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146994

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

Article

Last updated: 03 Jan 2025

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Tags

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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.  

DOI

10.21608/ejhm.2021.146994

Keywords

Intrauterine insemination, Ovarian induction, Unexplained infertility

Authors

First Name

Salwa Sabry

Last Name

Ahmed

MiddleName

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Affiliation

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

Email

salwa011111@gmil.com

City

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Orcid

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First Name

Allam Mohamed

Last Name

Abdelmonem

MiddleName

-

Affiliation

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

Email

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City

-

Orcid

-

First Name

Mohamed Sabry

Last Name

Ibrahim

MiddleName

-

Affiliation

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

Email

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City

-

Orcid

-

First Name

Eman Hassan

Last Name

Ali

MiddleName

-

Affiliation

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

Email

-

City

-

Orcid

-

Volume

82

Article Issue

3

Related Issue

21630

Issue Date

2021-01-01

Receive Date

2021-02-07

Publish Date

2021-01-01

Page Start

502

Page End

505

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_146994.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=146994

Order

18

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

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

Details

Type

Article

Created At

22 Jan 2023