Emperaire J C
Institut R. Greenblatt, Bordeaux.
Rev Fr Gynecol Obstet. 1989 Feb;84(2):119-21.
Intra-uterine insemination of capacitated sperm has disappointing results when this sperm is abnormal, since the overall pregnancy rate does not exceed 11 p. cent of the couples who have not given up before the 6th cycle of treatment. However, considering the ineffectiveness of the treatments of idiopathic or secondary oligo-astheno-teratospermia, and the still limited effectiveness of fertilization in vitro with his type of sperm, intra-uterine CAI may currently be offered for a limited time to sterile couples with very abnormal sperm, contingent on a precise methodology in the preparation of the sperm as well as the time of ovulation.
当使用的获能精子异常时,子宫内授精的效果令人失望,因为在第6个治疗周期前未放弃治疗的夫妇中,总体妊娠率不超过11%。然而,考虑到特发性或继发性少弱畸精子症治疗的无效性,以及这种类型精子体外受精的有效性仍然有限,目前对于精子异常非常严重的不育夫妇,在精子制备方法精确以及排卵时间合适的情况下,子宫内人工授精可在有限时间内进行。