IUI vs IVF for first line treatment of unexplained infertility - A RCT

  • Research type

    Research Study

  • Full title

    Controlled ovarian stimulation and intra-uterine insemination (COH + IUI)vs in vitro fertilisation (IVF) for the first line treatment of unexplained infertility. A randomised controlled trial.

  • IRAS ID

    117596

  • Contact name

    Anupa Nandi

  • Contact email

    anupa.nandi@gmail.com

  • Sponsor organisation

    R&D

  • Research summary

    Unexplained infertility comprises about 15% - 20% of infertile couple. The therapeutic options that have been applied include expectant management, controlled ovarian stimulation (COH) with clomiphene citrate, aromatase inhibitors or gonadotrophins, intrauterine insemination (IUI) or COH with IUI.Some investigators have concluded that proceeding directly to IVF and Embryo Transfer would be more efficient approach. The recent NICE guideline proposes to offer IVF as first line management to these couples after 2 years of expectant management. Howeever the evidence on which this recommendation has been made is very poor.No RCT has been performed to examine the efficiency of IUI vs IVF as the first line treatment for unexplained infertility. We aim to perform the first RCT to compare COH + IUI vs IVF as the first line approach for unexplained infertility.

  • REC name

    London - Brent Research Ethics Committee

  • REC reference

    13/LO/0550

  • Date of REC Opinion

    28 May 2013

  • REC opinion

    Further Information Favourable Opinion