Evaluation of Inflammation Markers and Pregnancy Outcomes of Patients Undergoing Intrauterin Insemination (IUI) for Unexplained Infertility

Hüseyin Erdinç Karakaş, Merve Çakır Karakaş, Mehmet Ferdi Kıncı, Tuğba Altun Ensari
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Abstract

Aim: This study aimed to compare the inflammatory markers in patients who had ovulation induction with clomiphene citrate (CC) and who underwent intrauterine insemination (IUI) due to unexplained infertility in patients who could get pregnant and who could not. Materials and Method: The study included 125 females with unexplained infertili-ty who underwent ovulation induction with CC and who underwent IUI at the Health Sciences University Ankara Etlik Zübeyde Hanım Gynecology Training and Research Hospital Assisted-Reproduction Therapy Clinic between July 2019 and December 2019. Of the patients, 104 (83.2%) of them could not get pregnant as a result of IUI, and 21 (16.8%) females got pregnant. Hemogram parameters collected from patients on the day of IUI were recorded. Results: In terms of age, infertility duration, BMI, gravida, parity, number of living children, abortion and stillbirth numbers, no statistically significant difference was found between the two patient groups which were created based on getting pregnant or not (p>0.05). No significant difference was found between the groups in terms of serum estrogen, progesterone, follicle-stimulating hormone (FSH), luteinizing hor-mone (LH), thyroid stimulating hormone (TSH), prolactin, and anti-mullerian hor-mone (AMH) levels, hemoglobin, BM, neutrophil count, lymphocyte count, platelet count, MPV, CRP, and P/L ratio (p>0.05). A statistically significant difference was found in terms of N/L ratio (p
对接受宫腔内人工授精 (IUI) 治疗的不明原因不孕症患者的炎症标志物和妊娠结果进行评估
目的:本研究旨在比较使用枸橼酸氯米芬(CC)促排卵的患者和因不明原因不孕而接受宫腔内人工授精(IUI)的患者的炎症指标。材料和方法:研究对象包括2019年7月至2019年12月期间在安卡拉健康科学大学Etlik Zübeyde Hanım妇科培训与研究医院辅助生殖治疗门诊接受CC促排卵和IUI的125名不明原因不孕女性。其中,104 名(83.2%)患者因人工授精而未能怀孕,21 名(16.8%)女性成功怀孕。记录了人工授精当天从患者处采集的血象参数。结果在年龄、不孕时间、体重指数、胎次、奇偶数、存活子女数、流产和死胎数等方面,以是否怀孕为标准划分的两组患者之间没有发现明显的统计学差异(P>0.05)。两组患者的血清雌激素、孕激素、卵泡刺激素(FSH)、黄体生成素(LH)、促甲状腺激素(TSH)、催乳素、抗髓鞘激素(AMH)水平、血红蛋白、BM、中性粒细胞计数、淋巴细胞计数、血小板计数、MPV、CRP 和 P/L 比值均无明显差异(P>0.05)。在 N/L 比值方面,差异有统计学意义(P
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