the potential use of intrauterine insemination as a basic option for infertility a review for technology-limited medical settings宫腔内人工受精的潜在使用作为一个基本的选项为不孕症审查科技有限公司医疗设置.pdfVIP

Hindawi Publishing Corporation Obstetrics and Gynecology International Volume 2009, Article ID 584837, 11 pages doi:10.1155/2009/584837 Review Article The Potential Use of Intrauterine Insemination as a Basic Option for Infertility: A Review for Technology-Limited Medical Settings Abdelrahman M. Abdelkader and John Yeh Department of Gynecology-Obstetrics, University at Buff alo, The State University of New York, Buff alo, NY 14222, USA Correspondence should be addressed to John Yeh, jyeh@buff Received 5 November 2008; Accepted 15 January 2009 ´ ´ Recommended by Faustino R. Perez-Lopez Objective. There is an asymmetric allocation of technology and other resources for infertility services. Intrauterine insemination (IUI) is a process of placing washed spermatozoa transcervically into the uterine cavity for treatment of infertility. This is a review of literature for the potential use of IUI as a basic infertility treatment in technology-limited settings. Study design. Review of articles on treatment of infertility using IUI. Results. Aspects regarding the use of IUI are reviewed, including ovarian stimulation, semen parameters associated with good outcomes, methods of sperm preparation, timing of IUI, and number of inseminations. Implications of the finding in light of the needs of low-technology medical settings are summarized. Conclusion. The reviewed evidence suggests that IUI is less expensive, less invasive, and comparably effective for selected patients as a first-line treatment for couples with unexplained or male factor infertility. Those couples may be offered three to six IUI cycles in technology-limited settings. Copyright © 2009 A. M. Abdelkader and J. Yeh. This is an open access article distributed under the Creative Commons A