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PubMed2003

Fixed time deep intracornual insemination of heifers at synchronized estrus.

The aim of the study was to determine the efficiency of single fixed time deep intracornual insemination using 2 x 10(6) spermatozoa compared with single standard dose deep intracornual insemination and single and dual standard dose (40 x 10(6)) uterine body (conventional) insemination in heifers at synchronized estrus. Estrus was synchronized in 275 virgin heifers by administration of two doses of PGF(2)alpha 14 days apart. Deep intracornual inseminations with low (ICI-LD1, n=102) and standard (ICI-SD1, n=56) dose of semen and the single standard dose conventional inseminations (AI-SD1, n=66) were performed 80-82 h after the second PGF(2)alpha treatment. Ultrasonography was used to identify the first dominant (presumed ovulatory) follicle, and semen was deposited either close to the utero-tubal junction (n=69 in ICI-LD1 and n=23 in ICI-SD1) or in the middle part of the uterine horn (n=28 in ICI-LD1 and n=28 in ICI-SD1) ipsilateral to the ovary bearing the first dominant follicle. The dual standard dose conventional inseminations were performed 72 and 96 h after the second PGF(2)alpha treatment (AI-SD2, n=51). The pregnancy rate in the ICI-LD1 group (68.0%) did not differ significantly (P>0.05) from the ICI-SD1 group (56.9%) or the AI-SD2 group (65.9%) and was significantly higher (P<0.05) than in the AI-SD1 group (54.2%). The site of intacornual deposition of semen, near the utero-tubal junction or in the middle of the horn, had no effect on the pregnancy rate. The pregnancy rate in all the groups was not affected by the intensity of expression of estrous signs.

Animals↗
PubMed1998

Relationship between peripheral estrogen concentrations at insemination and subsequent fetal loss in cattle.

In a survey on pregnancy rate and embryonic losses in dairy cattle on 6 Israeli farms, cows (n = 78) were divided into 3 groups on the basis of ultrasonography at 21 d post insemination; pregnancy diagnosis at 40 to 50 d post insemination and blood progesterone (P4) levels at 21 d. The groups were either pregnant (P4 level > 1.0 ng/ mL); not pregnant (P4 < 0.5 ng/mL), or showed early embryo loss (P4 > 1.0 ng/mL and the presence of an embryonic vesicle on D 21 but later returned to estrus or were found not pregnant on D 40 to 50). On the day of insemination, peripheral estrogen was significantly higher (P < 0.05) in the early embryo loss group (15.3 +/- 1.1 pg/mL, n = 27) than in pregnant (9.4 +/- 0.6 pg/mL, n = 26) or not pregnant (9.6 +/- 0.7 pg/mL, n = 25) group. The cows on 3 farms which were fed 1 to 2 kg/d of vetch (Vicia sativa), an estrogenic legume, had higher estrogen concentrations on the day of insemination than cows (2 farms) fed other legumes (13.7 +/- 0.64, n = 58 vs 10.7 +/- 0.8 pg/mL, n = 42; P < 0.01). On one of the 3 farms, vetch was replaced with alfalfa after the first year. Following the cessation of vetch feeding the estrogen concentrations in the blood decreased from 32 +/- 5 pg/mL to 14 +/- 2 pg/mL (n = 9). These data suggest that high peripheral estrogen on the day of insemination is associated with early embryonic loss. These data also indicate that estrogen concentrations on the day of insemination can be influenced by diet.

Abortion, Veterinary↗
PubMed1998

Can spermatozoa with abnormal heads gain access to the ovum in artificially inseminated super- and single-ovulating cattle?

The collective efficiency of barriers in the female tract against spermatozoa with abnormal heads was studied. In Experiment 1, Day 6 ova/embryos were recovered nonsurgically from superovulated (n = 24) and single-ovulating (n = 44) cows following artificial insemination with semen of bulls selected for normal spermatozoal motility (> or = 50%) and high content (> 30%) of spermatozoa with misshapen heads, random nuclear vacuoles or the diadem defect. To assess characteristics of spermatozoa capable of traversing barriers in the female tract, accessory spermatozoa were classified morphologically (x 1250) and compared with those of the inseminate. Superovulated cows proved inadequate for assessment of accessory spermatozoa due to evidence of poor sperm retention in the zona pellucida; thus, only single-ovulating cows were used. Accessory spermatozoa (n = 479) from 31 ova/embryos recovered from 44 cows were more normal in head shape than those in the inseminate (76 vs 62%; P < 0.05). Spermatozoa with normal head shape, but with nuclear vacuoles appeared as accessory spermatozoa at the same frequency as they were found in the inseminate (20 vs 17%, respectively). Only sperm cells with subtly misshapen heads appeared as accessory spermatozoa. In Experiment 2, semen pooled from 4 bulls having large numbers of spermatozoa exhibiting a gradation from severely asymmetrically misshapen heads to subtly misshapen heads was evaluated. Again, the accessory sperm population (960 sperm cells recovered from 64 ova/embryos) was enriched with spermatozoa of normal head shape relative to the inseminate (53 vs 26%, respectively; P < 0.05). Sperm cells with only nuclear vacuoles and those with subtly misshapen heads were not different between the accessory and inseminate populations (11 vs 8%, and 20 vs 25%, respectively). We conclude that morphologically abnormal spermatozoa are excluded from the accessory sperm population based upon severity of head shape distortion.

Animals↗
PubMed2001

Progesterone concentrations in milk fat at first insemination--effects on non-return and repeat-breeding.

The relationship between milk fat progesterone concentration at first artificial insemination (AI) and reproductive performance of Norwegian Red Cattle dairy cows was investigated in a field study. Fifteen AI technicians collected milk samples from 2250 cows from 458 herds and progesterone was analysed in the milk fat portion of the samples. Logistic regression revealed decreased probability of non-return, and increased likelihood of repeat-breeding, with increasing progesterone concentrations at insemination. The odds ratio for non-return and for repeat-breeding between the minimum and maximum value for milk fat concentrations between 4 and 32.2ng/ml was 4.5 (P < 0.01) and 3.2 (P = 0.01), respectively. The variable 'Technician' did not significantly influence non-return rate or repeat-breeding. Progesterone concentration at AI was positively related to calving to last insemination interval, and to number of inseminations per cow (P < 0.05). The association between the progesterone concentration at insemination and calving interval was only marginally significant. Technician was significantly (P < 0.01) associated with interval from calving to first AI, interval from calving to last AI (P = 0.05), and number of AI per cow (P = 0.01). Technician was not significantly related to the calving interval. We conclude that increased suprabasal progesterone concentrations at the time of first insemination, and higher return rate at AI may, at least partly, be due to endocrinological asynchrony at AI, a condition which may lead to decreased fertility.

Animals↗
PubMed2001

[Can donor insemination be optimised?].

OBJECTIVE: To compare the different donor insemination technics. MATERIAL AND METHOD: Analysis of the published studies about donor insemination which value the effectiveness of Intra Cervical Insemination (ICID) and Intra Uterine Insemination (IUID), the interest of ovulation induction, the possible complications, and the cost-effectiveness ratio. RESULTS: The meta-analysis of the Cochrane data base (10 comparative studies IUID versus ICID, 2568 donor insemination cycles) lead to a pregnancy rate per cycle (PRC) 17.77% with IUID versus 7.68% with ICID. The odds ratio is 2.63 (CI from 1.85 to 3.73). With these PRC, the direct cost per evolutive pregnancy is 54,780 F with ICID and 25,675 F with IUID. CONCLUSION: If it is possible to propose ICID to patient with an excellent regularity of ovulation. IUID with ovulation induction by gonadotropins is today the gold standard, and more especially as the law restrict the number of donor inseminations. Indeed, the IUID is two or three times more effective than ICID, consume the half of sperm straws, use a semen of moderate quality, there is no complication provided that the cycle is cancelled if there is more than two mature follicles and the cost-effectiveness ratio is greatly in favour with IUID.

Cervix Uteri↗
PubMed1999

Relationship between sex ratio and time of insemination according to both time of ovulation and maturational state of oocyte.

The aim of this study was to explore how some reproductive methodologies may affect the sex ratio. We first confirmed the association between the maturation stage of bovine oocytes at the time of in vitro fertilisation (IVF) and the sex ratio of in vitro-derived embryos. Secondly, we studied whether the time of insemination, prior to or after ovulation, could alter the sex ratio in sheep. In the first experiment, bovine oocytes were matured in vitro for 16 h; then oocytes were either fertilised in vitro immediately after extrusion of the first polar body or IVF was delayed for 8 h. The proportion of cleaving embryos and their development to the 8-cell stage was enhanced with delayed insemination. Moreover, delaying IVF produced a male-to-female sex ratio of 1.67:1.00, which was significantly different from the expected 1:1 ratio (p < 0.05), whereas more female embryos were produced when oocytes were fertilised in vitro immediately after polar body extrusion (sex ratio of 1.00:0.67; p < 0.05). In the second experiment, 380 ewes were inseminated at different times before or after ovulation, producing 537 lambs. Significant differences in the sex ratio were obtained when we compared the sex of the offspring of ewes inseminated during the 5 h preceding ovulation (more females) with those inseminated during the 5 h after ovulation (more males). Our results suggest that the differential ability of X- or Y-bearing spermatozoa to fertilise oocytes depending either on time of insemination or oocyte maturation state, may be due, at least partially, to 'intrinsic' differences in the physiological activity of X- or Y-bearing spermatozoa before fertilisation.

Animals↗
PubMed1998

Sperm motility is a major determinant of pregnancy outcome following intrauterine insemination.

PURPOSE: Our purpose was to assess whether one or more sperm parameters have predictive value for the outcome of intrauterine insemination treatment. METHODS: Infertile couples whose normoovulatory and normomechanical female partners underwent superovulation and intrauterine insemination were investigated. The semen profile of the male partner was discounted. In 160 couples, 544 cycles were obtained, resulting in 59 ongoing pregnancies (10.84%/cycle, 36.87%/patient). RESULTS: The only parameter found to be significantly correlated with a positive outcome was the degree of sperm motility following preparation for intrauterine insemination. Close to half (47.5%) of the couples with a very good or an excellent degree of sperm motility conceived, whereas only 8.3% of those patients who had poor or fair sperm motility conceived. None of the semen characteristics, such as volume, count, percentage motility, or percentage normal morphology, were found to correlate with cycle outcome. Although there was a progressive increase in the pregnancy rate with an increase in the total number of motile sperm inseminated, it did not reach significance. Seventy percent of the pregnancies were achieved within a maximum of three treatment cycles. The spermatogram is not accurate enough as a prognostic factor for treatment outcome. CONCLUSIONS: The degree of sperm motility, after appropriate preparation for intrauterine insemination, is the only parameter to be correlated with treatment outcome. For couples with a normal female partner, we suggest a maximum of three treatment cycles of induction of ovulation and intrauterine insemination, whenever good progressive motile sperm is obtained after suitable preparation. For cases with poor sperm progression, we suggest appropriate couple counseling and that an alternative assisted reproduction procedure be taken into consideration.

Adult↗
PubMed2001

Intrauterine insemination with donor semen. An evaluation of prognostic factors based on a review of 1131 cycles.

OBJECTIVE: To identify prognostic factors influencing the outcome of infertility treatment using intrauterine insemination with donor semen (IUI-D). DESIGN: Retrospective study of all patients undergoing IUI-D between August 1st, 1990 and July 31st, 1998. SETTING: University-affiliated infertility clinic. PATIENTS: Three hundred and five couples undergoing 1131 IUI-D treatment cycles. MAIN OUTCOME MEASURES: Type of hormonal treatment, number of follicles, length of follicular phase, endometrial pattern, female age, infertility diagnosis and semen quality related to clinical pregnancy rate, cumulative birth rate and multiple gestations. RESULTS: Throughout the nine year period the overall clinical pregnancy rate per cycle was 22.3%, with an increase from 12.9% in 1990 to 34.6% in 1998. The multiple birth rate was 20.6%. The birth rate per couple was 61.1% after a mean of 3.2 treatment cycles. The pregnancy rate was highest in the first treatment cycle and the cumulative birth rate rose only slightly after the sixth treatment cycle. The following parameters were positively and significantly correlated to a successful outcome of IUI-D: i) the first treatment cycle - compared to the following up to six treatment cycles; ii) number of mature follicles - more than one - at the time of insemination, however, with an unacceptable high rate of multiple pregnancies when more than 3 mature follicles were present; iii) time of insemination after the 12th day in the cycle; iv) insemination after ovulation has occurred and; v) female age under 30 years. CONCLUSIONS: IUI-D is a simple and inexpensive treatment giving acceptable pregnancy rates for up to six treatment cycles if at least 2 mature follicles have developed at the time of insemination, which implies that hormonal ovarian stimulation and induction of ovulation is used, and ovulation has occurred at the time of insemination, which ought to take place after cycle day (cd) 12 with at least two million motile spermatozoa.

Adult↗
PubMed2002

An overview of low dose insemination in the mare.

The need for relatively high numbers of spermatozoa for artificial insemination limits our application of recently available technologies such as sex-sorted semen. The fertility of two different methods of low dose insemination using fresh, frozen and sex-sorted semen are compared in this overview. Satisfactory conception rates are described using very low doses of spermatozoa inseminated by either hysteroscopic or deep uterine insemination methods, proving the stallion is fully fertile. The hysteroscopic method appears to give higher conception rates when inseminating fewer than 5 x 10(6) spermatozoa and is therefore, the preferred method of insemination for sex-sorted spermatozoa. However, hysteroscopic deposition of low numbers of spermatozoa from infertile stallions does not appear to improve their fertility.

Animals↗
PubMed2002

Low dose insemination in the sow--a review.

Artificial insemination (AI) in pigs has been established for about four decades but ejaculates are still used insufficiently. Higher demand of semen for AI and new techniques that involve low sperm concentration require the optimization of insemination protocols. Based on the knowledge of the physiology of sperm transportation and events in the female genital tract prior to fertilization, new strategies are under development to minimize sperm losses. One goal is to deposit the semen into the uterine horn rather than into the proximal cervix. It was shown that the minimal number of spermatozoa necessary for surgical AI at the utero-tubal junction (UTJ) were at least 1 x 10(6) diluted in 0.5 ml of a special extender. Artificial insemination into the distal part of the uterine horn required about 1 x 10(7) million sperm in 20 ml of extender. Meanwhile, first insemination devices for non-surgical intra-uterine AI are commercially available. Using similar sperm concentrations as for surgical AI, non-surgical uterine insemination did not differ significantly from control inseminations in terms of pregnancy rate and litter size. With respect to the fertilizing capacities of their ejaculates, boars have to be selected more strictly for sperm quality parameters as most of the compensatory effects of sperm cells disappear in maximally extended semen samples.

Animals↗
PubMed1982

Synchronization of oestrus in ewes with Provera sponges/PMSG, prostaglandin F2 alpha or the prostaglandin analogue, ICI 80996, and fertility following natural mating or artificial insemination.

Following the synchronization of oestrus with different treatments during the breeding season, the fertility of naturally-mated ewes has been compared to that of ewes artificially inseminated with fresh semen. The following treatments were used: I. sponges impregnated with progestagen (50--60 mg of medroxyprogesterone acetate) left in situ for 14 days and an i.m. injection of 500 IU of PMSG at sponge withdrawal; II. injections of prostaglandin F2 alpha (dose: 15 mg/injection) at intervals varying from 9 to 14 days (see tables); III. injections of the prostaglandin F2 alpha analogue, ICI 80996 (dose: 100 micrograms/injection), with the same time intervals as in treatment II. Lambing rate and prolificacy after natural service at the induced oestrus was 55 and 140 p. 100, 32.5 and 153 p. 100 and 60 and 133 p. 100 for ewes receiving treatments I, II or III, respectively, compared to 62.5 and 120 p. 100 for the untreated controls. Double artificial insemination (AI) 48 and 58 h after the sponge/PMSG treatment resulted in a lambing rate of 25 p. 100 and a prolificacy of 133 p. 100. The lambing rate and prolificacy of ewes inseminated 58 and 68 h after the final injection of PGF2 alpha or ICI 80996 were 27.8 and 149 p. 100 and 45.5 and 165 p. 100, respectively. Single AI 55 h after sponge withdrawal gave a lambing rate of 37.8 p. 100. The lambing rate of ewes inseminated 56 h after the final ICI 80996 injection was higher (54.8 p. 100) than that of ewes inseminated at 60 h (37.5 p. 100) or 66 h (30.8 p. 100). However, two inseminations 56 and 66 h after the final ICI 80996 injection gave an even more elevated lambing rate (61.9 p. 100). These results demonstrate that ICI 80996 can successfully control oestrus in the ewe during the breeding season, thus offering an alternative to sponges/PMSG and that the fertility subsequent to both natural mating and AI is equivalent to that of the controls.

Animals↗
PubMed2006

Leucocyte population changes in the reproductive tract of the ewe in response to insemination.

Leucocyte changes after insemination may affect conceptus implantation, but information regarding leucocyte populations in the ruminant reproductive tract is limited. The present study investigated changes in leucocyte populations and distribution in the ovine reproductive tract following oestrus and insemination. Fifteen ewes were mated with a ram for 1 h and their reproductive tracts collected 3, 6, 18, 24 or 48 h later. Another 15 ewes were used as oestrus controls. Tissues were collected from 10 sites in each reproductive tract and stained with haematoxylin and eosin, Toluidine blue and immunohistochemically using a monoclonal CD68 antibody. Luminal mucus smears were collected from seven sites and stained with a modified Wright's stain and immunohistochemically. Neutrophils, eosinophils, mast cells and macrophages were identified and quantified, and temporal changes in their distribution within tissues were examined. Neutrophils and macrophages increased significantly (P < 0.05) in posterior cervical and uterine tissues following insemination. In uterine tissues, neutrophils peaked at 6 h after insemination, whereas macrophages peaked at 18-24 h. Mast cells decreased and eosinophils remained constant. Neutrophils increased significantly (P < 0.05) in the cervical and uterine lumen following insemination. In conclusion, leucocyte population changes after insemination vary between different sites in the ovine reproductive tract and may contribute to pregnancy establishment.

Animals↗
PubMed1991

Fertility of superovulated ewes following intrauterine or oviducal insemination with fresh or frozen-thawed semen.

Two experiments were conducted with mature Merino ewes to investigate the effects of time and site of insemination of fresh and frozen-thawed semen on the fertility of superovulated ewes. In Experiment 1, each ewe was treated with an intravaginal progestagen sponge and PMSG and/or FSH. They were inseminated in the uterus with fresh or frozen-thawed semen (approximately 100 x 10(6) motile sperm) at 24, 44 or 64 h after sponge withdrawal. Ova were recovered at 88 h after sponge withdrawal and classified as fertilized if they had pronuclei or had cleaved. Mean fertilization rates of recovered ova were 60.0, 93.7 and 87.8% for fresh semen and 46.1, 98.2 and 26.1% for frozen-thawed semen at each of the insemination times (24, 44 and 64 h) respectively. Overall, fertilization rates were higher for fresh semen than for frozen-thawed semen (P less than 0.01), but there was an interaction with time of insemination (P less than 0.01). Following insemination with frozen-thawed semen at 64 h, only 61% of the fertilized ova developed to the 2- to 4-cell stage by the time of embryo recovery; this was less than in any of the other groups (P less than 0.05). In Experiment 2, ewes were inseminated with 100 x 10(6) motile fresh or frozen-thawed semen in the uterus or in the oviducts at 64 h after sponge withdrawal.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1987

Possible causes of subfertility in hens following insemination near the time of oviposition.

Spermatozoa incubated in uterine fluid collected 7 or 18 h after ovulation showed no significant differences either in motility or in fecundity, despite wide variations of composition of the uterine fluid itself. The absence of uterine fluid in the oviduct 1 h before oviposition may be partially responsible for spermatozoa being unable to migrate easily to the storage sites after insemination of this time. Females inseminated intravaginally at the presumed time of oviposition showed consistently low fertility, irrespective of whether an egg was present in the uterus or not. Normal fertility rates could be achieved with inseminations intravaginally at or near the time of oviposition if the uterine contractions associated with oviposition were inhibited by treatment with indomethacin. Hens inseminated intravaginally 1 h after oviposition retained lower proportions (0.4 to 0.7%) of the initial dose of spermatozoa (measured 2 h after insemination) in their oviduct that hens inseminated 5 to 6 h after oviposition (4.5 to 23.3%).

Animals↗
PubMedDate not supplied

Degelification of alpaca semen and the effect of dilution rates on artificial insemination outcome.

Degelification of highly viscous alpaca semen was attempted using two enzymes: trypsin and collagenase. Dilution effect on artificial insemination was determined in alpacas. Semen from 4 male alpacas was collected, degelified, diluted, and inseminated into 80 female alpacas. Degelification was achieved adding trypsin and collagenase enzymes to fresh semen samples. Semen was diluted with egg-yolk glucose citrate to give concentrations of 4, 8, and 12 million spermatozoa/mL. Females were induced to ovulate with human chorionic gonadotropin and then inseminated deep into the uterine horns. Analysis of variance was used to determine differences in the effect of trypsin and collagenase on sperm acrosome and on motility and live spermatozoa. The chi-square test was used to determine differences in pregnancy of artificially inseminated females. Semen was degelified with different concentrations of trypsin and collagenase. There were differences (p < .05) in the pregnancy rate of female alpacas inseminated with 4 million (53.3%), 8 million (66.7%), and 12 million sperm/mL (61.5%). Alpaca semen may be degelified using trypsin and/or collagenase. It seems that 8 million sperm/mL is adequate for artificial insemination in alpacas.

Acrosome↗
PubMed2002

Fertility of broiler breeders following categorization by the OptiBreed sperm quality index when hens are inseminated with a constant number of sperm.

If semen quality was known prior to insemination, sperm doses could possibly be decreased, maximizing the number of hens inseminated. The sperm quality index (SQI), an indicator of overall semen quality, is determined by the number of deflections in a light path due to sperm movement inside a capillary tube. The objectives of this study were 1) to determine the age at which the SQI becomes a static predictor of semen quality and 2) to determine if fertility of males with a higher SQI responds more favorably to insemination dose reduction than that of males with a lower SQI. Weekly from 23 to 32 wk of age, 144 Cobb males were tested for SQI. At 32 wk of age, males were placed into four groups that represented the SQI population quartiles as follows: poor, fair, good, and best. A fifth SQI group, uncategorized, was created to determine fertility of the original population by mixing equal amounts of semen from each of the four groups. Semen was collected weekly from 33 to 40 wk of age from 18 males in each of the four groups, pooled by group, and used to inseminate 30 hens per group with 50 or 100 million sperm. Eggs were collected daily, incubated, and broken out to determine fertility. Correlation coefficients between weekly SQI results and overall averages for individual males indicated that the SQI stabilized after the birds were 28 wk of age. The main effect for SQI selection revealed that the best SQI group had the highest fertility (88%), which did not differ from the good (83%) or fair group (82%) but was greater than the uncategorized group (80%). Fertilities of the top three groups and the uncategorized group were higher than the poor group (63%) (P < 0.0001, SEM 2.18). In addition, there was an interaction between SQI classification and insemination dose. Fertilities of the top three SQI groups were similar at the 50 and 100 million sperm doses. However, the poor and uncategorized SQI groups had lower fertility at the 50 million dose as compared to the 100 million dose. By categorizing males into SQI groups after 28 wk of age, insemination dose can be reduced, maximizing a male's fertilizing potential.

Animals↗
PubMed1994

Desialylation of the rooster sperm's glycocalyx decreases sperm sequestration following intravaginal insemination of the hen.

Competitive fertilization was used to study sequestration of neuraminidase-treated sperm within the hen's sperm-storage tubules. The feather color inhibitor gene, I, was used to determine paternity of chicks hatched from eggs laid over a 12-day interval following a single intravaginal insemination. The insemination dose was 1 x 10(8) sperm per hen. The insemination of New Hampshire hens (i/i) with a 50:50 ratio of washed Brown (i/i) and washed White (I/I) Leghorn sperm yielded a 45:55 ratio of brown (i/i) to yellow (I/i) chicks. In contrast, a 14:86 ratio of brown to yellow chicks was obtained when Brown Leghorn sperm were treated with neuraminidase and then washed free of the enzyme before admixture with nontreated washed White Leghorn sperm. The effective insemination dose was reduced, as 18% fewer chicks were sired when Brown Leghorn sperm were pretreated with neuraminidase. When percentages of brown chicks were plotted as a function of time, both plots conformed to a straight line. Neither slope differed from zero (p > 0.05). However, insemination of neuraminidase-treated Brown Leghorn sperm decreased the y-intercept by 31.6 percentage units (p < 0.001). Therefore, sialyl residues in the spermatozoal glycocalyx affect the extent of spermatozoal sequestration following intravaginal insemination.

Animals↗
PubMed2004

Single versus double intrauterine insemination: are outcomes affected?

PURPOSE OF REVIEW: Intrauterine insemination with or without superovulation is the initial step in assisted reproductive technologies. There have been many attempts to increase the efficiency of this route. One approach may be to increase the frequency of insemination. In the last decade, there has been a continuing debate regarding the increased efficiency of IUI with double IUI. RECENT FINDINGS: Although the initial studies showed that superovulation with double intrauterine insemination had better pregnancy rates than with a single application, recent studies found that ovarian stimulation with double insemination has not increased the pregnancy rates. SUMMARY: Superovulation with intrauterine insemination is a treatment modality used in unexplained infertility and mild male infertility. Increasing the efficiency of the technique has always been an interest of research. Double intrauterine insemination has been suggested to increase efficiency; recent studies, however, have not confirmed this finding.

Female↗