HOMOLOGOUS INTRAUTERINE INSEMINATION FOR TREATMENT OF ANDROLOGICAL INFERTILITY

In a two-years period, we treated 58 infertile couples for a total of 213 cycles with artificial homologous insemination (AIH). We considere d a indication for AIH low sperm quality or a pathological postcoital test (PCT). Couples with idiopathic infertility did not receive AIH. I f possible, AIH was performed by intrauterine insemination (IUI), foll owing concentration of the motile sperms by ''swim-up'' method. Out of 213 cycles ''swim-up'', preparation could not be done in 46 cases (21 .6 %) because the initial sperm quality was below technical limits (sp erm count below 1 Mio/ml). Out of 58 treated couples 4 became pregnant during AIH therapy (7 %) among, them 2 couples conceiving twice after spontaneous early abortion. The total pregnancy rate per cycle was 2. 8 %. In the cycles after ''swim-up'', the monthly pregnancy rate throu gh IUI was 3.6 %. In the presence of andrological factors was the preg nancy rate only 0.9 % compared to 6.8 % in cases of pathological PCT w ith normal sperm quality. Thus, it can be concluded, that IUI is not s uccessful on the basis of low sperm quality. Only in cases of unfavour able cervical factor expressed by a pathological PCT accompanied with a normal spermiogramm, moderate success can be expected.