PURPOSE: To evaluate the influence of sperm characteristics on the outcome of infertility treatment using intrauterine insemination (IUI). METHODS: Retrospective study of 431 infertility couples who underwent 1007 IUI treatment cycles from June 1999 to October 2002. Sperm parameters before and after preparation for IUI were evaluated and correlated with pregnancy outcome. RESULTS: Clinical pregnancy occurred in 12% of cycles and 28% of patients. Initial sperm motility and processed forward progression were independently associated with pregnancy after IUI. The mean number of cycles per patient was 4.3. Although pregnancy rate per cycle did not differ from cycle to cycle, the cumulative pregnancy rate approached plateau after five cycles. CONCLUSIONS: Sperm motility is an independent factor influencing IUI-related pregnancy. A forward progression score of 3 to 4 in a processed specimen is necessary for IUI success. The number of IUI attempts per patient should be individualized depending upon the needs of patients.
PURPOSE: To evaluate the influence of sperm characteristics on the outcome of infertility treatment using intrauterine insemination (IUI). METHODS: Retrospective study of 431 infertility couples who underwent 1007 IUI treatment cycles from June 1999 to October 2002. Sperm parameters before and after preparation for IUI were evaluated and correlated with pregnancy outcome. RESULTS: Clinical pregnancy occurred in 12% of cycles and 28% of patients. Initial sperm motility and processed forward progression were independently associated with pregnancy after IUI. The mean number of cycles per patient was 4.3. Although pregnancy rate per cycle did not differ from cycle to cycle, the cumulative pregnancy rate approached plateau after five cycles. CONCLUSIONS: Sperm motility is an independent factor influencing IUI-related pregnancy. A forward progression score of 3 to 4 in a processed specimen is necessary for IUI success. The number of IUI attempts per patient should be individualized depending upon the needs of patients.
Authors: D S Guzick; S A Carson; C Coutifaris; J W Overstreet; P Factor-Litvak; M P Steinkampf; J A Hill; L Mastroianni; J E Buster; S T Nakajima; D L Vogel; R E Canfield Journal: N Engl J Med Date: 1999-01-21 Impact factor: 91.245
Authors: B N Hendin; T Falcone; J Hallak; D R Nelson; S Vemullapalli; J Goldberg; A J Thomas; A Agarwal Journal: J Assist Reprod Genet Date: 2000-05 Impact factor: 3.412
Authors: T F Kruger; A A Acosta; K F Simmons; R J Swanson; J F Matta; L L Veeck; M Morshedi; S Brugo Journal: Urology Date: 1987-09 Impact factor: 2.649
Authors: U Punjabi; H Van Mulders; L Van de Velde; I Goovaerts; K Peeters; W Cassauwers; T Lyubetska; K Clasen; P Janssens; O Zemtsova; E Roelant; D De Neubourg Journal: J Assist Reprod Genet Date: 2021-01-05 Impact factor: 3.412
Authors: Lígia F P de Araújo; Edilberto de Araújo Filho; Cássio L Fácio; Márcia C O Bossoni; Ligiane A Machado-Paula; José E Corrente; Mário Cavagna; Paulo C S Matheus; Anaglória Pontes Journal: Reprod Biol Endocrinol Date: 2013-10-22 Impact factor: 5.211