Intrauterine insemination experience in a government teaching hospital setup

Objectives: Intrauterine insemination with or without controlled ovarian hyperstimulation is a viable treatment option for male factor, cervical factor and unexplained infertility. We enumerate our 10 year experience in performing intrauterine insemination at a government teaching hospital setup. Study Design: Retrospective observational study. Results: Nine hundred eighty nine couples were observed for 3104 treatment cycles. Male factor and anovulation were the two common causes of infertility in this cohort. Out of the 232 pregnancies that occurred during the study, 34.05% resulted in live birth. Highest cycle fecundity was seen in cases of idiopathic infertility (16%) followed by male factor infertility (15%). 91.8% conceptions occurred in the 1st cycles of intrauterine insemination. Conclusion: In the resource deprived Indian scenario controlled ovarian hyperstimulation with intrauterine insemination is an effective, less invasive, feasible & financially acceptable modality for the treatment of sub-fertility.