title: Evaluation of high vaginal insemination at oocyte recovery in patients undergoing in vitro fertilization.
abstract: The value of high vaginal insemination at the time of oocyte recovery for in vitro fertilization (IVF) has been assessed. A previous study reported a dramatic increase in the incidence of pregnancy in women after high vaginal insemination (53%) compared with those without insemination (23%). Of 306 patients undergoing IVF, 97 (32%) became pregnant and 20 (21%) miscarried. Those patients with tubal damage numbered 187. Sixty (33%) became pregnant and 10 (17%) miscarried. The data were assessed according to the numbers of conceptuses replaced, the age of the patient, and whether a spontaneous luteinzing hormone surge or human chorionic gonadotropin was a trigger for ovulation, each with a significant effect on the outcome of treatment. No significant effect of the use of high vaginal insemination was found.
authors.affiliation: University of Nottingham, AMI Park Hospital, United Kingdom.
authors.forename: S
authors.initials: S
authors.lastname: Fishel
authors.forename: J
authors.initials: J
authors.lastname: Webster
authors.forename: P
authors.initials: P
authors.lastname: Jackson
authors.forename: B
authors.initials: B
authors.lastname: Faratian
mesh_terms: D000022:Abortion, Spontaneous / Q000453:epidemiology; D000328:Adult; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods*; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000628:therapy; D007315:Insemination, Artificial / Q000379:methods*; D007317:Insemination, Artificial, Homologous / Q000379:methods*; D010062:Ovulation Induction / Q000379:methods; D011247:Pregnancy / Q000453:epidemiology; D011897:Random Allocation