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Archives of Gynecology and Obstetrics

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01-01-2014 | Reproductive Medicine

Influence of ultrasound-guided artificial insemination on pregnancy rates: a randomized study

Authors: Ayla Sargın Oruç, Nafiye Yılmaz, Umit Görkem, Hasan Ali Inal, Berna Seçkin, Cavidan Gülerman

Published in: Archives of Gynecology and Obstetrics | Issue 1/2014

Abstract

Purpose

To evaluate the influence of ultrasound guidance during intrauterine insemination (IUI) on pregnancy rates (PRs). The impacts of two different groups of providers were also investigated.

Methods

Study population consisted of 387 gonadotropin stimulated IUI cycles performed for unexplained infertility. The patients were randomized into two groups as ultrasound-guided IUI (n = 180) and classical IUI (n = 207). Pregnancy rates were compared. Two groups were further analyzed based on the experience of the provider (senior versus junior subgroups) who performed IUI.

Results

Pregnancy rates were higher in the ultrasound-guided IUI group (17.2 %) compared to the classical IUI (10.1 %) (p = 0.042). In further analysis based on the experience of the provider; in the classical IUI group, PRs were similar for both subgroups, however, in the ultrasound-guided group it was higher when IUI was performed by a senior physician (21.7 versus 9.2 %, p = 0.033). Logistic regression revealed that the experience of the provider was the independent variable for improved PRs.

Conclusions

Ultrasound guidance improves PRs only when a senior provider performs the IUI procedure. It seems that the experience of the provider physician is one of the determinants of IUI success.

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Title: Influence of ultrasound-guided artificial insemination on pregnancy rates: a randomized study
Authors: Ayla Sargın Oruç
Nafiye Yılmaz
Umit Görkem
Hasan Ali Inal
Berna Seçkin
Cavidan Gülerman
Publication date: 01-01-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 1/2014
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-2965-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Influence of ultrasound-guided artificial insemination on pregnancy rates: a randomized study

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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