ISSN ONLINE: 2558-815X
ISSN PRINT: 1584-9244
ISSN-L: 1584-9244

Intrauterine insemination in idiopathic infertility

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Introduction: Infertility currently affects approximately 1 in 7 couples and is defined as the absence of conception after a year of unprotected sex. The diagnosis of idiopathic infertility is only made if the results of the basic infertility evaluation tests (semen analysis, tubal patency test, highlighting ovulation) show no faults to justify the absence of pregnancy. The incidence of infertility of unknown cause is 15-30%.

Purposes: The purpose of our study is to determine the efficacy of IUI for couples suffering from idiopathic infertility, regarding both the rate of obtaining a pregnancy and the rate of living newborns compared to other methods (scheduled intercourse with constant ultrasound monitoring of the ovulation and Assisted human reproduction techniques).

Material and Method: We have conducted a prospective, comparative study in a group of 65 patients aged under 37, between 2014 and 2015. We have randomly divided the 65 persons study group into 3 subgroups taking into account the patient’s wish: Group A – for which the chosen treatment option was waiting, constant ultrasound monitoring of the ovulation and scheduled intercourse; Group B – for which the chosen treatment option was IUI and Group C – for which the chosen treatment consisting in assisted human reproduction techniques.

Results: Out of a total number of 65 patients that were included in our study, 9 patients (13.85% out of the total patients) have obtained a pregnancy, and 44.44% of the pregnancies were achieved via IVF treatment (4 pregnancies obtained with IVFsubgroup C- compared to a total of 9 pregnancies within A, B and C subgroups). Out of the 9 pregnancies obtained 3 were multiple which led to a rate of 33.33% chance of multiple pregnancy.

Conclusion: We consider assisted human reproduction as the therapy of choice regarding this pathology, even more because any other treatment option is time consuming, and the patient’s age is a main variable when it comes to the success of the procedure.

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