Synchronised approach for intrauterine insemination in subfertile couples
Background In many countries intrauterine insemination (IUI) is the treatment of first choice for a subfertile couple when the infertility work up reveals an ovulatory cycle, at least one open Fallopian tube and sufficient spermatozoa. The final goal of this treatment is to achieve a pregnancy and d...
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| Veröffentlicht in: | Cochrane database of systematic reviews 2014-12, Vol.2014 (12), p.CD006942 |
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| creator | Cantineau, Astrid EP Janssen, Mirjam J Cohlen, Ben J Allersma, Thomas Janssen, Mirjam J |
| description | Background
In many countries intrauterine insemination (IUI) is the treatment of first choice for a subfertile couple when the infertility work up reveals an ovulatory cycle, at least one open Fallopian tube and sufficient spermatozoa. The final goal of this treatment is to achieve a pregnancy and deliver a healthy (singleton) live birth. The probability of conceiving with IUI depends on various factors including age of the couple, type of subfertility, ovarian stimulation and the timing of insemination. IUI should logically be performed around the moment of ovulation. Since spermatozoa and oocytes have only limited survival time correct timing of the insemination is essential. As it is not known which technique of timing for IUI results in the best treatment outcome, we compared different techniques for timing IUI and different time intervals.
Objectives
To evaluate the effectiveness of different synchronisation methods in natural and stimulated cycles for IUI in subfertile couples.
Search methods
We searched for all publications which described randomised controlled trials of the timing of IUI. We searched the Cochrane Menstrual Disorders and Subfertility Group Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL) (1966 to October 2014), EMBASE (1974 to October 2014), MEDLINE (1966 to October 2014) and PsycINFO (inception to October 2014) electronic databases and prospective trial registers. Furthermore, we checked the reference lists of all obtained studies and performed a handsearch of conference s.
Selection criteria
Randomised controlled trials (RCTs) comparing different timing methods for IUI were included. The following interventions were evaluated: detection of luteinising hormone (LH) in urine or blood, single test; human chorionic gonadotropin (hCG) administration; combination of LH detection and hCG administration; basal body temperature chart; ultrasound detection of ovulation; gonadotropin‐releasing hormone (GnRH) agonist administration; or other timing methods.
Data collection and analysis
Two review authors independently selected the trials, extracted the data and assessed study risk of bias. We performed statistical analyses in accordance with the guidelines for statistical analysis developed by The Cochrane Collaboration. The overall quality of the evidence was assessed using GRADE methods.
Main results
Eighteen RCTs were included in the review, of which 14 were included in the meta‐analyses (in total 2279 couples |
| doi_str_mv | 10.1002/14651858.CD006942.pub3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11182568</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1641857582</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4743-33d25ff9ab4dd221c451aa8480435b81d5bca0d5fa542952ea370157efe4d943</originalsourceid><addsrcrecordid>eNqFUctOwzAQtBCI8vqFKkcuLX4mzglBeVVC4kDvluNsqFEaBzsB9e9xVFoVLpzs1czO7O4gNCZ4SjCmV4Sngkghp7M7jNOc02nbF-wAnQzAZEAO9_4jdBrCO8YszWl2jEZUCCpFnp6g-eu6MUvvGhugTHTbeqfNMqmcT2zTed134G0DsQiwso3urGtikYS-qMB3tobEuL6tIZyjo0rXAS5-3jO0eLhfzJ4mzy-P89nN88TwjLMJYyUVVZXrgpclpcRwQbSWXGLORCFJKQqjcSkqLTjNBQXNMkxEBhXwMufsDF1vZOO-KygNDFPWqvV2pf1aOW3Vb6SxS_XmPhUhRFKRyqhw-aPg3UcPoVMrGwzUtW7A9UGRlMebZULSSE03VONdCB6qnQ_BashBbXNQ2xwGdxYbx_tT7tq2h4-E2w3hK55wrYyLIUT_f3T_uHwD2CKauA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1641857582</pqid></control><display><type>article</type><title>Synchronised approach for intrauterine insemination in subfertile couples</title><source>MEDLINE</source><source>Cochrane Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Cantineau, Astrid EP ; Janssen, Mirjam J ; Cohlen, Ben J ; Allersma, Thomas ; Janssen, Mirjam J</creator><creatorcontrib>Cantineau, Astrid EP ; Janssen, Mirjam J ; Cohlen, Ben J ; Allersma, Thomas ; Janssen, Mirjam J</creatorcontrib><description>Background
In many countries intrauterine insemination (IUI) is the treatment of first choice for a subfertile couple when the infertility work up reveals an ovulatory cycle, at least one open Fallopian tube and sufficient spermatozoa. The final goal of this treatment is to achieve a pregnancy and deliver a healthy (singleton) live birth. The probability of conceiving with IUI depends on various factors including age of the couple, type of subfertility, ovarian stimulation and the timing of insemination. IUI should logically be performed around the moment of ovulation. Since spermatozoa and oocytes have only limited survival time correct timing of the insemination is essential. As it is not known which technique of timing for IUI results in the best treatment outcome, we compared different techniques for timing IUI and different time intervals.
Objectives
To evaluate the effectiveness of different synchronisation methods in natural and stimulated cycles for IUI in subfertile couples.
Search methods
We searched for all publications which described randomised controlled trials of the timing of IUI. We searched the Cochrane Menstrual Disorders and Subfertility Group Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL) (1966 to October 2014), EMBASE (1974 to October 2014), MEDLINE (1966 to October 2014) and PsycINFO (inception to October 2014) electronic databases and prospective trial registers. Furthermore, we checked the reference lists of all obtained studies and performed a handsearch of conference s.
Selection criteria
Randomised controlled trials (RCTs) comparing different timing methods for IUI were included. The following interventions were evaluated: detection of luteinising hormone (LH) in urine or blood, single test; human chorionic gonadotropin (hCG) administration; combination of LH detection and hCG administration; basal body temperature chart; ultrasound detection of ovulation; gonadotropin‐releasing hormone (GnRH) agonist administration; or other timing methods.
Data collection and analysis
Two review authors independently selected the trials, extracted the data and assessed study risk of bias. We performed statistical analyses in accordance with the guidelines for statistical analysis developed by The Cochrane Collaboration. The overall quality of the evidence was assessed using GRADE methods.
Main results
Eighteen RCTs were included in the review, of which 14 were included in the meta‐analyses (in total 2279 couples). The evidence was current to October 2013. The quality of the evidence was low or very low for most comparisons . The main limitations in the evidence were failure to describe study methods, serious imprecision and attrition bias.
Ten RCTs compared different methods of timing for IUI. We found no evidence of a difference in live birth rates between hCG injection versus LH surge (odds ratio (OR) 1.0, 95% confidence interval (CI) 0.06 to 18, 1 RCT, 24 women, very low quality evidence), urinary hCG versus recombinant hCG (OR 1.17, 95% CI 0.68 to 2.03, 1 RCT, 284 women, low quality evidence) or hCG versus GnRH agonist (OR 1.04, 95% CI 0.42 to 2.6, 3 RCTS, 104 women, I2 = 0%, low quality evidence).
Two RCTs compared the optimum time interval from hCG injection to IUI, comparing different time frames that ranged from 24 hours to 48 hours. Only one of these studies reported live birth rates, and found no difference between the groups (OR 0.52, 95% CI 0.27 to 1.00, 1 RCT, 204 couples). One study compared early versus late hCG administration and one study compared different dosages of hCG, but neither reported the primary outcome of live birth.
We found no evidence of a difference between any of the groups in rates of pregnancy or adverse events (multiple pregnancy, miscarriage, ovarian hyperstimulation syndrome (OHSS)). However, most of these data were very low quality.
Authors' conclusions
There is insufficient evidence to determine whether there is any difference in safety and effectiveness between different methods of synchronization of ovulation and insemination. More research is needed.</description><identifier>ISSN: 1465-1858</identifier><identifier>ISSN: 1469-493X</identifier><identifier>EISSN: 1465-1858</identifier><identifier>EISSN: 1469-493X</identifier><identifier>DOI: 10.1002/14651858.CD006942.pub3</identifier><identifier>PMID: 25528596</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; ASSISTED CONCEPTION TECHNIQUES ; Body Temperature ; Chorionic Gonadotropin ; Chorionic Gonadotropin - administration & dosage ; EVALUATION OF SUBFERTILITY TREATMENTS RELATING TO THE FEMALE PARTNER ; Female ; Female: other ; Gonadotropin-Releasing Hormone - agonists ; Gonadotropin‐Releasing Hormone ; Gynaecology ; Humans ; Infertility ; Infertility - therapy ; Insemination, Artificial ; Insemination, Artificial - methods ; Luteinizing Hormone ; Luteinizing Hormone - blood ; Luteinizing Hormone - urine ; Male ; Medicine General & Introductory Medical Sciences ; Ovulation Detection ; Ovulation Detection - methods ; Procedures (non‐surgical) ; Randomized Controlled Trials as Topic ; Subfertility ; Technique modalities (IVF, GIFT, ZIFT) ; Time Factors ; Young Adult</subject><ispartof>Cochrane database of systematic reviews, 2014-12, Vol.2014 (12), p.CD006942</ispartof><rights>Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4743-33d25ff9ab4dd221c451aa8480435b81d5bca0d5fa542952ea370157efe4d943</citedby><cites>FETCH-LOGICAL-c4743-33d25ff9ab4dd221c451aa8480435b81d5bca0d5fa542952ea370157efe4d943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25528596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cantineau, Astrid EP</creatorcontrib><creatorcontrib>Janssen, Mirjam J</creatorcontrib><creatorcontrib>Cohlen, Ben J</creatorcontrib><creatorcontrib>Allersma, Thomas</creatorcontrib><creatorcontrib>Janssen, Mirjam J</creatorcontrib><title>Synchronised approach for intrauterine insemination in subfertile couples</title><title>Cochrane database of systematic reviews</title><addtitle>Cochrane Database Syst Rev</addtitle><description>Background
In many countries intrauterine insemination (IUI) is the treatment of first choice for a subfertile couple when the infertility work up reveals an ovulatory cycle, at least one open Fallopian tube and sufficient spermatozoa. The final goal of this treatment is to achieve a pregnancy and deliver a healthy (singleton) live birth. The probability of conceiving with IUI depends on various factors including age of the couple, type of subfertility, ovarian stimulation and the timing of insemination. IUI should logically be performed around the moment of ovulation. Since spermatozoa and oocytes have only limited survival time correct timing of the insemination is essential. As it is not known which technique of timing for IUI results in the best treatment outcome, we compared different techniques for timing IUI and different time intervals.
Objectives
To evaluate the effectiveness of different synchronisation methods in natural and stimulated cycles for IUI in subfertile couples.
Search methods
We searched for all publications which described randomised controlled trials of the timing of IUI. We searched the Cochrane Menstrual Disorders and Subfertility Group Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL) (1966 to October 2014), EMBASE (1974 to October 2014), MEDLINE (1966 to October 2014) and PsycINFO (inception to October 2014) electronic databases and prospective trial registers. Furthermore, we checked the reference lists of all obtained studies and performed a handsearch of conference s.
Selection criteria
Randomised controlled trials (RCTs) comparing different timing methods for IUI were included. The following interventions were evaluated: detection of luteinising hormone (LH) in urine or blood, single test; human chorionic gonadotropin (hCG) administration; combination of LH detection and hCG administration; basal body temperature chart; ultrasound detection of ovulation; gonadotropin‐releasing hormone (GnRH) agonist administration; or other timing methods.
Data collection and analysis
Two review authors independently selected the trials, extracted the data and assessed study risk of bias. We performed statistical analyses in accordance with the guidelines for statistical analysis developed by The Cochrane Collaboration. The overall quality of the evidence was assessed using GRADE methods.
Main results
Eighteen RCTs were included in the review, of which 14 were included in the meta‐analyses (in total 2279 couples). The evidence was current to October 2013. The quality of the evidence was low or very low for most comparisons . The main limitations in the evidence were failure to describe study methods, serious imprecision and attrition bias.
Ten RCTs compared different methods of timing for IUI. We found no evidence of a difference in live birth rates between hCG injection versus LH surge (odds ratio (OR) 1.0, 95% confidence interval (CI) 0.06 to 18, 1 RCT, 24 women, very low quality evidence), urinary hCG versus recombinant hCG (OR 1.17, 95% CI 0.68 to 2.03, 1 RCT, 284 women, low quality evidence) or hCG versus GnRH agonist (OR 1.04, 95% CI 0.42 to 2.6, 3 RCTS, 104 women, I2 = 0%, low quality evidence).
Two RCTs compared the optimum time interval from hCG injection to IUI, comparing different time frames that ranged from 24 hours to 48 hours. Only one of these studies reported live birth rates, and found no difference between the groups (OR 0.52, 95% CI 0.27 to 1.00, 1 RCT, 204 couples). One study compared early versus late hCG administration and one study compared different dosages of hCG, but neither reported the primary outcome of live birth.
We found no evidence of a difference between any of the groups in rates of pregnancy or adverse events (multiple pregnancy, miscarriage, ovarian hyperstimulation syndrome (OHSS)). However, most of these data were very low quality.
Authors' conclusions
There is insufficient evidence to determine whether there is any difference in safety and effectiveness between different methods of synchronization of ovulation and insemination. More research is needed.</description><subject>Adult</subject><subject>ASSISTED CONCEPTION TECHNIQUES</subject><subject>Body Temperature</subject><subject>Chorionic Gonadotropin</subject><subject>Chorionic Gonadotropin - administration & dosage</subject><subject>EVALUATION OF SUBFERTILITY TREATMENTS RELATING TO THE FEMALE PARTNER</subject><subject>Female</subject><subject>Female: other</subject><subject>Gonadotropin-Releasing Hormone - agonists</subject><subject>Gonadotropin‐Releasing Hormone</subject><subject>Gynaecology</subject><subject>Humans</subject><subject>Infertility</subject><subject>Infertility - therapy</subject><subject>Insemination, Artificial</subject><subject>Insemination, Artificial - methods</subject><subject>Luteinizing Hormone</subject><subject>Luteinizing Hormone - blood</subject><subject>Luteinizing Hormone - urine</subject><subject>Male</subject><subject>Medicine General & Introductory Medical Sciences</subject><subject>Ovulation Detection</subject><subject>Ovulation Detection - methods</subject><subject>Procedures (non‐surgical)</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Subfertility</subject><subject>Technique modalities (IVF, GIFT, ZIFT)</subject><subject>Time Factors</subject><subject>Young Adult</subject><issn>1465-1858</issn><issn>1469-493X</issn><issn>1465-1858</issn><issn>1469-493X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>RWY</sourceid><sourceid>EIF</sourceid><recordid>eNqFUctOwzAQtBCI8vqFKkcuLX4mzglBeVVC4kDvluNsqFEaBzsB9e9xVFoVLpzs1czO7O4gNCZ4SjCmV4Sngkghp7M7jNOc02nbF-wAnQzAZEAO9_4jdBrCO8YszWl2jEZUCCpFnp6g-eu6MUvvGhugTHTbeqfNMqmcT2zTed134G0DsQiwso3urGtikYS-qMB3tobEuL6tIZyjo0rXAS5-3jO0eLhfzJ4mzy-P89nN88TwjLMJYyUVVZXrgpclpcRwQbSWXGLORCFJKQqjcSkqLTjNBQXNMkxEBhXwMufsDF1vZOO-KygNDFPWqvV2pf1aOW3Vb6SxS_XmPhUhRFKRyqhw-aPg3UcPoVMrGwzUtW7A9UGRlMebZULSSE03VONdCB6qnQ_BashBbXNQ2xwGdxYbx_tT7tq2h4-E2w3hK55wrYyLIUT_f3T_uHwD2CKauA</recordid><startdate>20141221</startdate><enddate>20141221</enddate><creator>Cantineau, Astrid EP</creator><creator>Janssen, Mirjam J</creator><creator>Cohlen, Ben J</creator><creator>Allersma, Thomas</creator><creator>Janssen, Mirjam J</creator><general>John Wiley & Sons, Ltd</general><scope>7PX</scope><scope>RWY</scope><scope>ZYTZH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141221</creationdate><title>Synchronised approach for intrauterine insemination in subfertile couples</title><author>Cantineau, Astrid EP ; Janssen, Mirjam J ; Cohlen, Ben J ; Allersma, Thomas ; Janssen, Mirjam J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4743-33d25ff9ab4dd221c451aa8480435b81d5bca0d5fa542952ea370157efe4d943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>ASSISTED CONCEPTION TECHNIQUES</topic><topic>Body Temperature</topic><topic>Chorionic Gonadotropin</topic><topic>Chorionic Gonadotropin - administration & dosage</topic><topic>EVALUATION OF SUBFERTILITY TREATMENTS RELATING TO THE FEMALE PARTNER</topic><topic>Female</topic><topic>Female: other</topic><topic>Gonadotropin-Releasing Hormone - agonists</topic><topic>Gonadotropin‐Releasing Hormone</topic><topic>Gynaecology</topic><topic>Humans</topic><topic>Infertility</topic><topic>Infertility - therapy</topic><topic>Insemination, Artificial</topic><topic>Insemination, Artificial - methods</topic><topic>Luteinizing Hormone</topic><topic>Luteinizing Hormone - blood</topic><topic>Luteinizing Hormone - urine</topic><topic>Male</topic><topic>Medicine General & Introductory Medical Sciences</topic><topic>Ovulation Detection</topic><topic>Ovulation Detection - methods</topic><topic>Procedures (non‐surgical)</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Subfertility</topic><topic>Technique modalities (IVF, GIFT, ZIFT)</topic><topic>Time Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cantineau, Astrid EP</creatorcontrib><creatorcontrib>Janssen, Mirjam J</creatorcontrib><creatorcontrib>Cohlen, Ben J</creatorcontrib><creatorcontrib>Allersma, Thomas</creatorcontrib><creatorcontrib>Janssen, Mirjam J</creatorcontrib><collection>Wiley-Blackwell Cochrane Library</collection><collection>Cochrane Library</collection><collection>Cochrane Library (Open Aceess)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cochrane database of systematic reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cantineau, Astrid EP</au><au>Janssen, Mirjam J</au><au>Cohlen, Ben J</au><au>Allersma, Thomas</au><au>Janssen, Mirjam J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Synchronised approach for intrauterine insemination in subfertile couples</atitle><jtitle>Cochrane database of systematic reviews</jtitle><addtitle>Cochrane Database Syst Rev</addtitle><date>2014-12-21</date><risdate>2014</risdate><volume>2014</volume><issue>12</issue><spage>CD006942</spage><pages>CD006942-</pages><issn>1465-1858</issn><issn>1469-493X</issn><eissn>1465-1858</eissn><eissn>1469-493X</eissn><abstract>Background
In many countries intrauterine insemination (IUI) is the treatment of first choice for a subfertile couple when the infertility work up reveals an ovulatory cycle, at least one open Fallopian tube and sufficient spermatozoa. The final goal of this treatment is to achieve a pregnancy and deliver a healthy (singleton) live birth. The probability of conceiving with IUI depends on various factors including age of the couple, type of subfertility, ovarian stimulation and the timing of insemination. IUI should logically be performed around the moment of ovulation. Since spermatozoa and oocytes have only limited survival time correct timing of the insemination is essential. As it is not known which technique of timing for IUI results in the best treatment outcome, we compared different techniques for timing IUI and different time intervals.
Objectives
To evaluate the effectiveness of different synchronisation methods in natural and stimulated cycles for IUI in subfertile couples.
Search methods
We searched for all publications which described randomised controlled trials of the timing of IUI. We searched the Cochrane Menstrual Disorders and Subfertility Group Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL) (1966 to October 2014), EMBASE (1974 to October 2014), MEDLINE (1966 to October 2014) and PsycINFO (inception to October 2014) electronic databases and prospective trial registers. Furthermore, we checked the reference lists of all obtained studies and performed a handsearch of conference s.
Selection criteria
Randomised controlled trials (RCTs) comparing different timing methods for IUI were included. The following interventions were evaluated: detection of luteinising hormone (LH) in urine or blood, single test; human chorionic gonadotropin (hCG) administration; combination of LH detection and hCG administration; basal body temperature chart; ultrasound detection of ovulation; gonadotropin‐releasing hormone (GnRH) agonist administration; or other timing methods.
Data collection and analysis
Two review authors independently selected the trials, extracted the data and assessed study risk of bias. We performed statistical analyses in accordance with the guidelines for statistical analysis developed by The Cochrane Collaboration. The overall quality of the evidence was assessed using GRADE methods.
Main results
Eighteen RCTs were included in the review, of which 14 were included in the meta‐analyses (in total 2279 couples). The evidence was current to October 2013. The quality of the evidence was low or very low for most comparisons . The main limitations in the evidence were failure to describe study methods, serious imprecision and attrition bias.
Ten RCTs compared different methods of timing for IUI. We found no evidence of a difference in live birth rates between hCG injection versus LH surge (odds ratio (OR) 1.0, 95% confidence interval (CI) 0.06 to 18, 1 RCT, 24 women, very low quality evidence), urinary hCG versus recombinant hCG (OR 1.17, 95% CI 0.68 to 2.03, 1 RCT, 284 women, low quality evidence) or hCG versus GnRH agonist (OR 1.04, 95% CI 0.42 to 2.6, 3 RCTS, 104 women, I2 = 0%, low quality evidence).
Two RCTs compared the optimum time interval from hCG injection to IUI, comparing different time frames that ranged from 24 hours to 48 hours. Only one of these studies reported live birth rates, and found no difference between the groups (OR 0.52, 95% CI 0.27 to 1.00, 1 RCT, 204 couples). One study compared early versus late hCG administration and one study compared different dosages of hCG, but neither reported the primary outcome of live birth.
We found no evidence of a difference between any of the groups in rates of pregnancy or adverse events (multiple pregnancy, miscarriage, ovarian hyperstimulation syndrome (OHSS)). However, most of these data were very low quality.
Authors' conclusions
There is insufficient evidence to determine whether there is any difference in safety and effectiveness between different methods of synchronization of ovulation and insemination. More research is needed.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>25528596</pmid><doi>10.1002/14651858.CD006942.pub3</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1465-1858 |
| ispartof | Cochrane database of systematic reviews, 2014-12, Vol.2014 (12), p.CD006942 |
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| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11182568 |
| source | MEDLINE; Cochrane Library; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult ASSISTED CONCEPTION TECHNIQUES Body Temperature Chorionic Gonadotropin Chorionic Gonadotropin - administration & dosage EVALUATION OF SUBFERTILITY TREATMENTS RELATING TO THE FEMALE PARTNER Female Female: other Gonadotropin-Releasing Hormone - agonists Gonadotropin‐Releasing Hormone Gynaecology Humans Infertility Infertility - therapy Insemination, Artificial Insemination, Artificial - methods Luteinizing Hormone Luteinizing Hormone - blood Luteinizing Hormone - urine Male Medicine General & Introductory Medical Sciences Ovulation Detection Ovulation Detection - methods Procedures (non‐surgical) Randomized Controlled Trials as Topic Subfertility Technique modalities (IVF, GIFT, ZIFT) Time Factors Young Adult |
| title | Synchronised approach for intrauterine insemination in subfertile couples |
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