Abstract
Objective. – To evaluate the effect of the limitation at 6 cycles of artificial insemination in a program of sperm donation. Study design. – 266 couples included in a program of sperm donation underwent 1 354 cycles including 532 intracervical insemination (ICI), 678 Intrauterine insemination (IUI) and 133 In vitro fertilization (IVF). Results. – The birth rate by cycle was 10.8% in ICI, 18% in IUI, 21.9% in IVF. The risk of multiple pregnancies was 0% in ICI, 13% in IUI, 33% in IVF. The authors feign then two strategies, the first one with 6 ICI followed by 6 IUI, and the other one with 6 IUI alone. The birth rate, the risk of multiple pregnancies and the cost of these two strategies is discussed. Conclusion. – The restriction to 6 IA Cycles in a donor semen program does not change the birth rate, but increases the multiple pregnancy rate and the cost of the treatment of these patients.
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