Gulsen Coban P, Sargin Oruc A, Kuru Pekcan M, Inal HA, Hancerliogullari N, Yilmaz N. Influence of Catheter Type and Tenaculum Use on Intrauterine Insemination Outcome.
INTERNATIONAL JOURNAL OF FERTILITY & STERILITY 2020;
14:213-217. [PMID:
33098388 PMCID:
PMC7604713 DOI:
10.22074/ijfs.2020.6161]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2019] [Accepted: 03/15/2020] [Indexed: 12/02/2022]
Abstract
Background
We investigated the impact of the choice of catheter type and tenaculum use on pregnancy related out-
comes in intrauterine insemination (IUI) treatments.
Materials and Methods
A total of 338 consecutive IUI cycles were assessed in this retrospective study. Participants
were divided according to the insemination technique - soft catheter (group 1; n=175), firm catheter (group 2; n=100),
or tenaculum (group 3; n=63). Clinical, laboratory, semen parameters and pregnancy related outcomes were compared.
Results
Demographic characteristics and laboratory parameters were similar between the groups (P>0.05). The clini-
cal pregnancy rate (CPR) was significantly higher in the firm catheter (19%, 19/100) and tenaculum (31.7%, 20/63)
groups compared to the soft catheter group (5.1%, 9/175, P<0.001). There were no significant differences between
the groups in live birth and miscarriage rates per clinical pregnancy (P>0.05).
Conclusion
Our findings indicate that the use of a firm catheter or tenaculum for IUI might result in a higher CPR, but
might not have a considerable effect on the live birth rate (LBR). Further prospective randomized studies are required
to determine the long-term effects of the catheter type or tenaculum use on IUI success.
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