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The place of intrauterine insemination in the management of infertility

Department of Obstetrics and Gynaecology, St George Hospital, Gray Street, Kogarah 2217, NSW, Australia. email: miskry{at}hotmail.com (corresponding author)

Michael Chapman, MD FRCOG FRCAOG CREI, Professor and Consultant Obstetrician and Gynaecologist

St George Hospital, Kogarah, NSW, Australia.

Many fertility units now offer a range of different treatments for subfertile couples. In couples with unexplained infertility or mild/moderate male factor infertility it may be possible to avoid the more invasive and expensive treatments options, such as in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI). Many clinics now offer intrauterine insemination (IUI) either in the presence or absence of controlled ovarian hyperstimulation (COH). This article reviews some of the current literature examining the importance of patient selection and the role of COH in the role of IUI in managing infertility.

Keywords Keywords / controlled ovarian hyperstimulation (COH) / intrauterine insemination (IUI) / in vitro fertilisation (IVF) / male factor infertility / subfertility