Intrauterine insemination (IUI) is an In-vitro Fertilization approach that is commonly used to treat couple’s infertility where more difficult treatments are not indicated.
What is Intrauterine Insemination?
Intrauterine insemination (IUI) is the placing of specially prepared, concentrated “washed” sperm into the cavity of the uterus, bypassing the cervix. This is done close to ovulation time (coinciding with the release of the egg into the uterus). IUI is not suitable for every couple having trouble conceiving, but when used appropriately can result in a good pregnancy rate.
What are the causes of female infertility?
1) Polycystic ovarian syndrome (PCOS)
2) Primary ovarian insufficiency (POI)- premature or early failure of ovarian function, before the age of 40 years.
3) Blocked/ abnormal fallopian tubes due to endometriosis or surgery
4) Anomalies of uterus- developmental abnormalities of uterus, occurring from birth itself.
5) Uterine fibroids- Benign or non-cancerous tumors of the muscle wall of the uterus that may cause unusual uterine bleeding or pelvic pain, and possibly interfere with normal conception & pregnancy.
What are the causes of male infertility?
Sperm abnormalities such as he may produce too few sperm (low sperm counts), his sperm may be not be shaped correctly or move in a normal fashion (misshapen sperm or limited sperm motility) or the sperm may have trouble attaching to the egg (problems in fertilization).
What is the procedure for Intrauterine Insemination?
The Intrauterine Insemination can be done as part of a natural cycle. Some doctors advise combining it with ovulation induction. Timing your menstrual cycle, go to the clinic on day 11 of your cycle for an orientation visit, certain blood tests and then henceforth daily home monitoring by urine testing (or rarely blood tests). By these test kits you will get to know exactly when you are ovulating. Sometimes even ‘triggering’ may be required to bring about ovulation. When the monitoring shows that the ovaries (and eggs) are ready, a last ‘triggering’ injection of hCG (Human Chorionic Gonadotropin) will cause ovulation. At that time, insemination is planned to coincide with this, almost 36-48 hours later.
The insemination will be done by your nurse who will insert a drop of the washed, concentrated sperm into the uterus through a small disposable catheter. This simple procedure does not usually cause pain but may cause some cramping and mild discomfort. You are then free to then get up immediately, return to your work and daily routine.