseki Research and Training Hospital, Istanbul (Turkey)
Clin. Exp. Obstet. Gynecol. 2016, 43(5), 759–762; https://doi.org/10.12891/ceog3337.2016
Published: 10 October 2016
Abstract

Purpose: To report on ten years of intrauterine insemination (IUI) practice at Haseki Training and Research Hospital to determine retrospectively, the impact of IUI on the management of subfertile couples. Materials and Methods: This study was a retrospective analysis of all IUI cycles completed from June 1, 2003, to July 1, 2013, at the Haseki Training and Research Hospital, Istanbul, Turkey. Baseline clinical characteristics, drugs used for ovulation induction, and triggering ovulation were reviewed. The primary outcome was clinical pregnancy. Results: The overall clinical pregnancy rate was 10.2% (26/253). Improved success was significantly associated with a shorter period of infertility (4.8 ± 3.9 years vs 3.2±2.4 years; p = 0.01). Clinical pregnancy rates were significantly higher when recombinant FSH was used for ovulation induction than clomiphene citrate (CC) (22% vs 5.6%; p = 0.002). Patients were also analysed for the drug used for triggering ovulation. The clinical pregnancy rate was 27.2% in the recombinant hCG group compared with 8.6% in the urinary hCG group (p = 0.006). Conclusions: IUI may be a safe and cost-effective option for mild male factor infertility or unexplained infertility. Better results may be obtained when recombinant FSH and recombinant hCG are used and when the duration of infertility is short.
Keywords
Intrauterine insemination
Clinical pregnancy rate
Ovulation induction
Ovulation triggering
Unexplained infertility
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