IJFS-International Journal of Fertility and Sterility. 2011; 5 (3): 168-173
em Inglês
| IMEMR
| ID: emr-144155
ABSTRACT
The present study aimed to analyze the prognostic value of sperm morphology, total motile sperm count [TMSC] and the number of motile sperm inseminated [NMSI] on the outcome of intrauterine insemination [IUI]. This cross sectional study was carried out 445 women undergoing 820 IUI cycles. All of the patients underwent controlled ovarian hyper stimulation with clomiphen citrate and human menopausal gonadotropin [HMG] followed by intrauterine insemination with the husband's sperm. Pregnancy rate [PR] per cycle in correlation to sperm morphology, TMSC and NMSI was obtained. Statistical analysis of the data was done by the SPSS version 13 [Chicago, USA]. A total of 81 clinical pregnancies were obtained for a pregnancy rate per cycle of 9.9%. When the TMSC was 5x10[6] to <10x10[6], the PR per cycle was significantly higher than the subgroups <1x10[6], 1x10[6] to <5x10[6] and >/= 10x10[6] [15%, 5.6%, 5.1%, 10.8%, respectively]. Sperm morphology was in itself a significant factor that affected the likelihood of IUI success. Nonetheless, the most significant difference of the PR per cycle with sperm morphology was in the subgroup <5% [2.1% vs. 97.9%].When the NMSI was >/= 10x10[6], the PR per cycle was significantly higher than the subgroups<5x10[6] and 5x10[6] to< 10x10[6] [11.2%, 4.1%, 5.2%, respectively]. The study showed that TMSC 5x10[6] to < 10x10[6] and normal sperm morphology >/= 5% and NMSI >/= 10x10[6] are useful prognostic factors of IUI cycles
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Indução da Ovulação
/
Capacitação Espermática
/
Contagem de Espermatozoides
/
Motilidade dos Espermatozoides
/
Espermatozoides
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Int. J. Fertil. Steril.
Ano de publicação:
2011
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