scholarly journals Comparison of single versus double intra uterine insemination

2017 ◽  
Vol 6 (12) ◽  
pp. 5277
Author(s):  
B. Pathak
Keyword(s):  
Pregnancy Rate ◽  
Intrauterine Insemination ◽  
Randomized Study ◽  
Controlled Ovarian Hyperstimulation ◽  
Group 14 ◽  
Significant Difference ◽  
Infertile Couples ◽  
Larger Sample ◽  
Single Versus ◽  
Intra Uterine Insemination

Background: Intrauterine insemination (IUI) is the best studied and most widely practised artificial insemination technique. The aim and objective of this study was to compare the efficacy of single and double intrauterine insemination.Methods: This prospective randomized study was carried out in 197 infertile couples. Controlled ovarian hyperstimulation was carried out by standard ovulation induction protocols. Single intrauterine insemination was applied 36 hours after human chorionic gonadotropin (hCG) injection to 101 patients in the first group. Double intrauterine inseminations were carried out in 96 patients to whom the first insemination was done after 24 hours and the repeat insemination was done after 48 hours of hCG injection.Results: In the single IUI group 14 patients conceived with pregnancy rate of 13.86%. In the double IUI group 18 patients conceived with pregnancy rate of 18.75%. There was no statistically significant difference between the two groups as the p is more than 0.05.Conclusions: As double intrauterine insemination does not give better result and it involves more cost and stress to the couple, single intrauterine insemination should be preferable. However, further larger sample size studies are required for confirmation if any significant difference can be achieved between the two approaches.

scholarly journals Does increasing the number of inseminations per cycle increase the probability of conception? a randomized trial comparing single versus double intrauterine insemination

2020 ◽  
Vol 9 (8) ◽  
pp. 3171
Author(s):  
Yasaswi Khandavalli ◽  
Seema Rai ◽  
Rama Singodiya Lodha
Keyword(s):  
Pregnancy Rate ◽  
Intrauterine Insemination ◽  
Randomized Study ◽  
Male Factor ◽  
Non Invasive ◽  
Significant Difference ◽  
The Difference ◽  
Infertility Patients ◽  
Larger Sample ◽  
Single Versus

Background: Intrauterine insemination (IUI) remains an inexpensive, non-invasive, and effective first-line artificial insemination technique. The technique of IUI has evolved through various innovations since the time Cohen published the first report of IUI in 1962, and the success rate increased from 5% to >20%. The success of IUI depends upon several factors; two such prognostic factors are the timing and frequency of insemination.  The objective of this study was to compare the effectiveness of single versus double intrauterine insemination.Methods: This prospective randomized study was carried out in 130 patients with male factor infertility, PCOS and unexplained infertility. Patients were randomly assigned into two groups. In the first group of 65 patients, single IUI was applied at 36 to 40 hours after HCG administration, to the other 65 patients in the second group, double IUIs were applied at 12 to 16 hours and 36 to 40 hours after HCG administration. The primary end-point of the study was to compare the clinical pregnancy rate between the two groups.Results: The overall pregnancy rate was 18.46% (12/65) for single IUI group and 30.76% (20/65) for double IUI group. There was a no statistically significant difference between single and double IUI groups (p=0.16).Conclusions: This study did find a higher pregnancy rate following double IUI; however, the difference was not statistically significant. Further, larger sample size studies are required to determine if double IUI increases the pregnancy rate.

scholarly journals Pregnancy Rate after Controlled Ovarian Hyperstimulation and Intrauterine Insemination for the Treatment of Endometriosis following Surgery

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Attila Keresztúri ◽  
Zoltan Kozinszky ◽  
József Daru ◽  
Norbert Pásztor ◽  
János Sikovanyecz ◽  
...  
Keyword(s):  
Pregnancy Rate ◽  
Outcome Measures ◽  
Live Birth ◽  
Intrauterine Insemination ◽  
Care Center ◽  
Tertiary Care ◽  
Controlled Ovarian Hyperstimulation ◽  
Control Group ◽  
Ovarian Hyperstimulation ◽  
Significant Difference

Objective. To compare pregnancy rate after controlled ovarian hyperstimulation and intrauterine insemination (COH-IUI) with no treatment in patients with endometriosis-associated infertility treated with laparoscopy.Design. A clinical cohort study.Setting. University-level tertiary care center.Patients. 238 women with various stages of endometriosis after laparoscopic treatment.Interventions. Either COH-IUI or follow-up for 12 months.Main Outcome Measures. The primary outcome measures were clinical pregnancy and live birth rate. Predictive factors evaluated were female age, maternal BMI, and duration of infertility.Results. The pregnancy rate attained after the integrated laparoscopy–COH-IUI approach was 53.4%, while it was significantly lower (38.5%) in the control group. Similarly, a significant difference was observed in live births (48.3% versus 34.2%). Patients with severe endometriosis were less likely to achieve pregnancy (38%) and live birth (35%) than their counterparts with milder forms (57% and 53%).Conclusions. In patients with endometriosis-based infertility, surgery followed by COH-IUI is more effective than surgery alone.

scholarly journals The Effects of Endometrial Scratch on Pregnancy Rate in IUI Cycles

2017 ◽  
Vol 7 (3) ◽  
pp. 380-384
Author(s):  
Kobra Hamdi ◽  
Nafiseh Moayyed Nia ◽  
Parvin Hakimi ◽  
Alieh Ghasemzadeh
Keyword(s):  
Menstrual Cycle ◽  
Pregnancy Rate ◽  
Intrauterine Insemination ◽  
Intervention Group ◽  
Study Groups ◽  
Control Group ◽  
Significant Difference ◽  
Endometrial Scratching ◽  
Infertile Couples ◽  
Endometrial Scratch

Objectives: Infertility is considered as a major issue all over the world. All the studies in this field focus on how to develop successful methods of turning infertile couples into fertile ones. Endometrial mechanical injury in order to augment the probability of implantation of embryo and pregnancy rate has been particularly noted in recent years. Considering the controversies in the use of methods and results of the previous studies, we decided to compare the pregnancy and abortion rates in the intrauterine insemination (IUI) cycles with and without intervention, by employing a new method. Materials and Methods: This interventional study was performed on 150 infertile couples who referred to the infertility treatment clinic of Al-Zahra hospital, Tabriz (from April 2016 to March 2017) and were randomly divided into two groups. The IUI procedure was carried out in the first group after the endometrial scratch on the first to fifth days of the menstrual cycle, while the control group underwent only IUI without any intervention. The pregnancy and abortion rates were compared in study groups. Results: Pregnancy rate in the intervention group was significantly higher compared to the control group. No relationship was observed between the abortion rate and the intervention. There was no statistically significant difference between type and cause of infertility, maternal age and body mass index (BMI), duration of infertility, number of dominant follicles and pregnancy or abortion rates. Conclusions: The endometrial scratching performed on the first to fifth days of the menstrual cycle, preceding IUI procedure, leads to a significant increase in pregnancy rate. On the other hand, this method can be employed with lower costs in comparison to other fertilization methods.

scholarly journals The Study on Different Ovulation Induction Protocols used for Intrauterine Insemination and their Pregnancy Rate in Infertile Couples

2021 ◽  
Vol 10 (11) ◽  
pp. 73-82
Author(s):  
Yaminipriya Devarajlu Dhivya Venkatesan ◽  
Balachandar Vellingiri Ravimanickam Thangarasu ◽  
Sarat Battina
Keyword(s):  
Pregnancy Rate ◽  
Ovulation Induction ◽  
Intrauterine Insemination ◽  
Clomiphene Citrate ◽  
Human Menopausal Gonadotropin ◽  
Fertility Drugs ◽  
Group I ◽  
Significant Difference ◽  
Group B ◽  
Group D

Infertility affects millions of people of reproductive age worldwide and has an impact on their families and communities. Infertility is a disease of male or female reproductive system defined by failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse. Infertility is treated by different fertility drugs, ovulation induction (OI), intrauterine insemination (IUI) and in-vitro fertilization (IVF). The aim of the study is to find out the significant difference in pregnancy rate with different OI protocols used for IUI. OI is the first line treatment given to infertile women. In OI, medications are given to women for egg development and for release of eggs. OI is monitored by follicular study by ultrasonography. Semen is collected from the male partner and processed with culture media to retrieve high motile sperms, which are injected into the uterus of the female. A prospective randomized study was performed among 1343 IUI cycles. OI is started on Day 2 or Day 3 of the menstrual cycle. OI protocol is grouped according to the fertility drugs used for stimulation. The fertility drugs used for the stimulation are Clomiphene Citrate, Letrozole, Recombinant Gonadotropins, Human menopausal Gonadotropins (HMG), Human chorionic Gonadotropin (HCG). Group A uses Clomiphene citrate and HCG, Group B uses Clome, recombinant Gonadotropins and HCG. Group C uses Clome, Human menopausal Gonadotropin and HCG; Group D uses Letrozole and HCG. Group E uses Letrozole recombinant Gonadotropin and HCG. Group F used Letrozole, Human menopausal Gonadotropin and HCG. Group G used recombinant Gonadotropin and HCG. Group H used Human menopausal Gonadotropin and HCG. Group I uses only HCG. Group J was a natural cycle monitoring without any medication and was used as a control. Pregnancy rates were calculated for different age groups with different protocols. The result shows that Group B had 13% pregnancy, Group C had 9%, Group D had 3%, Group E had 10%, Group G had 11%, Group G had 11%, Group H had 7%, Group I had 4%, and Group J had 8% of pregnancy rate. The statistical analysis shows there is no significant difference with different stimulation protocols used.

scholarly journals Effects of Letrozole in Prevention of Premature Luteinizing Hormone (LH) Surge in Infertile Women with Clomiphene Citrate Resistant Polycystic Ovary Syndrome (PCOS) Undergoing Intrauterine Insemination

2015 ◽  
Vol 4 (3) ◽  
pp. 104-11
Author(s):  
Afsoon Zarei ◽  
Tahere Bahrami Shabahrami ◽  
Nasrin Dadras
Keyword(s):  
Luteinizing Hormone ◽  
Pregnancy Rate ◽  
Polycystic Ovary ◽  
Endometrial Thickness ◽  
Intrauterine Insemination ◽  
Clomiphene Citrate ◽  
Control Group ◽  
Lh Surge ◽  
Significant Difference ◽  
Premature Lh Surge

Background: Polycystic ovarian syndrome (PCOS) is among the important causes of infertility in young women. Premature luteinizing hormone (LH) surge (PLS) is one of its complications. PLS can reduce the quality of oocytes and therefore decrease the success of intrauterine insemination (IUI). Letrozole, a non-steroidal aromatase inhibitor, prevents LH surge. In this study, we aim to evaluate the effects of letrozole on preventing premature LH surge in clomiphene-resistant patients with PCOS undergoing IUI. Materials and Methods: In this randomized clinical trial, 131 patients who were developed with PCOS were selected for IUI cycle, divided into two groups randomly: control group (n=67) and letrozole group (n=64). Incidence of premature LH surge, pregnancy, abortion and ongoing pregnancy rate, endometrial thickness and number of follicles were measured in both groups. Results: No significant difference was seen between mean ages in the two groups; 11.9% of the control group and 21.9% of the letrozole group became pregnant (P =0.005); furthermore, premature LH surge was seen in 4.7% of the letrozole group and 8.9% of the control group (P =0.003). E2 and Endometrial thickness was higher in letrozole group; however, LH was significantly higher in the control group (P =0.026). Conclusion: Administration of letrozole in clomiphene-resistant patients with PCO undergoing IUI cycle can decrease the incidence of PLS. In addition, it can increase pregnancy rate significantly. Therefore, using letrozole is more reasonable in patients who have not responded to clomiphene or are hypersensitive. [GMJ.2015;4(3):104-11]

scholarly journals Comparison of the efficiency of clomiphene citrate and letrozole in combination with metformin in moderately obese clomiphene citrate - resistant polycystic ovarian syndrome patients

2016 ◽  
Vol 144 (3-4) ◽  
pp. 146-150 ◽  
Author(s):  
Artur Bjelica ◽  
Aleksandra Trninic-Pjevic ◽  
Ljiljana Mladenovic-Segedi ◽  
Nenad Cetkovic ◽  
Djordje Petrovic
Keyword(s):  
Retrospective Study ◽  
Polycystic Ovary Syndrome ◽  
Pregnancy Rate ◽  
Polycystic Ovary ◽  
Intrauterine Insemination ◽  
Clomiphene Citrate ◽  
Obese Patients ◽  
Ovary Syndrome ◽  
Metformin Therapy ◽  
Significant Difference

Introduction. Polycystic ovary syndrome is the most common endocrinopathy in women of reproductiveage. Therapy for those who want to get pregnant involves ovulation induction using clomiphene citrate, metformin, letrozole and gonadotropins. Objective. The aim of the study was to compare the efficacy of combinations of clomiphene citrate-metformin and letrozole-metformin in obese patients who are resistant to clomiphene citrate alone. Methods. The investigation was conducted as a retrospective study involving 60 moderately obese patients with polycystic ovary syndrome. Thirty-one of them received the clomiphene citrate-metformin, and 29 letrozole-metformin therapy. Stimulation was carried out for the procedures of intrauterine insemination (IUI). Results. The age of patients, duration of infertility, and body mass index in both groups were similar. There was statistically significant difference in the thickness of the endometrium in favor of the group having the letrozole-metformin therapy (8.9 ? 1.7 mm) compared with the group receiving the clomiphene citrate-metformin treatment (6.3 ? 1.3 mm). The number of follicles was not statistically significantly different. Pregnancy rate in the first cycle of IUI in the clomiphene citrate group was 6.4%, and 17.2% in the letrozole group, which also was not statistically different. After the third IUI cycle, the pregnancy rate was significantly higher in the letrozole group (20.6%), while in the clomiphene citrate group it was (9.6%). Conclusion. This retrospective study demonstrated the advantages of the use of letrozole over clomiphene citrate in combination with metformin in moderately obese patients with polycystic ovary syndrome who are resistant to stimulation with clomiphene citrate alone.

scholarly journals Effects of Sperm Parameters on Pregnancy Rate in Patients Undergoing Intrauterine Insemination

2020 ◽  
pp. 1
Author(s):  
Mehmet Solakhan ◽  
Mustafa Demir
Keyword(s):  
Intrauterine Insemination ◽  
Sperm Count ◽  
Sperm Concentration ◽  
Sperm Parameters ◽  
Motile Sperm ◽  
Progressive Motility ◽  
Age Related ◽  
Significant Difference ◽  
Sperm Volume ◽  
Infertile Couples

<p><strong>OBJECTIVE:</strong> In this study, the effects of sperm parameters on the success of intrauterine insemination were investigated. </p><p><strong>STUDY DESIGN:</strong> The data from 309 infertile couples who were admitted between 2012-2018 without a female factor were analyzed retrospectively and included in the study. After the administration of gonadotropin and hCG (5000-10000 IU), single insemination was performed in 36-40 hours in all cycles. All couples underwent routine infertility screening. The relationship between sperm parameters (motility, morphology, sperm count), patient age, duration of infertility with intrauterine insemination success was evaluated.</p><p><strong>RESULTS:</strong> There was no statistically significant difference between the two groups in terms of mean age and age related-parity. There was no statistically significant difference between male ages, liquefaction, and sperm volumes between the two groups (p=0.898, p=0.448, p=0.651). Before washing; There was a statistically significant difference between the sperm concentration, percentage of total motile sperm, percentage of progressive motility sperm, percentage of normal sperm morphology, and total sperm count between the two groups (p=0.0001, p=0.0001, p=0.0001, p=0.0001, p=0.0001). After sperm washing; the results were similar to those obtained before washing. While statistically significant difference was observed between sperm volume and sperm concentrations (p=0.023, p=0.018), no significant difference was observed between the two groups in total sperm count (p=0.612).</p><p><strong>CONCLUSION:</strong> As a result, during the application of intrauterine insemination to infertile couples, total motile sperm count, progressive motility sperm count ratio and high sperm ratio with normal morphology used in order to increase pregnancy success can be considered as criteria that increase the chances of success.</p>

7 LAPAROSCOPIC INTRAUTERINE AND INTRAPERITONEAL INSEMINATION IN FAT-TAILED EWES

2013 ◽  
Vol 25 (1) ◽  
pp. 151
Author(s):  
A. Niasari-Naslaji ◽  
V. Akbarinejad ◽  
K. Hoseinipajooh ◽  
G. Akbari ◽  
S. Gharibi ◽  
...  
Keyword(s):  
Pregnancy Rate ◽  
Intrauterine Insemination ◽  
Dominant Follicle ◽  
Native Breed ◽  
Frozen Semen ◽  
Significant Difference ◽  
Serum Gonadotropin ◽  
And Control ◽  
Experimental Group ◽  
Fresh Semen

The present study was conducted to evaluate laparoscopic intrauterine and intraperitoneal AI in a fat-tailed sheep breed. Multiparous and nulliparous (n = 72) healthy Shall ewes (Iranian native breed) were assigned into 3 experimental groups to be inseminated with 3 laparoscopically insemination methods, including intrauterine insemination with frozen semen (IUIFZ; n = 34), intraperitoneal insemination with fresh semen (IPIFR; n = 21), and intraperitoneal insemination with frozen semen (IPIFZ; n = 17). To perform the experiment easily and control confounding factors, the experiment was conducted in 5 replicates. In each replicate, similar numbers of ewes belonging to each experimental group were included, synchronized, and inseminated with the fresh or frozen semen collected from the same fertile ram. Estrus was synchronized using CIDR for 14 days. Immediately after CIDR removal, all ewes received 400 IU of pregnant mare serum gonadotropin. Inseminations with 300 million total spermatozoa (≥70% progressive forward motility) were performed 51.1 ± 0.64 h after CIDR removal. Intrauterine insemination was conducted at the tip of the uterine horn, ipsilateral to the ovary having a dominant follicle. In the case that both ovaries had a dominant follicle, half of the straw was deposited in each horn. In 2 other experimental groups (IPIF and IPIR) either fresh or frozen semen was deposited on the surface of ovaries having a dominant follicle. Pregnancy was diagnosed with transrectal ultrasonography on Day 30 after AI. Data were analyzed using logistic regression. The pregnancy rate in the IUIFZ group (51.7%) was significantly higher than in IPIFR and IPIFZ experimental groups (17.6 and 0%, respectively; P < 0.01), and there was significant difference between IPIFR and IPIFZ in pregnancy rate (P < 0.05). In conclusion, the laparoscopic intrauterine insemination method can be applied effectively in Shall fat-tailed sheep. Laparoscopic intraperitoneal inseminations with fresh or with frozen semen are not recommended for AI in fat-tailed sheep.

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