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The Predictive Value of Post Processing Total MotileSperm Count of Semen on the Success of IntrauterineInsemination |
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| รหัสดีโอไอ | |
| Creator | Ukris Towised |
| Title | The Predictive Value of Post Processing Total MotileSperm Count of Semen on the Success of IntrauterineInsemination |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2560 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 25 |
| Journal No. | 4 |
| Page no. | 259 |
| Keyword | total motile sperm count, pregnancy outcome, intrauterine insemination |
| ISSN | 0857-6084 |
| Abstract | Objectives: To study the predictive value of post-processing total motile sperm count (TMSC) onpregnancy rate in intrauterine insemination (IUI).Materials and Methods: Medical records were reviewed from August 2013 to January 2015. Allunexplained infertile women or anovulation less than or equal to 35 years old, and initially treatedwith IUI were included. Small myoma, adenomyosis, adenomyoma, endometrial thickness lessthan 6 mm at 2-3 days before IUI and patients with previous pelvic surgery were excluded. Thepredictive values of post-processing TMSC parameters were analyzed regarding pregnancyoutcomes with a receiver operating characteristic (ROC) curve.Results: The overall pregnancy rate was 9.5% for all 218 couples with 314 IUI cycles. The cause offemale infertility was unexplained for 75.16% of the sample population with anovulation at24.84%. All parameters including duration of infertility, number of dominant follicles, largestdominant follicle diameter and endometrial thickness were unrelated to pregnancy outcomes.The ROC showed sensitivity, specifiity, positive predictive value and negative predictive valueof post-processing TMSC at 20x106/mm, with pregnancy outcomes of 50, 45, 48, and 47%,respectively.Conclusions: Post-processing TMSC was an unreliable predictive factor for IUI outcome. |
