Stimulated intrauterine insemination in women with unilateral tubal occlusion.
10.5653/cerm.2012.39.2.68
- Author:
Gwang YI
1
;
Byung Chul JEE
;
Chang Suk SUH
;
Seok Hyun KIM
Author Information
1. Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea. blasto@snubh.org
- Publication Type:Original Article
- Keywords:
Tubal obstruction;
Insemination;
Pregnancy
- MeSH:
Abortion, Spontaneous;
Fallopian Tube Diseases;
Female;
Humans;
Hysterosalpingography;
Infertility;
Insemination;
Medical Records;
Pregnancy;
Pregnancy Rate;
Pregnancy, Ectopic;
Retrospective Studies;
Sterilization, Tubal;
Superovulation
- From:Clinical and Experimental Reproductive Medicine
2012;39(2):68-72
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To investigate the value of stimulated intrauterine insemination (IUI) in women with unilateral tubal occlusion. METHODS: Superovulation and IUI was performed during 2003-2010 and the medical records were reviewed retrospectively. Thirty-seven infertile women (52 cycles) with unilateral tubal occlusion diagnosed by hysterosalpingography and without other causes of infertility were selected. One-hundred fourteen patients with unexplained infertility served as a control group (182 cycles). The main outcome was the clinical pregnancy rate per cycle. RESULTS: The pregnancy rate per cycle was similar, 17.3% for the unilateral tubal occlusion group and 16.5% for the unexplained infertility group. The rate of miscarriage (11.1% vs. 23.3%) and ectopic pregnancy (11.1% vs. 6.7%) was similar between the two groups. The pregnancy rate was higher in patients with proximal occlusion (25.0%) compared with distal occlusion (13.9%) or unexplained infertility, but not statistically significant. CONCLUSION: Stimulated IUI can be suggested as the initial treatment option in women with unilateral proximal or distal tubal occlusion.
