Role of intrauterine insemination in infertile couple seeking care at Acharya Vinobha Bhave rural tertiary care hospital
Keywords:
Pregnancy rate, Intrauterine insemination, Cumulative pregnancy rateAbstract
Background: Fibroids Infertility affects between 60 million to 68 million people worldwide; generally one in ten couples experience primary or secondary infertility. The majority of those who suffer, live in the developing world. Universally, the prevalence rises significantly with a woman’s age. The WHO estimates the overall prevalence of infertility in India to be between 3.9 and 16.8 per cent. Objective: To assess the outcome of intrauterine insemination (IUI) amongst infertile couples seeking care at AVBRH. And to correlate the outcome of IUI with various parameters associated with infertility.
Methods: 50 patients undergoing 72 stimulated IUI cycles between September 2012 and august 2014. It was a prospective interventional study. Interventions: Ovarian stimulation with clomifene citrate & gonadotrophins was initiated and a single IUI was performed 36 h after triggering ovulation. Main outcome: Pregnancy rates by urine pregnancy test per couple. Pregnancy rates by urine pregnancy test per cycle. Secondary outcome: livebirth, on-going PR, abortion rate.
Results: The pregnancy rate per couple and per cycle were 22% and 15.27% respectively. Live birth were 8%, on-going pregnancy was 4%, abortions were 10%.
Conclusions: On the basis of analysis of successful outcome of IUI it can be said that the patients with best prognosis are the one with age <30 years, lesser duration of infertility, good motile spermatozoa, preovulatory follicle, good endometrial thickness, & semen preparation are certainly the cornerstones for successful intrauterine insemination.
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References
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