Intrauterine insemination (IUI) is a straightforward artificial insemination procedure that enhances the chances of conception by delivering sperm right to where it needs to be. During IUI, a thin tube called a catheter is inserted into the cervix, and a specially prepared sperm sample is injected into the uterus. This method helps ensure that the sperm meets the egg at the optimal time, increasing the likelihood of pregnancy.
When is IUI the Right Choice?
IUI is often suggested for individuals or couples who:
- Experience ovulation issues and are undergoing ovulation induction, especially if timed intercourse hasn’t worked.
- Find it challenging to have intercourse at the right times.
- Have mild male factor infertility.
- Are dealing with unexplained infertility.
- Are using donor sperm.
- Have not had success with fertility medications or other treatments.
Preparing for the IUI Procedure
Before you get started with IUI, your doctor might recommend various tests to create the best treatment plan for you, such as:
- A hysterosalpingogram (HSG) to check the uterus and fallopian tubes.
- Blood tests to assess hormone levels and ovarian function.
- A semen analysis to evaluate sperm quality and motility.
- Routine blood tests for immunity checks and genetic screening.
If you’re providing the sperm, it’s usually recommended to avoid ejaculation for 2 to 5 days prior to the procedure, as longer abstinence can lead to decreased sperm motility.
IUI with Fertility Medication
IUI can be performed during a normal menstrual cycle or alongside ovulation-stimulating medications. Research shows that using fertility medications, like Clomid or Femara, can significantly boost conception rates. These are often recommended for those facing age-related sub-fertility, endometriosis, or male infertility.
What Happens During the IUI Procedure?
Sperm is collected through masturbation—either at home or in the clinic—and then prepared in the lab by separating it from the seminal fluid. The healthiest sperm are selected and injected into the uterus via a catheter. The entire process is quick, lasting around 5 minutes. There may be mild cramping afterward, but patients can typically resume normal activities right away. Sometimes, doctors may suggest having intercourse on the same day to further boost chances of conception.
Using Donor Sperm for IUI
The process is similar for those using donor sperm. On the day of the procedure, thawed sperm from a sperm bank is assessed for quality, and the insemination process is carried out just like it would be with fresh sperm.
Potential Risks of IUI
The risk of pelvic infection is less than 1% with IUI. If fertility medications are involved, there are possible side effects like ovarian hyperstimulation syndrome (OHSS), which can cause swelling and discomfort.
How Many IUI Cycles Are Recommended?
The recommended number of IUI cycles varies based on individual circumstances, including age and diagnosis. If pregnancy isn’t achieved after 3-4 attempts, doctors may suggest moving to more intensive treatments, such as in vitro fertilization (IVF).
Success Rates for IUI
Success rates for IUI are influenced by factors like age, diagnosis, sperm quality, and whether fertility medications are used. For women under 35, success rates typically range from 10-20% per cycle, decreasing gradually with age.
At our clinic, we focus on a tailored approach for each IUI cycle to maximize your chances of success, whether you’re using donor sperm or timing intercourse with ovulation induction. We’ll guide you through your options and help you make informed decisions about your fertility journey.
Dr. Mia Thompson notes, “Many people assume IUI is only for male factor infertility. In reality, it’s often used with medications to support the ovulatory cycle, and success rates correlate more with the female patient’s age and ovarian reserve than with sperm quality.”
For those interested in a consultation about IUI, we invite you to reach out and explore your options. You can also check out more about IUI on this link: IUI Blog.
In summary, IUI is a viable option for many looking to conceive, offering a personalized approach to fertility treatment. For additional information on home insemination kits, visit Make a Mom, which is a reliable resource on this topic. If you’re keen on learning more about pregnancy and home insemination, Healthline is an excellent resource to explore: Healthline.