{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T21:21:42Z","timestamp":1698441702144},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,1,17]],"date-time":"2011-01-17T00:00:00Z","timestamp":1295222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the impact of intrauterine insemination on the management of subfertility in Jamaica.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present study was a retrospective analysis of all intrauterine insemination cycles completed from May 1, 2002, to August 31, 2005, at the University of the West Indies, Mona, Jamaica. The cycle pregnancy rate (CPR), live\u2010birth rate (LBR), and cumulative pregnancy rate were obtained and prognostic factors were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The CPR, LBR, and cumulative pregnancy rate were 10.1%, 8.8%, and 13.9%, respectively. Improved success was significantly associated with a shorter period of infertility (3.10 \u00b1 1.43 years vs 5.22 \u00b1 2.89 years; <jats:italic>P<\/jats:italic> = 0.01). Women younger than 40 years of age, men with increased post\u2010preparation sperm counts, and couples undergoing 2\u20133 cycles had improved outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Intrauterine insemination represents a safe and cost\u2010effective option for mild male factor infertility or unexplained infertility, especially in resource\u2010poor regions such as the Caribbean. Repeated failed cycles identify those who would probably benefit from early intervention with in vitro fertilization.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2010.10.017","type":"journal-article","created":{"date-parts":[[2011,1,18]],"date-time":"2011-01-18T09:13:03Z","timestamp":1295341983000},"page":"208-210","source":"Crossref","is-referenced-by-count":1,"title":["Intrauterine insemination in Jamaica as a low\u2010cost subfertility treatment in a low\u2010resource region"],"prefix":"10.1002","volume":"112","author":[{"given":"Loxley R.","family":"Christie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Harriott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vernon E.","family":"Dacosta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaun H.","family":"Wynter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise M.","family":"Everett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rochelle A.","family":"Foster","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,1,17]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deh870"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0043-31442006000400007"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-006-0085-8"},{"issue":"1","key":"e_1_2_6_5_2","first-page":"19","article-title":"Psycho\u2010social consequences of secondary infertility in Karachi","volume":"56","author":"Sami N.","year":"2006","journal-title":"J Pak Med Assoc"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.291.6510.1693"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1576\/toag.5.1.38"},{"issue":"4","key":"e_1_2_6_8_2","first-page":"278","article-title":"In vitro fertilization. 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