Clin Exp Reprod Med.  2012 Jun;39(2):68-72. 10.5653/cerm.2012.39.2.68.

Stimulated intrauterine insemination in women with unilateral tubal occlusion

• Yi G
• Jee BC
• Suh CS
• Kim SH

• KMID: 1743693
• DOI: http://doi.org/10.5653/cerm.2012.39.2.68

Abstract

OBJECTIVE
To investigate the value of stimulated intrauterine insemination (IUI) in women with unilateral tubal occlusion.
METHODS
Superovulation and IUI was performed during 2003-2010 and the medical records were reviewed retrospectively. Thirty-seven infertile women (52 cycles) with unilateral tubal occlusion diagnosed by hysterosalpingography and without other causes of infertility were selected. One-hundred fourteen patients with unexplained infertility served as a control group (182 cycles). The main outcome was the clinical pregnancy rate per cycle.
RESULTS
The pregnancy rate per cycle was similar, 17.3% for the unilateral tubal occlusion group and 16.5% for the unexplained infertility group. The rate of miscarriage (11.1% vs. 23.3%) and ectopic pregnancy (11.1% vs. 6.7%) was similar between the two groups. The pregnancy rate was higher in patients with proximal occlusion (25.0%) compared with distal occlusion (13.9%) or unexplained infertility, but not statistically significant.
CONCLUSION
Stimulated IUI can be suggested as the initial treatment option in women with unilateral proximal or distal tubal occlusion.

Keyword

Tubal obstruction; Insemination; Pregnancy

MeSH Terms

Abortion, Spontaneous
Fallopian Tube Diseases
Female
Humans
Hysterosalpingography
Infertility
Insemination
Medical Records
Pregnancy
Pregnancy Rate
Pregnancy, Ectopic
Retrospective Studies
Sterilization, Tubal
Superovulation