Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

The relationship between total motile sperm count and success of intrauterin insemination

Authors
Monireh Jahaniyan 1
Nayereh Khadem 2
Nozzhat Mousavifar 2
Alieh Tourabizadeh 2
Fatemeh Vahidrodsari 2
Zohreh Yousefi 2
Mohsen Jalali 1
Firouzeh Shafighi 1
1 Montaserieh infertility treatment Center, Mashhad Medical Scienses University, Mashad, Iran
2 Department of Obstet . and Gynecol .Faculty of Medicine, Mashhad Medical Sciences University, Mashad, Iran
Abstract
Incidence of infertility is approximately 10-15% and intrauterin insemination (IUI) is the suitable method in cases of male infertility. This survey is done on 1017 persons among couples that were being treated with 1258 IUI cycles. The aim of this study was to investigate whether total motile functional sperm count (TMFSC) can be predictive of IUI success or not. In all patients after checking and preparing them for ovulation induction, Semen sample was prepared according to WHO with swim-up procedure and 0.8ml of suspension over sperm pellet was used for insemination. The examination of spermogram and motile functional sperm count was done after sperm processing. There was a trend toward an increasing percentage of conception with increasing total motile functional sperm rate count and the least of TMFSC was 20106 for and with increased TMFSC, success of IUI will increase also. The overall pregnancy rate per cycle was 13.2% and per couple was 16.14% in the infertile couples. This study indicated that the causes of infertility have not any effect on IUI success rate. The duration of infertility has significant difference in pregnant and non pregnant groups.
Keywords
Infertility
Intrauterin insemination
Male Factor
Pregnancy
Spermogram
Speroff L., Glass R.H., Kase N.G. Male infertility. In: Clinical Gynecology Endocrinology and Infertility. Lippincott Williams and Wilkins Co. 1999; (29): 1078-80.
Sigman M. Therapeutic insemination. In: Sciarra Gynecology and Obstetric Lippincott Co. 1999; (67):7-8.
Brasch J.G., Rawlins R., Tarfealu S., et al. The relationship between total motile sperm count and the success of intrauterine insemination.Fertil Stril. 1994; 62 (1): 150-3.
Chung P.H., Verkauf B.S. Correlation between semen parameters of electroejaculates and achieving pregnancy by intrauterine insemination . Fertil Strill. 1997; 67 (1):129-32.
Malarewicz A., Pieneki W. Remarks on artificial intrauterine insemination of women with abnormal semen. Genecol Pol. 1994; 65 (2): 103-4.
Karabinus D.S., Gelety I.J. The impact of sperm morphology evaluated by strict criteria, an intrauterine insemination success. Fertil Stril. 1997; 67 (3): 536-41 .
Manish N., Damuni, Stephen F., et al. Medical treatment of male infertility. In: Sciarra Gynecology and Obstetrics. 1999; 65: 2-3.
Speroff L., Glass R.H., Nathan G. Female Infertility Clinical Gynecology Endocrinology and Infertility. Lippincott Williams and Wilkins 1999; (26): 1016-9.
Shulman A., Hauser R., Lipitz S., et al. Sperm motility in a major determinant of pregnancy outcomes following intrauterine insemination. J Assist Reprod. 1998; 15 (6): 301-5.
Franchvilla F., Romano R., Santucci R. Effect of sperm morphology and motile sperm count on outcome of intrauterine insemination in oligozoospermia and / or asthenospermia. Fertil Steril. 1990; 53: 802-7.
Dickey R.P., Pyrsak R. Comparison of the sperm quality necessary for successful intrauterine insemination threshold. Values for normal sperm. Fertil Stril. 1999; 4: 604-9.
Wallach J. Endocrine diseases interpretation of diagnostic tests. A symposis of laboratory medicine. 5th Edition. Little Brown Co. 1992;(14): 526.
Vander Wasterlaken L.A., Noaktgenbren N., Helmurkorst F.M. Evaluation of pregnancy rates after intrauterine insemination according to indication age, and sperm parameters. J Assist Reprod Genent. 1998; 15 (6): 359-64.
Journal of Reproduction & Infertility
Volume 2, Issue 2
Spring 2001
Pages 48-53