夫精宫腔内人工授精助孕影响因素分析

Objective To analyze the factors affecting the pregnancy rate of intrauterine artificial insemination with husband's sperm. Methods Clinical data of infertile couples who underwent intrauterine insemination with husband's sperm at the Reproductive Center of the Third People's Hospital of Bengbu City from January 2024 to May 2025 were collected, and multiple Logistic regression analysis was conducted on the factors affecting the pregnancy rate of intrauterine artificial insemination with husband's sperm. Results The clinical pregnancy rate of 44 infertile couples was 17.65%. There were statistically significant differences in female age, anti mullerian hormone(AMH), forward sperm count before and after semen optimization, cycle count, and fertilization count between the non pregnant and pregnant groups. Univariate Logistic regression analysis showed that female age, AMH, the number of forward sperm before and after semen optimization, double insemination, and number of cycles were all related to the pregnancy outcomes. Receiver operating characteristic curve(ROC) analysis showed that the area under the curve(AUC) for predicting successful pregnancy forward was 0.911. Conclusion The forward sperm count after semen optimization is an independent influencing factor on clinical pregnancy rate.