Different Timing of Intrauterine Insemination and Pregnancy Outcome in Patients with Unexplained Infertility: A Randomized Controlled Study

Document Type : Original Article

Authors

Obstetrics and Gynecology Department, Faculty of Medicine, Sohag University, Egypt

Abstract

Background: In this era of rapid advancements in assisted reproductive technologies, intrauterine insemination (IUI) is still widely offered to subfertile couples, as a cheaper and less invasive treatment option before proceeding to IVF.
Objective: To determine the most suitable timing of hCG administration prior to intrauterine insemination for optimizing pregnancy outcome and success rate.
Patients and methods: A randomized controlled study conducted in Obstetrics and Gynecology Department, Sohag University from 30 June 2018 to 30 June 2019 and included couples with unexplained infertility. A total of 110 patients were recruited in our study, 30 patients dropped out; where 20 patients were due to inadequate stimulation, bad endometrium or more than 3 follicles were present, 6 patients did not show up for folliculometry after being given treatment and 4 patients did not show up for the procedure after being given the hCG trigger.
Results: This study showed an improved pregnancy rate when IUI was performed with a time interval of 24–36 h (13 case with positive pregnancy test).
Conclusion: IUI after ovulation induction can be done any time between 24 and 48 h after hCG injection without significant differences in pregnancy rates.
 

Keywords

The Egyptian Journal of Hospital Medicine
Volume 82, Issue 3
January 2021
Pages 502-505

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