Intrauterine Insemination (IUI): Complete Manual for Couples Who Suffer from Infertility
Dr Shreya Iyengar Patel, Infertility Specialist at Balaji Horizon Women’s Hospital Intrauterine insemination (IUI) is one of the most common treatments in assisted reproductive technology that can be beneficial for couples struggling with infertility. It is a straightforward and not very invasive procedure intended to improve the odds of getting pregnant. This guide will address the questions regarding the IUI method, its indications, the procedure details, and estimates of success rates. The summary is prepared for patients of Kutch/Bhuj attending the Balaji Horizon Women’s Hospital in Ahmedabad seeking help with fertility issues.
What is IUI?
Intrauterine insemination (IUI), also known as IUI, is a type of artificial insemination in which sperm is collected and processed (washed) before being injected directly into the uterus during ovulation. This washing of the sperm improves the chances for fertilization because the sperm is placed close to the egg, and the barriers that need to be crossed are fewer. IUI is usually the first step before advanced fertility treatments are contemplated, such as in vitro fertilization. The procedure can use either the partner’s sperm or the donor’s sperm, depending on the specific situation.
Why is IUI Recommended?
IUI is suggested for many kinds of fertility problems because of the following reasons:
- Problems with the Cervix: Some women experience problems with the cervix, such as the production of too thick or too little mucus, which can obstruct the movement of sperm to the fallopian tubes. IUI solves this by injecting sperm directly into the uterus.
- Deficiency in Sperm Count or Quality: For those that possess a low semen volume and have sluggish, poorly performing sperm, using IUI with donor sperm increases the likelihood of pregnancy, as only the most motile sperm are injected.
- Sperm from Donor: In cases where the male partner does not have any active sperm, sperm from a donor can be used to perform the IUI.
- Erections and Ejaculation Difficulties: IUI is helpful for couples in which the man is infertile because of ejaculation issues.
- Allergy to Sperm: Certain females are allergic to the seminal fluids of their partner; IUI can help these women as the sperm is pre-washed to remove allergens.
- Infertility with No Diagnosis: Infertility of any origin can, in some cases, be treated with IUI, although why it works is unknown.
The IUI Process
Intrauterine insemination is a simple, minimally invasive procedure that consists of multiple consultations and checks prior, such as inductive therapy, oocyte retrieval, insemination, and finally, a blood test to determine pregnancy.
- Pre-treatment Evaluation: The treatment works with both partners by conducting an analysis that includes semen evaluation and hormone analysis, as well as assessing the uterus, ovarian reserve, and fallopian tubes.
- Ovarian Stimulation: In some circumstances, fertility medicine will aid egg maturation. The development is tracked using regular scans and blood tests.
- Ovulation Induction: If the eggs are ready, an injection of hCG triggers ovulation.
- Insemination: On the day of ovulation, the sperm is washed, concentrated, and then injected straight into the uterus with a catheter. It takes a few minutes and is minimally invasive, so most people do not feel anything, though some light cramping may occur.
From start to finish, the whole process corresponds to a regular menstrual cycle and usually takes around 4 weeks. 15 days after the insemination, one can conduct a pregnancy test.
Success Rates: How Many Attempts Are Needed?
IUI success rates change from patient to patient depending on some postgraduate factors like age and fertility problems. Women below the age of 35 have a success rate of around 10%-20% per cycle, which increases to 30%-60% after several cycles. Statistically, there is a 90%-95% chance of a successful pregnancy within 3-4 IUI cycles.
How Many IUI Cycles Should Be Done in a Given Attempt?
Some couples achieve pregnancy after one or two cycles, while others might require several attempts. In general:
- Women below the age of 35 should ideally attempt 3 to 6 cycles before opting for IVF.
- Women above the age of 40 should attempt a maximum of 3 IUI cycles before looking into other options.
Due to the age sensitivity of fertility, it becomes essential to have an individualized treatment plan that is based on one’s ovarian reserve and general health. Caring for women in hand can aid in ascertaining which approach is the most optimal.
Why Ahmedabad for IUI Treatment?
Kutch/Bhuj couples looking for advanced fertility treatment can benefit from Ahmedabad‘s superb medical infrastructure and trained doctors. At Balaji Horizon Women’s Hospital, we offer customized fertility treatment plans to provide the best results for our patients, and this is our area of expertise.
Final Thoughts
IUI is easy to do and helps a lot of couples struggling with infertility get pregnant. While the chances of success within a single cycle are not high, doing multiple IUI cycles helps increase the chances of success for the higher side. If considering IUI or looking for fertility assistance, a specialist is likely to provide the right advice on the next steps.
Patients from Kutch/Bhuj needing expert fertility care can access it at Balaji Horizon Women’s Hospital in Ahmedabad. Contact us now for a consultation, and let us help you embark on your journey towards better fertility.
