Journal of International Reproductive Health/Family Planning ›› 2014, Vol. 33 ›› Issue (2): 110-112.

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Effects of Male Factors on Outcomes of Intrauterine Insemination

SU Ning,XIA Wei,WANG Wei,HE Yan,ZENG Yan-hua,HUANG Ting-ting,PENG Ya-ya   

  1. Department of Reproductive Health and Infertility Special,the First Municipal People′s Hospital,Guangzhou 510180,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-03-15 Online:2014-03-15

Abstract: Objective: To assess the effects of male factors on the clinical pregnancy rate of intrauterine insemination(IUI). Methods: The data of 472 IUI cycles from January 2012 to April 2013 in our center were retrospectively analyzed. These cycles were divided into three groups according to male age(<30,30~35,≥35 years),four groups according to the percentage of normal morphological spermatozoa(normal:≥15%;mild,moderate and severe abnormal:10%-15%,5%-10%,≤4%), or five groups according to the processed total motile sperm count(PTMS)(<2×106,(2-5)×106,(5-10)×106,(10-20)×106,≥20×106). Then the clinical pregnancy rates were compared. Results:A total of 80 clinical pregnancies were obtained,for a pregnancy rate per cycle of 16.95% and accumulative rate 33.47%. The clinical pregnancy rate in the ≥35 years old group was 10.4%,in severe abnormal group was 8.4%. These rates were significantly lower than those of other groups(P<0.05). Conclusions:Male factors such as age, the percentage of normal morphological spermatozoa, and PTMS should be considered during IUI therapy. Those couples with male age ≥35 years, severe abnormal spermatozoa, or PTMS <2×106, should be advised to treat with IVF-ET or ICSI-ET.

Key words: Infertility, male, Insemination, artificial, Pregnancy rate, Treatment outcome, Paternal age, Spermatozoa