و نزديكي طبيعي بعد از تحريك تخمك گذاري در بيماران نابارور مبتلا به سندرم تخمدان پلي كيستيك IUI مقايسه نتايج

COMPARISON OF COH+TIMED INTERCOURSE RESULTS AND COH+IUI IN INFERTILE PATIENTS WITH PCO(POLY CYSTIC OVARIES)

Introduction:Polycystic ovary syndrome (PCOS) is one of the most common endocrinologic diseases responsible for infertility. PCOS is characterized by AUB, infertility, hirsuitism & obesity. In this analytic study, a clinical trial was done about on PCOS women who attended the infertility center and hospital in 2001-2. Materials & Methods: We selected patients in our study and divided them to two groups; A (COH+ timed intercourse) and B(COH+IUI). All patients received metformin 500-1500 mg/d for 2 months and then without cessation. In the third cycle, COH was done for them by clomphene 100 mg/day from 3rd to 8`h day of menstural cycle and HMG 150 grlday from 9th to 12th day of cycle. After controlling by TVS, when mature follicles reached 18 mm, HCG 1000 IU was injected, and then group A had normal Coitus while in group B, IUI was done. Results: Pregnancy rate (Positive BHCG test) after 2 weeks was 13% in groupA and 16% in groupB. This difference wasnʹt significant, but showed that IUI had better results than timed intercourse in PCO women. Conclusion: We therefore suggest (COH+ IUI) after 3 cycles of successful treatment with (COH+ coitus) in infertile PCO.