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Andrology: Effect of Inseminated Volume on Intrauterine Insemination

机译:男科学:授精量对宫内授精的影响

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摘要

>Purpose: Intrauterine insemination (IUI) is a method for the treatment of marital infertility involving the intrauterine or fallopian deposition of washed spermatozoa, depending on the amount of inseminated semen. In view of the divergent opinions about the inseminated volume, the objective of this study was to compare the two techniques (3.0 mL or 0.5 mL) in two groups of patients.>Methods: We performed 164 cycles of ovulation induction followed by IUI. The patients were divided into two groups according to the technique used. Group low volume – 50 cycles and 0.5 mL of inseminated semen; Group high volume – 114 cycles and 3.0 mL of inseminated semen. The cycle was monitored on the basis of endometrial thickness and follicular development measured by transvaginal ultrasound. Human chorionic gonadotrophin (hCG) was administered in the presence of a follicle measuring 18 mm in mean diameter. The procedure was performed after sperm washing using a discontinuous PureSperm® gradient, 40 h later.>Results: We obtained a similar clinical pregnancy rate for the two groups (14.0% for Group low volume and 15.7% for Group high volume). There was one abortion in each group. We detected no interference by any etiology of infertility or by the total motile recovered sperm with pregnancy rate.>Conclusions: The results did not demonstrate superiority of one method over the other, with both therapeutic alternatives being satisfactory for the treatment of infertile couples.
机译:>目的:宫腔内人工授精(IUI)是一种治疗不孕症的方法,其涉及宫腔或输卵管冲洗精子的沉积,具体取决于授精的精液量。鉴于对授精量的不同意见,本研究的目的是比较两组患者中的两种技术(3.0 mL或0.5 mL)。>方法:我们进行了164个排卵周期继之以IUI。根据所用技术将患者分为两组。低剂量组– 50个周期和0.5 mL精液;高剂量组– 114个周期和3.0 mL精液。基于经阴道超声测量的子宫内膜厚度和卵泡发育来监测周期。在平均直径为18毫米的卵泡存在下给予人绒毛膜促性腺激素(hCG)。该程序是在不连续的PureSperm®梯度冲洗精子后40小时进行的。>结果:我们两组的临床妊娠率相似(低容量组为14.0%,低组为15.7%高音量)。每组有一次流产。我们未发现任何不育症病因或总动能恢复精子的妊娠率受到干扰。>结论:结果未显示一种方法优于另一种方法,两种治疗方法均能令人满意。不育夫妇的治疗。

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