Abstract
Intrauterine insemination (IUI) remains safe, simple relatively cost effective and a valuable initial treatment option, especially in low resource settings for selected group of patients before embarking to assisted reproduction technology treatment. Assisted reproductive technology (ART) does not include assisted insemination by sperm from either a woman’s partner or a donor. Numerous factors are influencing the success rate of IUI. However, sperm processing method is a modifiable factor in an induvial basis to achieve good success rate. Aim of sperm processing methods are to target analogously and effectively filter progressively motile and morphologically normal sperm from the overall sample population resulted an enriched sperm population with higher fertilizing potential. WHO recommended sperm processing methods are usually adopted in Sri Lanka and major categories are Sperm Migration Method, Density Gradient Centrifugation Method and Column Adherence Method. Each methods have advantages and limitations in clinical practice. Therefore, andrologist and fertility specialist need to decide the best possible sperm processing method for a particular couple for optimal success rate of IUI treatment according to the clinical assessment and sperm quality and quantity.
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