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Intrauterine insemination: evaluation of the results according to the woman's age, sperm quality, total sperm count per insemination and life table analysis
Authors:Campana, Aldo   Sakkas, Denny   Stalberg, Anne   Bianchi, Patrizia Grace   Comte, Isabelle   Pache, Thierry   Walker, Dilys
Affiliation:Clinic of Infertility and Gynecologic Endocrinology, Department of Obstetrics and Gynaecology, Hospital Cantonal University of Geneva 1211 Geneva 14, Switzerland
Abstract:We report on 332 infertile couples who underwent 1115 cyclesof intrauterine insemination (IUI) with washed husband's semen.The indication for IUI was an abnormal post-coital test dueto either a male or cervical infertility factor. The mean numberof IUI cycles per patient was 3.4, the overall pregnancy rate18, 7%, and the pregnancy rate per cycle 5.6%. The cumulativepregnancy rate calculated by life table analysis showed that16.0% of pregnancies occurred in the first three treatment cycles,while the cumulative pregnancy rate was 26.9% by the sixth cycle.The outcome of the therapy was adversely affected if the woman'sage was >39 years and/or total motile sperm count per inseminationwas <1X106. No pregnancy occurred in women older than 44years or in cases with a total motile sperm count before semenpreparation of <1X106.
Keywords:age factors/infertility/intrauterine insemination/male factor/sperm count
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