Academic Editor: Shigeki Matsubara
Background: The number of sperm washes to maximize outcomes for
intra-uterine insemination has not been well investigated. Therefore, we
undertook to compare the pregnancy and live birth rates of triple sperm washing
and double sperm washing for density gradient preparation for intrauterine
insemination (IUI) cycles. Methods: A retrospective cohort study
including 279 couples (136 couples with triple sperm washing and 143 couples with
double sperm washing) with a diagnosis of unexplained infertility and mild male
subfertility who had IUI cycles between April 2015 and April 2017 were evaluated.
After overnight incubation of the sperm, subjects underwent either traditional
double sperm washing or Triple sperm washing which consists of use of a
third gradient and spinning procedure to the conventional double gradient sperm
washing in order to obtain a higher quantity of motile sperm. Results:
Total sperm count after triple washing was higher than double sperm washing
(98.25