Indication of intravaginal insemination for infertility treatment in couples with sexual dysfunction. (13th March 2021)

• Record Type: Journal Article
• Authors: Kaseki, Hiroshi; Kaseki, Satoshi; Shimizu, Makiko; Hayashi, Ayako; Suganuma, Nobuhiko
• Is Part Of: Reproductive medicine and biology. Volume 20:Number 2(2021)
• Page Start: 241
• Page End: 245
• Publication Date: 2021-03-13
• Subjects: assisted reproductive technology -- erectile dysfunction -- infertility treatment -- intravaginal insemination -- sexual dysfunction; Reproduction -- Periodicals; Reproductive health -- Periodicals; 612.6
• DOI: 10.1002/rmb2.12376
• Languages: English
• ISSNs: 1445-5781

Abstract

Abstract: Purpose: To analyze the usefulness of intravaginal insemination (IVI) for the infertility treatment in couples with sexual dysfunction before applying assisted reproductive technology (ART). Methods: Among 208 couples who presented sexual dysfunction, 144 couples underwent IVI procedures. The profiles of pregnant and non‐pregnant patients were compared. Results: Of 144 patients, 58 women conceived successfully (40.3% pregnancy rate). Between the pregnant and non‐pregnant cases, the husband's age and infertility period were significantly higher ( P = .0104) and longer ( P = .0027) in the unsuccessful cases than the successful ones. The husbands who could not impregnate had a significantly higher ratio of sperm abnormalities ( P = .0048). Among the 57 successful cases who underwent IVI treatment, 38 (66.7%) patients became pregnant within 3 times of the procedure, while 48 (84.2%) patients conceived within 6 times. Conclusion: The authors can propose the following inclusion IVI criteria for couples with sexual dysfunction: (a) younger husband (36 years old or less) which may be most important, (b) infertility duration of 3 years or less, (c) normal sperm condition, and (d) IVI trial for 3 times (maximum of 6 times). Since IVI appears to be a simple, noninvasive, and inexpensive way for couples with sexual dysfunction, it can be attempted before ART application. Abstract : Intravaginal insemination (IVI) is a useful method for the infertility treatment in couples with sexual dysfunction before ART application. The following inclusion criteria can be proposed; (a) younger husband (36 years old or less), (b) infertility duration of 3 years or less, (c) normal sperm condition, and (d) IVI trial up to 3 times (maximum of 6 times).