Publication:
Influence of semen quality on the success of intrauterineinsemination result in a university teaching hospital infertility center

creativeworkseries.issnISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
dc.contributor.authorAryal, B
dc.contributor.authorVas, P
dc.contributor.authorVasan, SS
dc.date.accessioned2026-04-21T05:22:43Z
dc.date.available2026-04-21T05:22:43Z
dc.date.issued2017
dc.descriptionB Aryal Resident of obstetrics and gynecology, Manipal hospital, a Kathmandu university teaching hospital, Bangalore, India P Vas Prof. Philomena Vaz, Department of Obstetrics and gynecology, Manipal Hospital, Bangalore SS Vasan Prof. and Head of Department, Department of andrology and reproductive services, Manipal Hospital, Bangalore, India
dc.description.abstractAbstract Introduction: Intrauterine insemination is effective for the treatment of male factor and unexplained infertility. The objective of the study was to understand whether one or more parameters of sperm quality i.e. morphology, motility and concentration have predictive value for the pregnancy outcome of the intrauterine insemination treatment for couple with primary infertility with male factor or unknown cause in the select defined population. Methods: This is a hospital based prospective study of 776 IUI cycles. The study population was those couples between 19-35 years of age who had been trying unsuccessfully to conceive for a minimum of one year. They were randomly distributed into two groups; partner with sperm morphology, motility and concentration below 5th percentile constituted group A and group B comprised of those with above 5th percentile and their IUI outcome was evaluated. Results: A total of 776 IUI cycles were studied out of which 94 clinical pregnancies were obtained, for a pregnancy rate cycle of 12.1%. The study shows that sperm morphology is positively associated with IUI results with statistically significant p value (p=0.034). Likewise, a higher total motility level is positively associated with IUI results. Moreover, incidence of positive IUI results were significantly more with post processing motility with excellent progression >90% with statistically significance p value (P=0.004). Conclusion: Combination of superovulation and intrauterine insemination is an effective means of achieving pregnancy for unexplained and male factor infertility. The probability of pregnancy increases with higher normal morphology, total motile sperms with excellent progression and sperm concentration. If semen parameters are below the 5th percentile value, IVF-ICSI would be preferred. Keywords: Male infertility, primary infertility, sperm morphology, sperm motility, sperm concentration, Intrauterine Insemination
dc.identifierhttps://doi.org/10.59779/jiomnepal.860
dc.identifier.urihttps://hdl.handle.net/20.500.14572/5824
dc.language.isoen_US
dc.publisherInstitute of Medicine
dc.subjectMale infertility
dc.subjectprimary infertility
dc.subjectsperm morphology
dc.subjectsperm motility
dc.subjectsperm concentration
dc.subjectIntrauterine Insemination
dc.titleInfluence of semen quality on the success of intrauterineinsemination result in a university teaching hospital infertility center
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage37
oaire.citation.startPage33
relation.isJournalIssueOfPublication82bb8d43-dd4d-45eb-ab8b-524d98c77b9d
relation.isJournalIssueOfPublication.latestForDiscovery82bb8d43-dd4d-45eb-ab8b-524d98c77b9d
relation.isJournalOfPublicationa9ba45d9-ee33-4a6b-b1fc-6626b87eec6c

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