title: Stimulated intrauterine insemination in women with unilateral tubal occlusion.
abstract: OBJECTIVE
  To investigate the value of stimulated intrauterine insemination (IUI) in women with unilateral tubal occlusion.
  
  
  METHODS
  Superovulation and IUI was performed during 2003-2010 and the medical records were reviewed retrospectively. Thirty-seven infertile women (52 cycles) with unilateral tubal occlusion diagnosed by hysterosalpingography and without other causes of infertility were selected. One-hundred fourteen patients with unexplained infertility served as a control group (182 cycles). The main outcome was the clinical pregnancy rate per cycle.
  
  
  RESULTS
  The pregnancy rate per cycle was similar, 17.3% for the unilateral tubal occlusion group and 16.5% for the unexplained infertility group. The rate of miscarriage (11.1% vs. 23.3%) and ectopic pregnancy (11.1% vs. 6.7%) was similar between the two groups. The pregnancy rate was higher in patients with proximal occlusion (25.0%) compared with distal occlusion (13.9%) or unexplained infertility, but not statistically significant.
  
  
  CONCLUSIONS
  Stimulated IUI can be suggested as the initial treatment option in women with unilateral proximal or distal tubal occlusion.
authors: Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.
authors: Gwang
authors: G
authors: Yi
authors: Byung Chul
authors: BC
authors: Jee
authors: Chang Suk
authors: CS
authors: Suh
authors: Seok Hyun
authors: SH
authors: Kim