Taiwanese Journal of Obstetrics and Gynecology
Volume 47, Issue 1 , Pages 57-61, March 2008

Comparison of Single Versus Double Intrauterine Insemination

Department of Obstetrics and Gynecology, Medical Faculty of Meram, Selcuk University, Konya, Turkey

Accepted 29 August 2007.

Article Outline

Summary 

Objective

To compare the outcomes of single versus double intrauterine insemination.

Materials and Methods

This prospective randomized study was carried out in 100 infertile patients. One intrauterine insemination was applied 36 hours after human chorionic gonadotropin (hCG) injection to 50 patients in the first group. To 50 patients in the second group, two intrauterine inseminations were applied, of which the first was applied 24 hours after and the second 48 hours after the hCG injection.

Results

In the first group, pregnancies were detected in eight patients (pregnancy rate per patient was 16%, pregnancy rate per cycle was 10.6%). In the second group, pregnancies were detected in five patients (pregnancy rate per patient was 10%, pregnancy rate per cycle was 6.4%). There was no statistically significant difference between the two groups (p>0.05).

Conclusion

Single intrauterine insemination can be considered to be more reasonable than double intrauterine insemination treatment, taking into consideration the economic cost and the psychologic trauma to the patients. However, further studies with larger sample sizes are needed in order to reveal any actual differences between the two methods.

Key Words:  double , intrauterine insemination , pregnancy rate , single

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Ombelet W , Puttemans P , Bosmans E . Intrauterine insemination: a first-step procedure in the algorithm of male subfertility treatment . Hum Reprod . 1995;10(Suppl 1):90–102
  2. Cohlen BJ , Vandekerckhove P , te Velde ER , Habbema JD . Timed intercourse versus intra-uterine insemination with or without ovarian hyperstimulation for subfertility in men . Cochrane Database Syst Rev . 2000;(2):CD000360
  3. Goverde AJ , McDonnell J , Vermeiden JP , Schats R , Rutten FF , Schoemaker J . Intrauterine insemination or in-vitro fertilisation in idiopathic subfertility and male subfertility: a randomised trial and cost-effectiveness analysis . Lancet . 2000;355:13–18
  4. Philips Z , Barraza-Llorens M , Posnett J . Evaluation of the relative cost-effectiveness of treatments for infertility in the UK . Hum Reprod . 2000;15:95–106
  5. Templeton AA , Penney GC . The incidence, characteristics, and prognosis of patients whose infertility is unexplained . Fertil Steril . 1982;37:175–182
  6. In:  Rowe PJ ,  Comhaire FH ,  Hargreave TB ,  Mellows HJ editor. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple . Cambridge: Cambridge University Press; 1993;
  7. Hull MG , Glazener CM , Kelly NJ , et al.   Population study of causes, treatment, and outcome of infertility . Br Med J (Clin Res Ed) . 1985;291:1693–1697
  8. Freundl G . The value of intrauterine insemination in fertility treatment . Fortschr Med . 1995;113:325–326 [In German]
  9. Kang BM , Wu TC . Effect of age on intrauterine insemination with frozen donor sperm . Obstet Gynecol . 1996;88:93–98
  10. Collins JA , Rowe TC . Age of the female partner is a prognostic factor in prolonged unexplained infertility: a multicenter study . Fertil Steril . 1989;52:15–20
  11. Tan SL , Jacobs HS . In: İnfertilite: sorularinizz Cevapland? . 1st edition. Ankara: Hekimler yayin Birliği; 1992;p. 76; (Gülekli B, trans)
  12. Wittemer C , Ohl J , Bailly M , Bettahar-Lebugle K , Nisand I . Does body mass index of infertile women have an impact on IVF Procedure and outcome . J Assist Reprod Genet . 2000;17:547–552
  13. Aboulghar MA , Mansour RT , Serour GI , Al-Inany HG . Diagnosis and management of unexplained infertility: an update . Arch Gynecol Obstet . 2003;267:177–188
  14. Gregoriou O , Vitoratos N , Papadias C , Konidaris S , Gargaropoulos A , Louridas C . Controlled ovarian hyperstimulation with or without intrauterine insemination for the treatment of unexplained infertility . Int J Gynaecol Obstet . 1995;48:55–59
  15. Crosignani PG , Walters DE , Soliani A . The ESHRE multicentre trial on the treatment of unexplained infertility: a preliminary report. European Society of Human Reproduction and Embryology . Human Reprod . 1991;6:953–958
  16. World Health Organization  . WHO Laboratory Manual for the Examination of Human Semen and Sperm-cervical Mucus Interaction . 3rd edition. Cambridge: Cambridge University Press; 1992;
  17. Delepine B, Abboud P, Melin MC, Pigeon F, Harika G, Quereux C, et al. Intrauterine inseminations with hyperstimulation in male infertility . Contracept Fertil Sex . 1996;24:891–896 [In French]
  18. Deaton JL , Gibson M , Blackmer KM , Nakajima ST , Badger GJ , Brumsted JR . A randomized, controlled trial of clomiphene citrate and intrauterine insemination in couples with unexplained infertility or surgically corrected endometriosis . Fertil Steril . 1990;54:1083–1088
  19. Ragni G, Maggioni P, Guermandi E, Testa A, Baroni E, Colombo M, et al. Efficacy of double intrauterine insemination in controlled ovarian hyperstimulation cycles . Fertil Steril . 1999;72:619–622
  20. Silverberg KM , Johnson JV , Olive DL , Burns WN , Schenken RS . A prospective, randomized trial comparing two different intrauterine insemination regimens in controlled ovarian hyperstimulation cycles . Fertil Steril . 1992;57:357–361
  21. Matilsky M , Geslevich Y , Ben-Ami M , Ben-Shlomo I , WeinerMegnagi T , Shalev E . Two-day IUI treatment cycles are more successful than one-day IUI cycles when using frozen-thawed donor sperm . J Androl . 1998;19:603–607
  22. Cantineau AE , Heineman MJ , Cohlen BJ . Single versus double intrauterine insemination in stimulated cycles for subfertile couples: a systematic review based on a Cochrane review . Hum Reprod . 2003;18:941–946
  23. Zeyneloğlu HB . Single versus double intrauterine insemination: are outcomes affected? . Curr Opin Obstet Gynecol . 2004;16:251–256
  24. Alborzi S , Motazedian S , Parsanezhad ME , Jannati S . Comparison of the effectiveness of single intrauterine insemination (IUI) versus double IUI per cycle in infertile patients . Fertil Steril . 2003;80:595–599

PII: S1028-4559(08)60055-8

doi:10.1016/S1028-4559(08)60055-8

Taiwanese Journal of Obstetrics and Gynecology
Volume 47, Issue 1 , Pages 57-61, March 2008