Retrospective Analysis of Assisted Conception Techniques: A Three Year Experience

In this retrospective survey, we present the results of infertility treatment by various assisted conception techniques at the assisted conception unit, New Jeddah Clinic Hospital, Jeddah, Saudi Arabia. During a three year period from January 1990 to December 1992, a total of 249 treatment cycles were started in patients with long-standing infertility. There were 107 ovulation induction cycles carried out in patients with chronic anovulation and patent tubes and normal spermogram using rigorous ovulation induction therapy with intensive ultrasound monitoring. In 34 treatment cycles in patients with long-standing infertility and patent tubes, controlled superovulation (CSO) plus intrauterine insemination was carried out. In 30 treatment cycles, CSO plus sperm intrafallopian transfers (SIFT) were done. In the in vitro fertilization (IVF) and embryo transfer (ET) group, 73 oocyte pickups were carried out. Five gamete intrafallopian transfer (GIFT) procedures were done. A total of 54 pregnancies resulted from these treatments, giving an overall pregnancy rate of 21.6%. The highest pregnancy rate of 32.35% is seen in the CSO and intrauterine insemination (IUI) groups compared with a pregnancy rate of 13.3% in the SIFT, 20.56% in the ovulation induction and 20% in the GIFT. The pregnancy rate in the IVF/ET group was 22.2%/oocyte pickup and 30.8%/embryo transfer.