HAL will be down for maintenance from Friday, June 10 at 4pm through Monday, June 13 at 9am. More information
Skip to Main content Skip to Navigation
Master Thesis

Devenir en FIV/ICSI de la population en échec d’insémination intra utérine

Abstract : Introduction: The primary objective was to review the IVF/ICSI outcome of the failed IUI population at Caen University Hospital from 01/01/2014 to 01/01/2020. The secondary objective was to establish prognostic factors of live birth in IVF/ICSI in this population of failed IUI. Methods: A monocentric retrospective study was performed, we included 195 couples managed in IVF/ICSI after having performed at least 2 IUIs without live birth. Data were collected on MEDIFIRST software. Results: 43% of couples with failed IUI obtained a live birth in IVF/ICSI. 71% of them obtained it on the first attempt. Good prognostic factors were the age of the woman, not smoking man, the FSH value and idiopathic infertility. Discussion: The highlighted for a successful IVF-ICSI after IUI failure are identical to those described in the literature for the whole population undergoing ART and do not explain the failure of IUI compared with IVF/ICSI management. Live birth is most often obtained on the first IVF/ICSI attempt, which proves that in these couples there are pre-existing anomalies of gametic interaction and probably of oocyte or sperm quality not detected on the initial infertility work-up. As idiopathic infertility has a favourable prognosis in IVF after IUI failure, it seems important to carry out further explorations in women and in men after the failure of 2 IUI and before continuing. Women with reduced ovarian reserve have a poor prognosis in IUI but also in IVF, oocyte donation seems to give the best chances of live birth.
Document type :
Master Thesis
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03573377
Contributor : Ufr Santé Unicaen Connect in order to contact the contributor
Submitted on : Monday, February 14, 2022 - 4:26:37 PM
Last modification on : Saturday, April 2, 2022 - 3:38:36 AM
Long-term archiving on: : Sunday, May 15, 2022 - 7:21:39 PM

File

 Restricted access
To satisfy the distribution rights of the publisher, the document is embargoed until : 2023-10-11

Please log in to resquest access to the document

Identifiers

  • HAL Id : dumas-03573377, version 1

Citation

Alice Lecacheur. Devenir en FIV/ICSI de la population en échec d’insémination intra utérine. Médecine humaine et pathologie. 2021. ⟨dumas-03573377⟩

Share

Metrics

Record views

6