Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF ) Freely available
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (7)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Miskry, T.
Right arrow Articles by Chapman, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Miskry, T.
Right arrow Articles by Chapman, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Human Reproduction, Vol. 17, No. 4, 956-959, April 2002
© 2002 European Society of Human Reproduction and Embryology

The use of intrauterine insemination in Australia and New Zealand

Tariq Miskry1,2,3 and Michael Chapman1

1 Department of Obstetrics and Gynaecology, St George Hospital, Kogarah, NSW, Australia 2 Present address: 67 Klea Avenue, Clapham, London SW4 9HZ, UK.

BACKGROUND: There is good evidence in the literature in favour of intrauterine insemination (IUI) as the most cost-effective treatment for unexplained and moderate male factor subfertility. However there is no published data on whether this evidence is being translated into clinical practice. METHODS: We identified fertility centres within Australia and New Zealand registered with the Reproductive Technology Accreditation Committee of the Fertility Society of Australasia. Thirty-seven of these units were then sent a postal survey to establish current clinical practice. RESULTS: Nearly a third of centres promote IVF as first-line treatment even in the presence of patent tubes and normal semen while, when semen parameters are reduced, IUI is rarely considered. One in five (20%) units remain unconvinced of the cost-effectiveness of IUI. When IUI is used, it is virtually always combined with ovarian stimulation with marginally more units using clomiphene citrate than gonadotrophins. CONCLUSIONS: Although it may take relatively more treatment cycles to achieve pregnancy, there are considerable advantages to the patient in terms of risk/benefit ratio and financial cost associated with IUI compared with IVF. In the current climate of evidence-based medicine, as clinicians we are obliged to translate this into our practice. It appears from our survey that in many units this is not happening.

Key words: intrauterine insemination/IVF

3 To whom correspondence should be addressed at: 67 Klea Avenue, Clapham, London SW4 9HZ, UK. E-mail: miskry{at}hotmail.com


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Hum Reprod UpdateHome page
A. Nyboe Andersen, E. Carlsen, and A. Loft
Trends in the use of intracytoplasmatic sperm injection marked variability between countries
Hum. Reprod. Update, November 1, 2008; 14(6): 593 - 604.
[Abstract] [Full Text] [PDF]

Home page
 ESHRE MonogrHome page
W. Ombelet, R. Campo, E. Bosmans, and M. Nijs
Intrauterine insemination (IUI) as a first-line treatment in developing countries and methodological aspects that might influence IUI success
ESHRE Monogr, July 1, 2008; 2008(1): 64 - 72.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
G. Pennings and W. Ombelet
Coming soon to your clinic: patient-friendly ART
Hum. Reprod., August 1, 2007; 22(8): 2075 - 2079.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
H. Snick
Is the benefit of IUI really evidence-based?
Hum. Reprod., November 1, 2002; 17(11): 3003 - 3003.
[Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.