Intra Uterine Insemination or IUI is one of the procedures used for treating infertility. It involves the injection of sperms directly into the uterus. It’s a type of artificial insemination where sperm that is washed and concentrated to be placed directly in the uterus. This is a viable solution for women who do not have tubal issues or men who do not have severe male infertility. Women with severe endometriosis or a history of pelvic adhesions are not advised to undergo IUI.
Our fertility specialist will monitor the female ovulation cycle, timing the insemination of the sperms to maximise the chances of conception. IUI is less invasive than advanced infertility treatments and if pregnancy fails to occur in three or four cycles, IVF and ISCI may be recommended.
At the beginning of an IUI program, our andrologist obtains a sperm sample from the male partner. The next step involves washing, processing and concentrating the sperms into a high volume at our state-of-the-art laboratory allowing only the healthiest and mobile sperms to fertilise the eggs. It is done around the time when the ovary releases one or more eggs to be fertilised so that the inseminated sperms move into the fallopian tube to fertilise the egg, resulting in a normal pregnancy. Based on the cause for infertility, IUI is coordinated with a patient’s normal menstrual cycle or with fertility medication.
When is IUI recommended?
IUI is recommended most often in cases of male factor infertility but this may not always be the case. These are the cases when IUI is advised:
The IUI procedure
The IUI procedure is a day-care out-patient procedure conducted at Motherhood Hospitals under the care of an experienced and leading infertility specialist.
Intrauterine insemination involves careful coordination before the actual procedure and involves several steps.
Duration of the procedure.
The visit for IUI takes about 15 to 20 minutes: The IUI procedure itself takes just a minute or two and requires no medications or pain relievers. The patient will be lying down for 20 minutes during the procedure.
However, the semen sample must be collected about an hour before the procedure. The preparation of the sample takes a minimum of 1 hour.
What to expect during the procedure?
– The patient will be asked to lie down comfortably and place her legs in stirrups.
– The doctor then attaches a vial containing a sample of healthy sperm to the end of a long, thin, flexible catheter.
– The catheter is then inserted into the patient’s vagina and uterus.
– The sperm is then placed in the uterus, through the catheter.
– The catheter is then removed.
After the procedure
After insemination, the patient is asked to lie on her back for a while. Once the procedure is over, the patient can go about her normal daily activities.
In two weeks, the doctor will ask for a urine test to confirm a pregnancy. If the patient is not pregnant, the same therapy may be repeated for three to four months. In some cases, the doctor might recommend moving on to other fertility treatments.
The success rate for IUI is usually between 17% to 20%.
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