Comparison of clinical outcome after intrauterine insemination with donor semen in single women, lesbian couples and heterosexual couples.

IF 2.7 3区 医学 Q2 GENETICS & HEREDITY
M Godinho, M Chaillot, S Bouée, A Reignier, T Fréour
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引用次数: 0

Abstract

Purpose: The aim of this study was to compare clinical pregnancy rate after IUI-D in heterosexual couples (HC), lesbian couples (LC), and single women (SW).

Methods: This retrospective multicentric study was conducted in two university-based ART centers in France in all consecutive IUI-D cycles performed after stimulation with gonadotropins in 2021-2023. The primary outcome was clinical pregnancy rate (CPR). Cumulative clinical pregnancy rate was also calculated. Comparisons were made between groups taking HC as the control group and adjusting for age.

Results: A total of 962 patients undergoing 2737 IUI-D cycles were included in the analysis, 234 HC women (24.3%), 478 LC women (49.7%), and 250 (30%) single women (SW). SW were significantly older than HC and LC. Clinical pregnancy rate (CPR) per cycle was significantly lower in LC and SW than in HC in univariate analysis. Age was negatively associated with clinical pregnancy. After adjusting for age, no statistically significant relationship was found between category and clinical pregnancy (p = 0.07). Cumulative clinical pregnancy rates (CCPR) and the average number of cycles required to achieve pregnancy were not significantly different between HC, LC and SW.

Conclusions: This first study conducted in France after change in law allowing ART access for LC and SW confirms that CPR after IUI-D is not significantly associated with relationship status after adjusting for age.

单身女性、女同性恋伴侣和异性伴侣宫内人工授精后临床结果的比较。
目的:本研究的目的是比较异性恋夫妇(HC)、女同性恋夫妇(LC)和单身女性(SW)宫内人工授精后的临床妊娠率。方法:这项回顾性多中心研究在法国两所大学ART中心进行,研究对象为2021-2023年在促性腺激素刺激后进行的所有连续IUI-D周期。主要观察指标为临床妊娠率(CPR)。计算累积临床妊娠率。以HC为对照组,调整年龄,进行两组比较。结果:共有962例患者接受2737个IUI-D周期纳入分析,其中HC女性234例(24.3%),LC女性478例(49.7%),单身女性250例(30%)。SW的年龄明显大于HC和LC。单因素分析显示,LC和SW的每周期临床妊娠率(CPR)明显低于HC。年龄与临床妊娠呈负相关。调整年龄后,分类与临床妊娠无统计学意义(p = 0.07)。累积临床妊娠率(CCPR)和实现妊娠所需的平均周期数在HC、LC和SW之间无显著差异。结论:这项首次在法国进行的研究在法律改变后允许LC和SW获得ART,证实了IUI-D后的CPR与年龄调整后的关系状态无显著相关。
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来源期刊
CiteScore
5.70
自引率
9.70%
发文量
286
审稿时长
1 months
期刊介绍: The Journal of Assisted Reproduction and Genetics publishes cellular, molecular, genetic, and epigenetic discoveries advancing our understanding of the biology and underlying mechanisms from gametogenesis to offspring health. Special emphasis is placed on the practice and evolution of assisted reproduction technologies (ARTs) with reference to the diagnosis and management of diseases affecting fertility. Our goal is to educate our readership in the translation of basic and clinical discoveries made from human or relevant animal models to the safe and efficacious practice of human ARTs. The scientific rigor and ethical standards embraced by the JARG editorial team ensures a broad international base of expertise guiding the marriage of contemporary clinical research paradigms with basic science discovery. JARG publishes original papers, minireviews, case reports, and opinion pieces often combined into special topic issues that will educate clinicians and scientists with interests in the mechanisms of human development that bear on the treatment of infertility and emerging innovations in human ARTs. The guiding principles of male and female reproductive health impacting pre- and post-conceptional viability and developmental potential are emphasized within the purview of human reproductive health in current and future generations of our species. The journal is published in cooperation with the American Society for Reproductive Medicine, an organization of more than 8,000 physicians, researchers, nurses, technicians and other professionals dedicated to advancing knowledge and expertise in reproductive biology.
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