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Rest after IUI
Title: A randomized study of the effect of 10 minutes of bed rest after intrauterine insemination
Author: A. Saleh, et al.
Address: Quebec, Canada
Source: Fertility and sterility 74:509-511 (September) 2000
Summary: This prospective randomized study evaluated the effects of 10 minutes of bed rest after intrauterine insemination on the pregnancy rate. Subjects were 95 couples with unexplained infertility. They were prospectively randomized either to immediate mobilization after IUI or to remain in a supine position for 10 minutes after the procedure. The first group was made up of 40 couples representing 90 cycles. The second group was made up of 55 couples representing 120 cycles. In the first group, the pregnancy rate per couple was significantly lower than in the second group (4 of 40 vs. 16 of 55). The pregnancy rate per cycle in the first group (4.4%) was also lower than in the second group (13.3%). Researchers concluded that a 10-minute interval of bed rest after IUI has a positive effect on the pregnancy rate. They recommend that mandatory bed rest for 10 minutes after IUI should be adopted into a standard practice.
Comment: I could understand this result when vaginal and cervical insemination was used. It seems illogical that the change in position after IUI would have much impact. Is it the rest or the position that makes the difference. Regardless, this is the second such report and we have changed or procedure accordingly.