title: Initial experience with a modification of the follicle aspiration, sperm injection, and assisted rupture technique.
abstract: OBJECTIVE
  To establish cycle fecundity with a modification of the follicle aspiration, sperm injection, and assisted rupture (FASIAR) technique.
  
  
  METHODS
  Prospective, observational study.
  
  
  METHODS
  University and health maintenance organization-based infertility centers.
  
  
  METHODS
  Infertile couples were enrolled from our professional practices. All patients were </=41 years of age and had documentation of at least one patent tube.
  
  
  METHODS
  After administration of clomiphene citrate, patients were given an intramuscular injection of hCG when the lead ovarian follicle was >16-18 mm in diameter by transvaginal ultrasonography. A modified FASIAR procedure was performed 22 to 28 hours after hCG injection.
  
  
  METHODS
  Clinical pregnancy rate.
  
  
  RESULTS
  No clinical pregnancies were observed with the modified FASIAR technique.
  
  
  CONCLUSIONS
  The FASIAR technique is still an attractive and economical technique. Our modification of the FASIAR technique, however, resulted in a suboptimal cycle fecundity.
authors.affiliation: University of Louisville School of Medicine, Louisville, Kentucky, USA.
authors.forename: P C
authors.initials: PC
authors.lastname: Lin
authors.forename: J F
authors.initials: JF
authors.lastname: D'Amico
authors.forename: S T
authors.initials: ST
authors.lastname: Nakajima
mesh_terms: D000328:Adult; D006063:Chorionic Gonadotropin / Q000627:therapeutic use; D004715:Endometriosis / Q000150:complications; D005260:Female; D015571:Follicular Fluid; D006062:Gonadotropins / Q000627:therapeutic use; D006801:Humans; D007246:Infertility / Q000209:etiology / Q000628:therapy*; D007248:Infertility, Male; D007315:Insemination, Artificial / Q000379:methods; D008297:Male; D008845:Microinjections; D006080:Ovarian Follicle; D010062:Ovulation Induction; D011247:Pregnancy; D018873:Pregnancy Rate; D011446:Prospective Studies; D012099:Reproductive Techniques; D013094:Spermatozoa
chemical_list: D006063:Chorionic Gonadotropin; D006062:Gonadotropins