The Intra-Uterine Insemination in Al-Yarmouk Infertility Center: A Five-Year Records Review
Background: Intra uterine insemination is an assisted reproductive technique using husband or donor sperms, at the time of ovulation in natural or stimulated cycle, to be placed in the uterine cavity or in the cervical canal. It is a common procedure used for the treatment of infertility. Objectives: To identify factors that can predict successful outcome in intrauterine insemination and the socio-demographic characteristics of couples visiting intra uterine insemination department in Al–Yarmouk Infertility Center through five-year records review. Patients & Methods: A descriptive study (review of records) was conducted on all available records of infertile couples (259 couples), undergone intra uterine insemination treatment for their infertility problems in Al-Yarmouk Infertility Center, from 2007 through 2011. The necessary data were collected from only124 couples with complete information. Results: The overall pregnancy rate was 27.4% (34 cases) in whom 4.8% were delivered successfully; the miscarriage rate was 4%, and no ectopic pregnancy or multiple pregnancies were encountered. Four significant variables were identified for successful outcome: duration of infertility (<10 years 45.2 vs. 5.6%), type of infertility (secondary infertility 46.7 vs. 21.3%), number of trials (twice and more 68.1% vs. 15.7%), and progressive motility of sperm after preparation (couples with >50% normal progressive motility 37.3 vs. 18.5%). Conclusions: Intrauterine insemination provides better results in couples with secondary infertility, shorter duration of infertility, increasing number of trials, and in those with 50% normal sperm motility or more.