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Med Princ Pract. 2013;22(3):291-4. doi: 10.1159/000345387. Epub 2012 Dec 12.

The use of ultrasound during intrauterine insemination in unexplained infertility may improve pregnancy outcomes.

Author information

1
IVF Center, Ege Maternity and Gynecology Training and Research Hospital, Izmir, Turkey. dcoztekin@gmail.com

Abstract

OBJECTIVE:

To investigate the role of ultrasound guidance in intrauterine insemination (IUI).

MATERIALS AND METHODS:

A retrospective study was conducted. The data was collected from the records of 197 couples with unexplained infertility who underwent IUI with a total of 267 IUI cycles in the in vitro fertilization center of our hospital between January 2009 and December 2010.

RESULTS:

Of the 267 IUI cycles, 145 were carried out as US-guided, while 122 cycles IUI were performed with a blind procedure. In the US-guided IUI and blinded IUI groups, the pregnancy rates were 23.4 and 13.9%, respectively. The difference between the groups was statistically significant (p = 0.049), thereby indicating that US guidance improves pregnancy rates. In the US-guided IUI group, 9.7% of the cases were difficult, while in the blinded IUI group, 26.2% were difficult and the difference between the groups was also statistically significant (p < 0.001).

CONCLUSION:

US guidance in IUI improves pregnancy rates and reduces the frequency of difficult IUI.

PMID:
23235295
PMCID:
PMC5586745
DOI:
10.1159/000345387
[Indexed for MEDLINE]
Free PMC Article

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