Joyce D, Vassilopoulos D
Clin Obstet Gynaecol. 1981 Dec;8(3):587-610.
Artificial insemination techniques form an important part of the spectrum of modern infertility treatment, and together account for nearly half (43.8 per cent) of the treatment-related pregnancies in our comprehensive infertility clinic. Disorders of sperm-mucus invasion and survival are not uncommon but have been very frequently overlooked in the past. Assessment by post-coital tests with a minimum six hour post-coital delay and mucus penetration tests for those with negative post-coital tests should be part of every clinic routine. We believe that these tests pick up a range of problems, the most important of which is antisperm immunological infertility, which can be treated with a fair degree of success by intrauterine AIH. The demand for AID has increased appreciably on a world-wide scale and provision of AID facilities in this and other countries is inadequate. An AID service should ideally be part of every organized infertility service. The future of AID probably lies with frozen semen banks serving satellite clinics within their area.
人工授精技术是现代不孕症治疗领域的重要组成部分，在我们综合性不孕症诊所中，其促成的与治疗相关的妊娠占了近一半（43.8%）。精子穿透黏液及存活方面的障碍并不罕见，但在过去常常被忽视。性交后试验（性交后至少延迟6小时）以及对性交后试验结果为阴性者进行的黏液穿透试验，应成为每个诊所的常规检查项目。我们认为，这些检查能发现一系列问题，其中最重要的是抗精子免疫性不孕症，通过宫腔内丈夫精液人工授精（AIH）能取得相当程度的成功治疗效果。在全球范围内，对供精人工授精（AID）的需求显著增加，而在本国及其他国家，AID设施的供应并不充足。理想情况下，AID服务应成为每个有组织的不孕症服务的一部分。AID的未来可能在于为其区域内的卫星诊所提供服务的冷冻精液库。
