Intrauterine insemination (IUI)
Intrauterine insemination (IUI) is placing of sperm into a woman’s uterus around the time of ovulation. This is achieved with a thin flexible tube (catheter) that is passed into the vagina, through the cervix, and into the uterus.
Insemination procedures are the simplest and least expensive methods of assisted reproduction.
No anaesthesia or surgery is needed. In IUI, sperm of the male partner is used. IUI is often combined with superovulation medication to increase the number of available eggs so as to enhance pregnancy rates.
Prior to insemination, the sperm are processed (washed and concentrated). Placing unwashed sperm directly into the uterus can cause severe cramps. Concentration is accomplished by selectively choosing highly active, healthy sperm that are more capable of fertilizing an egg. IUI is done on an outpatient basis with without any use of anaesthesia.
There are registered and approved sperm banks from which donor sperm can be used for couples where the male partner is unable to produce sperm or has an extremely low sperm count or carries a risk of transmittable genetic disease to the offspring.
Highlights of IUI at our centre
- We select our patients very carefully before giving them a trial of IUI.
- The medications that are given for ovarian stimulation are chosen after full consideration of the patient’s profile.
- Every IUI cycle is monitored with help of USG & hormonal testing.
- We do one well-timed single insemination, which reduces the cost of the procedure without affecting the success rate.
- Our unit is a FOGSI approved training centre for training in IUI techniques.
Frequently asked questions on IUI
Which couples benefit from IUI?
IUI is done to enhance the fertility in couples where no definite factor appears to be responsible for couple’s infertility. Investigations of women should confirm that she is ovulating either naturally or with ovulatory drugs, has one or both fallopian tubes open and healthy and has a normal uterine cavity. IUI can also benefit couples with marginally low sperm count and motility.
Steps of IUI Treatmentl>
Complications of the procedure:UI is a very safe treatment and complications are infrequent.
- Brief uterine cramping can occur during or after procedure, which can be relieved by mild analgesics.
- Very rarely, infection can occur. Patients should report back if fever and or severe pain abdomen, vomiting, loose motions occur after the procedure.
- When medicines are used for ovulation, risk of ovarian hyperstimulation and multiple pregnancies also exist. These complications are more with injectable than oral medications.