Pregnancy outcomes by intravaginal and intrauterine insemination in 82 couples with male factor infertility due to spinal cord injuries

Anupama S Q Kathiresan, Emad Ibrahim, Teodoro C. Aballa, George Attia, Charles M Lynne, Nancy Brackett

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Objective: To report our center's pregnancy rates (PR) by intravaginal insemination (IVI) or intrauterine insemination (IUI) in 82 couples with male partners with spinal cord injuries. Design: Retrospective analysis. Setting: Major medical center. Patient(s): Male patients with spinal cord injuries and their female partners. Intervention(s): Intravaginal insemination and IUI. Main Outcome Measure(s): Pregnancy and live birth outcomes. Result(s): Overall, 31 of the 82 couples (37.8% PR) achieved 39 pregnancies. Sperm were obtained by masturbation, penile vibratory stimulation, or electroejaculation in 4 men (4.9%), 42 men (51.2%), and 36 men (43.9%), respectively. Intravaginal insemination, performed mostly at home by selected couples, was undertaken in 45 couples, 17 of whom (37.8% PR) achieved 20 pregnancies. Intrauterine insemination was performed in 57 couples, 14 of whom (24.6% PR) achieved 19 pregnancies, with a cycle fecundity of 7.9%. Eighteen and 21 live births occurred by IVI and IUI, respectively. Conclusion(s): The methods of IVI and IUI are reasonable options for this patient population. These methods warrant consideration before proceeding to assisted reproductive technologies (ART).

Original languageEnglish
Pages (from-to)328-331
Number of pages4
JournalFertility and Sterility
Volume96
Issue number2
DOIs
StatePublished - Aug 1 2011

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Keywords

  • intrauterine insemination
  • intravaginal insemination
  • male infertility
  • pregnancy outcomes
  • Spinal cord injury

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

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