The effect of delaying intrauterine insemination till 48 h after hCG injection on pregnancy rate

Objective: Intrauterine insemination (IUI) is a simple procedure which has been used to treat unexplained infertility. There is no agreement about the optimum time for IUI. An interval of only a few hours exists in which it can be performed. The aim of this study was to find out whether there is a d...

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Main Authors: Ahmed M. Kamel, A.M. Hussien, Emad Salah
Format: Article
Language:English
Published: SpringerOpen 2015-12-01
Series:Middle East Fertility Society Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110569015300121
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author Ahmed M. Kamel
A.M. Hussien
Emad Salah
author_facet Ahmed M. Kamel
A.M. Hussien
Emad Salah
author_sort Ahmed M. Kamel
collection DOAJ
description Objective: Intrauterine insemination (IUI) is a simple procedure which has been used to treat unexplained infertility. There is no agreement about the optimum time for IUI. An interval of only a few hours exists in which it can be performed. The aim of this study was to find out whether there is a difference in pregnancy rate if IUI is performed 48 h rather than later than 36 h after Human chorionic gonadotropin (hCG) Injection. Setting: infertility clinic, Kasr Alainy, Cairo University Hospital. Materials and methods: A randomized case-control prospective study in which subjects in Group A will perform IUI 48 h after hCG injection after controlled ovarian stimulation, in comparison with Group B (control) in which the IUI will be performed 36 h after hCG injection. Main outcome measures: Pregnancy rate in group A was 22.6% while group B was 10.6% (p = 0.049). The mean Number of mature follicles in group A was 2.6 ± 1 follicles, while that of group B was 2.1 ± 0.9 follicles (p = 0.002). Conclusions: A lot of controversy surrounds the correct timing of IUI. Our study showed a statistically significant increase in pregnancy rate up to 22.6% in patients performing IUI 48 h after hCG trigger, compared to the 10.6% in the patients having the procedure done 12 h earlier.
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spelling doaj.art-53fdddd1900f445c86363e31c17a684e2022-12-21T19:44:12ZengSpringerOpenMiddle East Fertility Society Journal1110-56902015-12-0120429029410.1016/j.mefs.2015.05.001The effect of delaying intrauterine insemination till 48 h after hCG injection on pregnancy rateAhmed M. KamelA.M. HussienEmad SalahObjective: Intrauterine insemination (IUI) is a simple procedure which has been used to treat unexplained infertility. There is no agreement about the optimum time for IUI. An interval of only a few hours exists in which it can be performed. The aim of this study was to find out whether there is a difference in pregnancy rate if IUI is performed 48 h rather than later than 36 h after Human chorionic gonadotropin (hCG) Injection. Setting: infertility clinic, Kasr Alainy, Cairo University Hospital. Materials and methods: A randomized case-control prospective study in which subjects in Group A will perform IUI 48 h after hCG injection after controlled ovarian stimulation, in comparison with Group B (control) in which the IUI will be performed 36 h after hCG injection. Main outcome measures: Pregnancy rate in group A was 22.6% while group B was 10.6% (p = 0.049). The mean Number of mature follicles in group A was 2.6 ± 1 follicles, while that of group B was 2.1 ± 0.9 follicles (p = 0.002). Conclusions: A lot of controversy surrounds the correct timing of IUI. Our study showed a statistically significant increase in pregnancy rate up to 22.6% in patients performing IUI 48 h after hCG trigger, compared to the 10.6% in the patients having the procedure done 12 h earlier.http://www.sciencedirect.com/science/article/pii/S1110569015300121Intrauterine inseminationHuman chorionic gonadotropin triggerTiming of IUI48 h after hCG injection.
spellingShingle Ahmed M. Kamel
A.M. Hussien
Emad Salah
The effect of delaying intrauterine insemination till 48 h after hCG injection on pregnancy rate
Middle East Fertility Society Journal
Intrauterine insemination
Human chorionic gonadotropin trigger
Timing of IUI
48 h after hCG injection.
title The effect of delaying intrauterine insemination till 48 h after hCG injection on pregnancy rate
title_full The effect of delaying intrauterine insemination till 48 h after hCG injection on pregnancy rate
title_fullStr The effect of delaying intrauterine insemination till 48 h after hCG injection on pregnancy rate
title_full_unstemmed The effect of delaying intrauterine insemination till 48 h after hCG injection on pregnancy rate
title_short The effect of delaying intrauterine insemination till 48 h after hCG injection on pregnancy rate
title_sort effect of delaying intrauterine insemination till 48 h after hcg injection on pregnancy rate
topic Intrauterine insemination
Human chorionic gonadotropin trigger
Timing of IUI
48 h after hCG injection.
url http://www.sciencedirect.com/science/article/pii/S1110569015300121
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