| Factors influencing pregnancy rates in intrauterine insemination. |
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Yeon Kyoung Kim, Dong Myung Shin, Do Gyun Kim, Hoe Saeng Yang |
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Department of Obstetrics and Gynecology, Dongguk University College of Medicine, Kyong-ju, Korea. ykkim76@medimail.co.kr |
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| Abstract |
OBJECTIVE
We have studied the factors that influence the pregnancy rate in ovarian hyperstimulation and intrauterine insemination (IUI) in infertility patients. METHODS: Seventy two patients who visited the infertility clinic in Dongguk University Kyong-ju hospital from January 2002 to December 2003 underwent IUI after 99 cycles of ovarian hyperstimulation. We administered clomiphene with exogenous gonadotropin from cycle day 3 and then IUI was performed. The variables selected for retrospective analysis were patient's age (<35 years), duration (<6 years) and type (primary or secondary) and etiology of infertility, number of treatment cycles (>or=2), number of follicles (>or=2), size of dominant follicle (>or=18 mm), total sperm counts (>or=10 X 10(6)). Chi-square test, Fisher's exact test and a multiple logistic regression analysis were used to detect differences between groups in each variable. RESULTS: The pregnancy rate per patient was 29.2% (21/72) and 21.2% (21/99) per cycle. Factors that influenced pregnancy rate were age, number of treatment cycles, number of preovulatory follicles (>or=16 mm), and total inseminated motile sperm counts, all of which showed significant differences (p<0.05). Multiple logistic regression analysis identified significant predictors as age (<35 vs. >or=35), number of treatment cycles (2 cycle vs. 1 cycle), number of preovulatory follicles (>or=16 mm) (>or=3 vs. 1), and total inseminated motile sperm counts (>or=40 X 10(6) vs. <10 X 10(6)). The odds ratio of each of these variables were 12.6, 3.37, 11.64, and 10.59. CONCLUSION: For successful pregnancy rates in IUI after ovarian hyperstimulation, the patient's age, number of treatment cycles, number of preovulatory follicles, and total inseminated motile sperm counts should be considered. |
| Key Words:
Intrauterine insemination, Age, Treatment cycles, Preovulatory follicles, Motile sperm |
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