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40至42岁女性宫内人工授精的成功率。

Success of intrauterine insemination in women aged 40-42 years.

作者信息

Haebe Jeffrey, Martin James, Tekepety Francis, Tummon Ian, Shepherd Karen

机构信息

Fertility Centre, Civic Hospital-Parkdale Clinic, The University of Ottawa, Ontario, Ottawa, Canada.

出版信息

Fertil Steril. 2002 Jul;78(1):29-33. doi: 10.1016/s0015-0282(02)03168-0.

DOI:10.1016/s0015-0282(02)03168-0
PMID:12095486
Abstract

OBJECTIVE

To determine how advancing female age decreases successful outcomes of intrauterine insemination (IUI) alone or combined with ovarian stimulation.

DESIGN

Retrospective review.

SETTING

Academic fertility center.

PATIENT(S): Infertile men and women.

INTERVENTION(S): Intrauterine insemination alone or combined with ovarian stimulation.

MAIN OUTCOME MEASURE(S): Pregnancy rates, miscarriage rates, and live birth rates per insemination cycle according to female age.

RESULT(S): The 1,117 cycles of IUI resulted in 217 pregnancies, for an overall pregnancy rate for all female ages of 19.4% and a live birth rate of 12.9% per cycle inseminated. The overall live birth rate per insemination declined with advancing maternal age.

CONCLUSION(S): Advancing female age decreases successful outcomes with IUI. The live birth rate with IUI for women 40-42 years old (n = 82) was 9.8% per insemination and may demonstrate that IUI is an appropriate treatment for this age group of women.

摘要

目的

确定女性年龄增长如何降低单纯子宫内人工授精(IUI)或联合卵巢刺激的成功受孕率。

设计

回顾性研究。

地点

学术性生育中心。

患者

不孕的男性和女性。

干预措施

单纯子宫内人工授精或联合卵巢刺激。

主要观察指标

根据女性年龄,每个授精周期的妊娠率、流产率和活产率。

结果

1117个IUI周期产生了217次妊娠,所有女性年龄的总体妊娠率为19.4%,每个授精周期的活产率为12.9%。随着母亲年龄的增长,每个授精周期的总体活产率下降。

结论

女性年龄增长会降低IUI的成功受孕率。40 - 42岁女性(n = 82)的IUI活产率为每次授精9.8%,这可能表明IUI是该年龄组女性的一种合适治疗方法。

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