Indication of intravaginal insemination for infertility treatment in couples with sexual dysfunction

• Main Authors: Hiroshi Kaseki, Satoshi Kaseki, Makiko Shimizu, Ayako Hayashi, Nobuhiko Suganuma
• Format: Article
• Language: English
• Published: Wiley 2021-04-01
• Series: Reproductive Medicine and Biology
• Subjects: assisted reproductive technology; erectile dysfunction; infertility treatment; intravaginal insemination; sexual dysfunction
• Online Access: https://doi.org/10.1002/rmb2.12376
• ISSN: 1445-5781; 1447-0578

Abstract Purpose To analyze the usefulness of intravaginal insemination (IVI) for the infertility treatment in couples with sexual dysfunction before applying assisted reproductive technology (ART). Methods Among 208 couples who presented sexual dysfunction, 144 couples underwent IVI procedures. The profiles of pregnant and non‐pregnant patients were compared. Results Of 144 patients, 58 women conceived successfully (40.3% pregnancy rate). Between the pregnant and non‐pregnant cases, the husband's age and infertility period were significantly higher (P = .0104) and longer (P = .0027) in the unsuccessful cases than the successful ones. The husbands who could not impregnate had a significantly higher ratio of sperm abnormalities (P = .0048). Among the 57 successful cases who underwent IVI treatment, 38 (66.7%) patients became pregnant within 3 times of the procedure, while 48 (84.2%) patients conceived within 6 times. Conclusion The authors can propose the following inclusion IVI criteria for couples with sexual dysfunction: (a) younger husband (36 years old or less) which may be most important, (b) infertility duration of 3 years or less, (c) normal sperm condition, and (d) IVI trial for 3 times (maximum of 6 times). Since IVI appears to be a simple, noninvasive, and inexpensive way for couples with sexual dysfunction, it can be attempted before ART application.