Akademik Veri Yönetim Sistemi
BALKAN MEDICAL JOURNAL, cilt.34, sa.1, ss.60-63, 2017 (SCI-Expanded, Scopus, TRDizin)
Background: Tubal factor infertility is one of the main causes of female infertility. Although its sensitivity is low, hysterosalpingography HSG) is remains the firstline method for evaluating tubal patency. Aims: To compare pregnancy rates in patients with HSG proven proximal or distal unilateral tubal occlusion, and unexplained infertility undergoing both controlled ovarian stimulation COS) and intrauterine insemination IUI). Study Design: Case control study. Methods: In total, 237 patients undergoing ovulation induction OI) with gonadotropins and IUI were divided into two groups and evaluated. Study group consisted 59 patients with HSG proven unilateral tubal pathology, and 178 patients with unexplained infertility taken as control subjects. Cumulative pregnancy rate was the primary endpoint. Results: Cumulative pregnancy rates after three cycles of OI and IUI were 15.25% in study group and 20.79% in control group. Pregnancy rates between two groups were not statistically significant. Although, pregnancy rates in patients with proximal tubal occlusion 21.8%) were higher than in those with distal tubal occlusion 7.4%), the difference was not statistically significant. Conclusion: Our study data shows that, regardless of the HCG proven occlusion area, COS and IUI might be a preferred treatment modality in patient with unilateral tubal occlusion.