Does intra-uterine insemination have a place in modern ART practice?
| Autor: | Ying Cheong, Valarmathy Kandavel |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Pregnancy Rate Cost-Benefit Analysis Intra uterine insemination Insemination 03 medical and health sciences 0302 clinical medicine Ovulation Induction Pregnancy medicine Humans Effective treatment Intensive care medicine Infertility Male Insemination Artificial health care economics and organizations Unexplained infertility 030219 obstetrics & reproductive medicine Male factor business.industry Intensive treatment Obstetrics and Gynecology General Medicine medicine.disease Nice guideline Treatment Outcome Infertility Practice Guidelines as Topic Female Pregnancy Multiple business 030217 neurology & neurosurgery |
| Zdroj: | Best Practice & Research Clinical Obstetrics & Gynaecology. 53:3-10 |
| ISSN: | 1521-6934 |
| DOI: | 10.1016/j.bpobgyn.2018.08.003 |
| Popis: | Intra-uterine insemination (IUI) is a cheaper, less intensive treatment modality for achieving a pregnancy in couples with specific indications. The use of IUI seems to have declined after NICE guideline 2013 (CG 156) recommended IVF over IUI in couples with unexplained and mild male factor infertility. This review examines the current evidence and the applicability of IUI as a first-line option of treatment in couples with unexplained and mild male factor subfertility. The outcome of the review supports this argument. It is likely that IUI will re-emerge as an effective treatment option and thereby increase the choice to patients. However, there is a need for ongoing research and investment into funding of good quality trials to improve and strengthen the evidence base. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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