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IUI needs fairer appraisal to improve patient and stakeholder choices
Information supporting IVF at the expense of intrauterine insemination (IUI) has become commonplace, but it lacks critical analyses. Data from poorly practiced IUI, without an equivalent comparison to IVF, has been generalised to recommend a total abandonment of IUI in favour of IVF treatment. Our i...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Brazilian Society of Assisted Reproduction
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863108/ https://www.ncbi.nlm.nih.gov/pubmed/33118714 http://dx.doi.org/10.5935/1518-0557.20200066 |
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author | Bahadur, Gulam Woodward, Bryan Carr, Megan Acharya, Santanu Muneer, Asif Homburg, Roy |
author_facet | Bahadur, Gulam Woodward, Bryan Carr, Megan Acharya, Santanu Muneer, Asif Homburg, Roy |
author_sort | Bahadur, Gulam |
collection | PubMed |
description | Information supporting IVF at the expense of intrauterine insemination (IUI) has become commonplace, but it lacks critical analyses. Data from poorly practiced IUI, without an equivalent comparison to IVF, has been generalised to recommend a total abandonment of IUI in favour of IVF treatment. Our intention with this paper is to reappraise and balance arguments so that patients and stakeholders can have an unbiased informed choice. We provide information that reveals IUI to predominate over IVF in terms of integrated success, risks and cost to deliver one live birth whilst obviating the maternal and neonatal costs. Exceptional cost savings are demonstrated for IUI over IVF for fee-paying agencies and patients with lowered risks of maternal and neonatal care along with other risks including OHSS, fetal reduction and termination of pregnancies. This analysis supports the view that patients and stakeholders can choose IUI instead of IVF in most instances, except with bilateral tubal blockage and severe male factor infertility. It is apparent that fertility clinics need to re-evaluate and reconsider this field, and IUI can be of benefit to both subfertile patients and the stakeholders. |
format | Online Article Text |
id | pubmed-7863108 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Brazilian Society of Assisted Reproduction |
record_format | MEDLINE/PubMed |
spelling | pubmed-78631082021-02-10 IUI needs fairer appraisal to improve patient and stakeholder choices Bahadur, Gulam Woodward, Bryan Carr, Megan Acharya, Santanu Muneer, Asif Homburg, Roy JBRA Assist Reprod Update or Opinion Article Information supporting IVF at the expense of intrauterine insemination (IUI) has become commonplace, but it lacks critical analyses. Data from poorly practiced IUI, without an equivalent comparison to IVF, has been generalised to recommend a total abandonment of IUI in favour of IVF treatment. Our intention with this paper is to reappraise and balance arguments so that patients and stakeholders can have an unbiased informed choice. We provide information that reveals IUI to predominate over IVF in terms of integrated success, risks and cost to deliver one live birth whilst obviating the maternal and neonatal costs. Exceptional cost savings are demonstrated for IUI over IVF for fee-paying agencies and patients with lowered risks of maternal and neonatal care along with other risks including OHSS, fetal reduction and termination of pregnancies. This analysis supports the view that patients and stakeholders can choose IUI instead of IVF in most instances, except with bilateral tubal blockage and severe male factor infertility. It is apparent that fertility clinics need to re-evaluate and reconsider this field, and IUI can be of benefit to both subfertile patients and the stakeholders. Brazilian Society of Assisted Reproduction 2021 /pmc/articles/PMC7863108/ /pubmed/33118714 http://dx.doi.org/10.5935/1518-0557.20200066 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Update or Opinion Article Bahadur, Gulam Woodward, Bryan Carr, Megan Acharya, Santanu Muneer, Asif Homburg, Roy IUI needs fairer appraisal to improve patient and stakeholder choices |
title | IUI needs fairer appraisal to improve patient and stakeholder choices |
title_full | IUI needs fairer appraisal to improve patient and stakeholder choices |
title_fullStr | IUI needs fairer appraisal to improve patient and stakeholder choices |
title_full_unstemmed | IUI needs fairer appraisal to improve patient and stakeholder choices |
title_short | IUI needs fairer appraisal to improve patient and stakeholder choices |
title_sort | iui needs fairer appraisal to improve patient and stakeholder choices |
topic | Update or Opinion Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863108/ https://www.ncbi.nlm.nih.gov/pubmed/33118714 http://dx.doi.org/10.5935/1518-0557.20200066 |
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