Unexplained subfertility: active or conservative management?

Objectives Unexplained subfertility (UEI) describes a couple whose standard subfertility workout consider acceptable but unable to conceived.Methods This retrospective study was conducted in the Advanced Reproductive Centre, UKM Hospital, Kuala Lumpur, from January 2016 to December 2019. The data of...

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Bibliographic Details
Published in:HORMONE MOLECULAR BIOLOGY AND CLINICAL INVESTIGATION
Main Authors: Ahmad, Siti Maisarah; Jin, Norazilah Mat; Ahmad, Mohd Faizal; Karim, Abdul Kadir Abdul; Abu Muhammad, Azrai
Format: Article; Early Access
Language:English
Published: WALTER DE GRUYTER GMBH 2024
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Online Access:https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001130638000001
Description
Summary:Objectives Unexplained subfertility (UEI) describes a couple whose standard subfertility workout consider acceptable but unable to conceived.Methods This retrospective study was conducted in the Advanced Reproductive Centre, UKM Hospital, Kuala Lumpur, from January 2016 to December 2019. The data of 268 UEI couples were obtained from the clinical database. Women aged 21-45 years old was included and further divided into four groups according to the female partner's age and subfertility duration: group A (age <35 years and subfertility <2 years), group B (age <35 years and subfertility >2 years), group C (age >35 years and subfertility <2 years), and group D (age >35 years and subfertility <2 years). All statistical analyses were performed using SPSS 22.0 for Windows.Results A total of 255 cases were included in this study. The mean age of the women was 32.9 +/- 4.04 years, and the mean subfertility duration was 5.04 +/- 2.9 years. A total of 51 (20 %) cases underwent timed sexual intercourse, 147 (57.6 %) cases had intrauterine insemination (IUI), whereas 57 (22.4 %) cases opted for in vitro fertilization (IVF). A total of 204 cases underwent active management (IUI/IVF), which showed a significant difference (p<0.05). Out of eight clinical pregnancies, half of them were from group B.Conclusions Active management in younger women with a shorter subfertility duration revealed a better pregnancy outcome. Otherwise, individualized treatment should be considered in selecting a suitable treatment plan.
ISSN:1868-1883
1868-1891
DOI:10.1515/hmbci-2022-0087