PMID: 11925389Apr 2, 2002Paper

The use of intrauterine insemination in Australia and New Zealand

Human Reproduction
Tariq Miskry, Michael Chapman

Abstract

There is good evidence in the literature in favour of intrauterine insemination (IUI) as the most cost-effective treatment for unexplained and moderate male factor subfertility. However there is no published data on whether this evidence is being translated into clinical practice. We identified fertility centres within Australia and New Zealand registered with the Reproductive Technology Accreditation Committee of the Fertility Society of Australasia. Thirty-seven of these units were then sent a postal survey to establish current clinical practice. Nearly a third of centres promote IVF as first-line treatment even in the presence of patent tubes and normal semen while, when semen parameters are reduced, IUI is rarely considered. One in five (20%) units remain unconvinced of the cost-effectiveness of IUI. When IUI is used, it is virtually always combined with ovarian stimulation with marginally more units using clomiphene citrate than gonadotrophins. Although it may take relatively more treatment cycles to achieve pregnancy, there are considerable advantages to the patient in terms of risk/benefit ratio and financial cost associated with IUI compared with IVF. In the current climate of evidence-based medicine, as clinicians we a...Continue Reading

Citations

May 12, 2004·Fertility and Sterility·Gilberto IbéricoRafael Bernabeu
Feb 14, 2006·Revue D'épidémiologie Et De Santé Publique·H Leridon
Feb 24, 2010·Proceedings of the National Academy of Sciences of the United States of America·Daniela PeraniStefan Koelsch
Sep 3, 2011·Proceedings of the National Academy of Sciences of the United States of America·Evelina FedorenkoNancy Kanwisher
Nov 28, 2012·Cerebral Cortex·Marcus HerdenerErich Seifritz
Oct 31, 2002·Human Reproduction·Herman Snick
Aug 19, 2008·Human Reproduction Update·Anders Nyboe AndersenAnne Loft
Sep 25, 2007·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Robert J Zatorre, Jackson T Gandour
Aug 31, 2004·Gynecologic and Obstetric Investigation·Willem Ombelet
Apr 3, 2010·AJNR. American Journal of Neuroradiology·M Castillo
Dec 2, 2010·Human Fertility : Journal of the British Fertility Society·Hammed Akanji Tijani, Siladitya Bhattacharya
Jan 21, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Loxley R ChristieRochelle A Foster
Jan 25, 2014·Reproductive Biomedicine Online·Willem OmbeletThinus Kruger
Jun 23, 2007·Human Reproduction·Guido Pennings, Willem Ombelet
Jun 19, 2004·Archives of Andrology·S-S RenG-J Wu

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