Clomiphene citrate intrauterine insemination (IUI) before gonadotropin IUI affects the pregnancy rate and the rate of high-order multiple pregnancies.

Abstract:

OBJECTIVE:To determine if previous treatment with clomiphene citrate intrauterine insemination (CC-IUI) affects pregnancy and high-order multiple pregnancy (HOMP) rates in subsequent hMG-IUI or FSH-IUI cycles. DESIGN:Retrospective cohort study. SETTING:Private infertility clinic. PATIENT(S):Five hundred fifty-one patients (age <38 years) without tubal factor infertility, treated with 918 cycles of hMG/FSH-IUI after one or more unsuccessful cycles of CC-IUI; 908 patients treated with 1459 cycles of hMG/FSH-IUI without prior CC-IUI. INTERVENTION(S):CC-IUI, hMG-IUI, FSH-IUI. MAIN OUTCOME MEASURE(S):Pregnancy rate per cycle, HOMP (three or more gestational sacs). RESULT(S):Pregnancy rates during the first three hMG-IUI or FSH-IUI cycles averaged 21.8 +/- 1.1% without previous CC-IUI, 19.6 +/- 1.3% after one to four cycles of CC-IUI, and 3.6 +/- 2.6% after >or= five previous CC-IUI cycles. The HOMP rates were 8.8% without previous CC-IUI, 7.5% after one, 5.7% after two and <2.6% (0 out of 38) after >or= three previous CC-IUI cycles. CONCLUSION(S):Pregnancy rates in hMG/FSH-IUI cycles are significantly reduced after four unsuccessful CC-IUI cycles. High-order multiple pregnancies due to hMG/HMG-IUI are reduced following previous unsuccessful CC-IUI cycles.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Dickey RP,Taylor SN,Lu PY,Sartor BM,Pyrzak R

doi

10.1016/j.fertnstert.2003.07.031

keywords:

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

545-50

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015028203029029

journal_volume

81

pub_type

杂志文章
  • Introduction: Obesity and reproduction.

    abstract::Women bear the predominant burden of our obesogenic environment, with a higher incidence of obesity than men, more impact on their fertility and success with treatment, and significant maternal and perinatal morbidity and mortality. In this series, the causes, consequences, and solutions regarding the obesity pandemic...

    journal_title:Fertility and sterility

    pub_type:

    doi:10.1016/j.fertnstert.2017.02.110

    authors: Meldrum DR

    更新日期:2017-04-01 00:00:00

  • Ultrasonographer experience does not impact outcomes following ultrasound-guided embryo transfer.

    abstract:OBJECTIVE:To determine the effect of sonographer experience during ultrasound guided embryo transfer on pregnancy outcomes. DESIGN:Retrospective chart review. SETTING:A university-based academic practice. PATIENT(S):A total of 319 women who underwent in vitro fertilization and embryo transfer (IVF-ET) from the site-...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.07.1743

    authors: Harris ID,Styer AK,Petrozza JC

    更新日期:2009-09-01 00:00:00

  • Patterns of estradiol response in patients with endogenous gonadotropin surges during follicular recruitment in an in vitro fertilization and embryo transfer program.

    abstract::This report is an analysis of 16 cycles in 15 patients stimulated with human menopausal gonadotropin and clomiphene citrate for the purpose of follicular recruitment in an in vitro fertilization program, all of which resulted in endogenous luteinizing hormone (LH) surges. A study of the pattern of estradiol (E2) respo...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)49584-1

    authors: Nader S,Berkowitz AS,Ochs D,Wolf DP,Maklad N,Held B

    更新日期:1986-09-01 00:00:00

  • The role of total chromosomal disomy in human spermatozoa as a predictor of the outcome of pre-implantation genetic screening.

    abstract:OBJECTIVE:To assess the efficacy of sperm disomy rate as a predictor of preimplantation genetic screening (PGT-A) outcomes. DESIGN:Retrospective cohort study. SETTING:Andrology laboratory and in vitro fertilization center. PATIENT(S):All patients (n = 123) who underwent sperm fluorescence in situ hybridization and P...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2020.02.004

    authors: Jiang S,Peng X,Gong F,Huang C,Peng Y,Long X,Lin G,Zhu W

    更新日期:2020-06-01 00:00:00

  • Total acrosin activity correlates with fertility potential after fertilization in vitro.

    abstract:OBJECTIVE:To evaluate the possible relationship between total acrosin activity in spermatozoa and fertility potential after fertilization in vitro. DESIGN:Total acrosin activity of spermatozoa was measured in 101 in vitro fertilization (IVF) cases by an observer unaware of fertilization and cleavage results. SETTING:...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Tummon IS,Yuzpe AA,Daniel SA,Deutsch A

    更新日期:1991-11-01 00:00:00

  • Factors affecting sperm motility. IV. Incubation of human semen with caffeine, kallikrein, and other metabolically active compounds.

    abstract::The effect of six metabolically active compounds, namely caffeine, kallikrein, cyclic adenosine 3':5'-monophosphate, prostaglandin E, triiodothyronine, and insulin on spermatozoal motility was investigated. Hypokinetic and normokinetic semen specimens from fertile and infertile patients were incubated with various con...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Makler A,Makler E,Itzkovitz J,Brandes JM

    更新日期:1980-06-01 00:00:00

  • Ovulation method of natural family planning.

    abstract::Past practices of Natural Family Planning (NFP) have included such techniques as: 1) calendar rhythm in which a constant mathematical relationship was calculated between the day of ovulation and the beginning of the succeeding menstrual period, 2) temperature rhythm in which sexual intercourse is permitted by observi...

    journal_title:Fertility and sterility

    pub_type: 社论

    doi:10.1016/s0015-0282(16)45849-8

    authors: Connell-Tatum EB

    更新日期:1981-11-01 00:00:00

  • Impact of infertility treatments on the health of newborns.

    abstract:OBJECTIVE:To measure the use of infertility treatments in the general population and their association with neonatal health. DESIGN:Cross-sectional, population-based study. SETTING:Canton of Vaud, Switzerland; Etude du Developpement des Nouveau-nés (EDEN), a prospective study of chronic childhood conditions. PATIENT...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(97)00468-8

    authors: Addor V,Santos-Eggimann B,Fawer CL,Paccaud F,Calame A

    更新日期:1998-02-01 00:00:00

  • The luteal phase defect.

    abstract::In summary, the luteal phase defect is a deficiency of corpus luteum progesterone steroidogenesis, either in amount or duration, or both. The clinical manifestations include either primary infertility or repeated first trimester abortions. The diagnosis can only be made clinically on the basis of a well-timed endometr...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)41769-3

    authors: Jones GS

    更新日期:1976-04-01 00:00:00

  • Parasitic myomas after laparoscopic myomectomy: case report.

    abstract:OBJECTIVE:To report a case of a woman who presented with parasitic myomas 27 months after laparoscopic myomectomy. DESIGN:Case report. SETTING:University medical center. PATIENT(S):A 31-year-old G0 woman who had a previous history significant for laparoscopic myomectomy with morcellation 27 months before. INTERVENT...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.08.014

    authors: Epstein JH,Nejat EJ,Tsai T

    更新日期:2009-03-01 00:00:00

  • Prevention of gestational diabetes by metformin plus diet in patients with polycystic ovary syndrome.

    abstract:OBJECTIVE:To prospectively assess whether metformin diet safely provides primary and secondary prevention of gestational diabetes (GD). DESIGN:Assess development of GD on metformin diet. SETTING:Outpatient clinical research center. PATIENT(S):One hundred forty-two nondiabetic women with polycystic ovary syndrome (PC...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.fertnstert.2007.03.036

    authors: Glueck CJ,Pranikoff J,Aregawi D,Wang P

    更新日期:2008-03-01 00:00:00

  • Tubal embryo transfer as a treatment for infertility due to male factor.

    abstract::Transvaginal follicular aspiration (TVA) with ultrasonically guided needles allows the transfer of in vitro generated embryos to the fallopian tubes (TET), performing only one surgical procedure in the process. Up to now, this approach has been used to treat 16 couples with infertility due to severe male factor. Folli...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)60136-x

    authors: Balmaceda JP,Gastaldi C,Remohi J,Borrero C,Ord T,Asch RH

    更新日期:1988-09-01 00:00:00

  • Von Willebrand factor expression in endometrial endothelial cells in women with menorrhagia.

    abstract::This prospective study assessed von Willebrand factor (VWF) expression in the endometrium using immunohistochemical staining in women with menorrhagia with or without von Willebrand disease (VWD) compared with a control group of women with normal menstrual loss. Endometrial VWF expression is significantly lower in wom...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2010.02.055

    authors: Agarwal U,El Sheikh S,Kulkarni A,Baff D,Kadir RA

    更新日期:2010-11-01 00:00:00

  • Expression of integrin messenger ribonucleic acid in human endometrium: a quantitative reverse transcription polymerase chain reaction study.

    abstract:OBJECTIVE:To assess the expression of selected integrin subunit's messenger RNA (mRNA) in human endometrium during the menstrual cycle. DESIGN:A prospective comparative study. SETTING:Academic research environment. PATIENT(S):Premenopausal women with histologically normal endometrium who were undergoing hysterectomy...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(98)00460-9

    authors: Dou Q,Williams RS,Chegini N

    更新日期:1999-02-01 00:00:00

  • Safeguarding the quality and safety of reproductive services for human immunodeficiency virus-positive adults.

    abstract::Throughout the world, adults with HIV are living longer, and many are assessing their options for reproduction. The growing body of scientific evidence and commentary concerning the outcomes of infertility services provided to these adults demands systematic summary and long-term surveillance if safety, quality, and b...

    journal_title:Fertility and sterility

    pub_type: 评论,杂志文章

    doi:10.1016/j.fertnstert.2005.07.1325

    authors: Meikle S,Orleans M

    更新日期:2006-02-01 00:00:00

  • Correlation of human menopausal gonadotropin/human chorionic gonadotropin stimulation and oocyte quality in an in vitro fertilization program.

    abstract::One hundred forty-seven cycles in normal ovulatory patients are reported. All were stimulated with human menopausal/human chorionic gonadotropin. Three estrogen responses were identified: normal, high, and low. Patients who achieved pregnancy formed a fourth category, the pregnancy group. The number of preovulatory an...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)47590-4

    authors: Acosta AA,Jones GS,Garcia JE,Sandow B,Veeck L,Mantzavinos T

    更新日期:1984-02-01 00:00:00

  • Subfertility and the risk of low birth weight.

    abstract:OBJECTIVE:We evaluated the association between subfertility and low birth weight infants. DESIGN:Women in this analysis participated in a cross-sectional investigation of maternal risk factors for adverse pregnancy outcomes. SETTING:Medical and obstetric history and life style information were obtained from women who...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)54597-x

    authors: Williams MA,Goldman MB,Mittendorf R,Monson RR

    更新日期:1991-10-01 00:00:00

  • Local effects of mifepristone on the nonhuman primate endometrium.

    abstract:OBJECTIVE:To determine the effects of a low-dose mifepristone regimen on endometrium in the rhesus monkey by endometrial staging and analysis of molecular markers of endometrial receptivity. DESIGN:A prospective, randomized comparative study. SETTING:Academic research environment. ANIMAL(S):Normally cycling rhesus (...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(00)00551-3

    authors: Jimenez-Moreno V,Billeter M,Liu CQ,Gordon K,Mahony M

    更新日期:2000-07-01 00:00:00

  • Early ovarian hyperstimulation syndrome is completely prevented by gonadotropin releasing-hormone agonist triggering in high-risk oocyte donor cycles: a prospective, luteal-phase follow-up study.

    abstract::In this prospective, follow-up study of 102 high-risk oocyte donors in their luteal phase, we found a complete absence of ovarian hyperstimulation syndrome (no signs of hemoconcentration or ascites) after the donors were triggered with a gonadotropin releasing-hormone (GnRH) agonist. Due to its powerful preventive eff...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.fertnstert.2009.08.036

    authors: Bodri D,Guillén JJ,Trullenque M,Schwenn K,Esteve C,Coll O

    更新日期:2010-05-01 00:00:00

  • Testicular sperm aspiration and intracytoplasmic sperm injection for persistent infection of the ejaculate.

    abstract:OBJECTIVE:To report the successful use of testicular sperm aspiration and intracytoplasmic sperm injection in the presence of an Escherichia coli-infected ejaculate that previously caused repeated embryo degeneration. DESIGN:Case report. SETTING:University medical center. PATIENT(S):A 38-year-old woman who did not c...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(98)00508-1

    authors: Seidman DS,Madjar I,Levron J,Levran D,Mashiach S,Dor J

    更新日期:1999-03-01 00:00:00

  • Use of transperineal fine needle aspiration of seminal vesicles to retrieve sperm in a man with obstructive azoospermia.

    abstract:OBJECTIVE:To report the successful and feasible use of transperineal fine needle aspiration of seminal vesicles (FNASV) for sperm retrieval in obstructive azoospermia. DESIGN:Case report. SETTING:Outpatient care in institutional clinic. PATIENT(S):A 31-year-old man with obstructive azoospermia due to a middle prosta...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2006.03.069

    authors: Cerruto MA,Novella G,Antoniolli SZ,Zattoni F

    更新日期:2006-12-01 00:00:00

  • Prenatal hyperandrogenism and lipid profile during different age stages: an experimental study.

    abstract:OBJECTIVE:The present study investigates the effect of prenatal hyperandrogenization on lipid metabolism and oxidant/antioxidant balance. DESIGN:Experimental study. SETTING:Research institute. ANIMAL(S):Pregnant Sprague Dawley rats were subcutaneously injected with 2 mg free T between days 16 and 19 of pregnancy, an...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2012.10.017

    authors: Heber MF,Ferreira SR,Vélez LM,Motta AB

    更新日期:2013-02-01 00:00:00

  • Pregnancy and birth rates after oocyte donation.

    abstract:OBJECTIVE:To determine accumulated conception and live birth rates in ovum donation. DESIGN:Retrospective study from a computer database. Pregnancies with one gestational sac observed by ultrasound have been included as conceptional cycles and pregnancies that resulted in one live child were recorded for the analysis ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(97)81372-6

    authors: Remohí J,Gartner B,Gallardo E,Yalil S,Simón C,Pellicer A

    更新日期:1997-04-01 00:00:00

  • Ulipristal acetate decreases transforming growth factor β3 serum and tumor tissue concentrations in patients with uterine fibroids.

    abstract:OBJECTIVE:To evaluate and compare transforming growth factor β3 (TGF-β3) serum concentration in patients with uterine fibroids (UFs) without hormone treatment, treated with ulipristal acetate (UPA), and controls; to evaluate TGF-β3 concentrations in UF tissue in patients without hormone treatment and those treated with...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2017.11.023

    authors: Ciebiera M,Włodarczyk M,Wrzosek M,Słabuszewska-Jóźwiak A,Nowicka G,Jakiel G

    更新日期:2018-03-01 00:00:00

  • Access to fertility treatment by gays, lesbians, and unmarried persons: a committee opinion.

    abstract::This statement explores the implications of reproduction by single individuals, unmarried heterosexual couples, and gay and lesbian couples, and concludes that ethical arguments supporting denial of access to fertility services on the basis of marital status or sexual orientation cannot be justified. This document rep...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2013.08.042

    authors: Ethics Committee of American Society for Reproductive Medicine.

    更新日期:2013-12-01 00:00:00

  • Angiopoietin 1 and angiopoietin 2 in follicular fluid of women undergoing a long protocol.

    abstract:OBJECTIVE:To determine the concentrations of angiopoietin 1 (ANGPT1) and ANGPT2 in individual human preovulatory follicles in relation to their diameter or volume to clarify the role of these molecules in folliculogenesis. DESIGN:Prospective study. SETTING:Research laboratory at Kansai Medical University, Osaka, Japa...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.fertnstert.2011.09.031

    authors: Nishigaki A,Okada H,Tsuzuki T,Cho H,Yasuda K,Kanzaki H

    更新日期:2011-12-01 00:00:00

  • Free sex steroid and sex hormone-binding globulin levels in oligozoospermic men with varicoceles.

    abstract:OBJECTIVE:To measure free T, free E2, and sex hormone-binding globulin (SHBG) levels in oligozoospermic men with varicoceles. DESIGN:Retrospective study. PATIENTS:Sixty-four infertile patients with varicoceles. SETTING:A university-based tertiary care referral center. INTERVENTIONS:Assessment of seminal cellular ch...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Hudson RW

    更新日期:1996-08-01 00:00:00

  • Immunologic studies of male infertility.

    abstract::Infertile men with azo- or oligospermia of unknown cause were investigated for evidence of testicular autoimmunity. Testicular germinal cell antibodies were found in 14% of the patients, compared with 5% of normal men, and 21% had spermatozoal antibodies, compared with 5% of the normal subjects. One-third had positive...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)41421-4

    authors: Wall JR,Stedronska J,David RD,Harrison RF,Goriup D,Lessof MH

    更新日期:1975-10-01 00:00:00

  • Expression of the insulin-like growth factor and insulin systems in the luteinizing macaque ovarian follicle.

    abstract:OBJECTIVE:To determine intrafollicular hormone levels and characterize the mRNA expression of the insulin-like growth factor (IGF) receptors, IGF binding proteins (IGFBP), and pregnancy-associated plasma protein-A (PAPP-A) in granulosa cells before and after an ovulatory hCG stimulus. DESIGN:Experimental animal study....

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2008.12.096

    authors: Brogan RS,Mix S,Puttabyatappa M,VandeVoort CA,Chaffin CL

    更新日期:2010-03-15 00:00:00

  • Novel fumarate hydratase mutation in a family with atypical uterine leiomyomas and hereditary leiomyomatosis and renal cell cancer.

    abstract:OBJECTIVE:To describe a novel mutation in the fumarate hydratase (FH) gene in a family with atypical uterine leiomyomas. DESIGN:Case report and review of the literature. SETTING:Academic community hospital. PATIENT(S):Three sisters who presented as nulligravidas aged 27-30 years with large atypical uterine leiomyoma...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2015.09.034

    authors: Wheeler KC,Warr DJ,Warsetsky SI,Barmat LI

    更新日期:2016-01-01 00:00:00