Intra-uterine insemination versus fallopian tube perfusion with husband washed sperm as a method of management of oligospermia-induced infertility: a preliminary study

ABSTRACT

This study included 50 couples during the period from March 1993 till January 1996. All were suffering from primary infertility one to six years with no apparent cause, except male factor in the form of oligospermia with sperm count <20 millions/ml. The age of the male partner ranged between 28 and 42 years, while of the female partner ranged between 26 and 38 years. They were divided into two groups. The first group [n=28] have done 40-treatment cycle. While the second group [n=22] have done 28-treatment cycle. There was no significant difference between the two groups. All female partners were given the same induction protocol using CC and hMG and follow up by folliculometry and E2 plasma level. Once, one or more follicle reached size >/17 mm, 5000 IU hGG was given i.m. Thirty-three hours after administration of hCG, patients were randomly assigned to either IUI with 0.5 ml washed sperm [group I] or FSP with 4 ml husband washed sperm [group 2]. It was concluded that, FSP is a promising technique, which needs further study on a large group of patients suffering from various causes of infertility