Initial experience with a modification of the follicle aspiration, sperm injection, and assisted rupture technique.
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.
Lin
P C
PC
University of Louisville School of Medicine, Louisville, Kentucky, USA.
D'Amico
J F
JF
Nakajima
S T
ST
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
D006063:Chorionic Gonadotropin; D006062:Gonadotropins