MedPath

Intrauterine insemination for unexplained or mild male subfertility

Completed
Conditions
nexplained subfertility, onverklaarde subfertiliteit, intrauterine insemination, intra uteriene inseminatie, IUI, expectant management, expectatief
Registration Number
NL-OMON29303
Lead Sponsor
AMC
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
1091
Inclusion Criteria

12 months unprotected intercourse without conception, female age between 18 and 42 years, a regular ovulatory cycle and at least one patent fallopian tube. The male partner has no or a mild impairment of semen quality with a total motile sperm count (TMSC or VCM) above 3 million. Obtained written informed consent. A 12-month prognosis for natural conception (calculated according to the model of Hunault) of 30% or less, or a 12-month prognosis of more than 30% and returning after 6 months of expectant management without conception.

Exclusion Criteria

IUI-OH with sperm donation, couples with a medical contra indication for pregnancy, couples with previous ART in the current treatment episode

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome is ongoing pregnancy leading to a live birth occurring within 6 months after randomization. Live birth is defined as the birth of a live baby at 24 or more weeks of gestation.
Secondary Outcome Measures
NameTimeMethod
Secondary outcomes are number of incomplete/cancelled cycles, clinical pregnancy (defined as the presence of a gestational sac at 5-7 weeks after IUI) ongoing pregnancy, (defined as a the presence of a positive heartbeat at 10 weeks after IUI), multiple pregnancy (defined as two or more gestational sacs at 5-7 weeks after IUI), ongoing multiple pregnancy (defined as the presence of two or more heart beats at 10 weeks after IUI), miscarriage (defined as the loss of a pregnancy prior to 16 weeks gestation), ectopic pregnancy ( defined as the ectopic nidation of a pregnancy), time to ongoing pregnancy, pregnancy outcomes (such as birth weight and premature birth or pre-eclampsia), couples preference, quality of life and financial costs.
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