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Algorithm for male subfertility treatm
Washing procedure
ent
Tubal Factor
No Tubal Factor
Initial Semen Sample
Washing procedure
IMC
< 1 million
Morphology < 4%
IMC IMC
< 1 million >= 1 million
Morphology >= 4%
IMC
< 1 million Morphology < 4%
IMC IMC
< 1 million >= 1 million
Morphology >= 4%
< 30% or no fertilisation
IUI 4 x
IVF
IVF
ICSI
ICSI
ICSI
<
30% or no fertilisation
Figure 1. Cost per live birth. IUI = intrauterine insemination; ICSI = intracytoplasmic sperm injection; TMC = total motile count.
Lobke M. Moolenaar, Maarje Cissen, Jan Peter de Bruin, Peter G.A. Hompes, Sjoerd Repping, Fulco van der Veen, Ben Willem J. Mol
Cost-effectiveness of assisted conception for male subfertility
Reproductive BioMedicine Online, Volume 30, Issue 6, 2015, 659–666 http://dx.doi.org/10.1016/j.rbmo.2015.02.006
Page 51 of 175
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