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KMID : 1033620120390020068
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Clinical and Experimental Reproductive Medicine
2012 Volume.39 No. 2 p.68 ~ p.72
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Stimulated intrauterine insemination in women with unilateral tubal occlusion
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Yi Gwang
Jee Byung-Chul
Suh Chang-Suk
Kim Seok-Hyun
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Abstract
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Objective: To investigate the value of stimulated intrauterine insemination (IUI) in women with unilateral tubal occlusion.
Methods: Superovulation and IUI was performed during 2003-2010 and the medical records were reviewed retrospectively. Thirty-seven infertile women (52 cycles) with unilateral tubal occlusion diagnosed by hysterosalpingography and without other causes of infertility were selected. One-hundred fourteen patients with unexplained infertility served as a control group (182 cycles). The main outcome was the clinical pregnancy rate per cycle.
Results: The pregnancy rate per cycle was similar, 17.3% for the unilateral tubal occlusion group and 16.5% for the unexplained infertility group. The rate of miscarriage (11.1% vs. 23.3%) and ectopic pregnancy (11.1% vs. 6.7%) was similar between the two groups. The pregnancy rate was higher in patients with proximal occlusion (25.0%) compared with distal occlusion (13.9%) or unexplained infertility, but not statistically significant.
Conclusion: Stimulated IUI can be suggested as the initial treatment option in women with unilateral proximal or distal tubal occlusion.
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KEYWORD
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Tubal obstruction, Insemination, Pregnancy
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