Table 1

Survey responses from fertility clinics in the UK

QuestionTotal (%)Yes (%)No (%)Don't know (%)Did not answer (%)
1. Is your clinic offering intrauterine insemination?4644/46 (96)2/46 (4)*0 (0)0 (0)
2. If yes, are you offering intrauterine insemination with ovarian stimulation?4443/44 (98)0 (0)0 (0)1/44 (2)
3. If yes, which of the following medications are used?†
Gonadotropins4341/431/4301/43
Clomiphene citrate4321/4321/4301/43
Letrozole438/4334/4301/43
4. Has the 2013 NICE clinical guideline 156 been discussed at a clinic meeting?‡4636/46 (78)6/46 (13)2/46 (4)2/46 (4)
5. Have any alterations in your clinic practice been made since this recommendation?§4617/46 (37)25/46 (54)2/46 (4)2/46 (4)
6. What were the clinical indications for the intrauterine insemination cycles in 2013?¶
Unexplained infertility26/44 
Endometriosis10/44 
Male factor infertility13/44 
Cervical factor infertility6/44 
Immunological factor infertility1/44 
Only for religious, social, cultural reasons2/44 
Only for donor insemination and cancer patients2/44 
Question not answered10/44 
7. Table 4 
  • *Two clinics are licensed to carry out intrauterine insemination and were offering the treatment before and have since stopped.

  • †More than one option possible. One clinic uses tamoxifen.

  • ‡2/6 clinics that did not discuss the guideline were not offering intrauterine insemination.

  • §2/25 clinics that had not made alterations were not offering intrauterine insemination.

  • ¶More than one clinical indication for the intrauterine insemination cycles possible.