Intra Uterine Insemination (IUI)

Do you know what’s IUI ?

IUI is Intra Uterine Insemination.

Can IUI be done with Natural Cycle/ Ovulation Induction /Superovulation ?

IUI can be done with any of the three above mentioned procedures

What is the success rate of IUI?

The pregnancy rate after IUI for the first time is 15 %, increases to 25 % after 3 cycles . The success rate drops after 5th cycle. So, we generally recommend 4 cycles in our centre.

When is couple recommended IUI?

➣ After trying natural intercourse for 1 year and not conceived
➣ When sperm count is less than 15 million
➣ When motility is 15 to 30 %
➣ When there is erectile or ejaculation problem or sexual problems
➣ When wife requires gonadotropin injections to increase or induce egg/follicle growth

What has to checked before doing IUI, apart from health screening

Male Partner:- Semen Analysis (Total motile count-5-10 Million) .This value is provided in the semen analysis taken at A4hospital
Female Partner:- Tubal patency test (HSG/ Laparoscopy), Ovarian reserve test (USG & AMH)

How many times need to come to the Hospital?

➣ Needs minimum of three to maximum of six visits to the doctor.
➣ First visit will be during menses day 2 or 3. The baseline scan will be done and medications will be prescribed
➣ Second visit will be on day 9 or 10 to monitor the follicle/ egg growth
➣ Next visit will be mostly on day 13 or 14, once follicle grows to 20 to 22mm, a trigger injection (Painless Subcutaneous injection/ pen type) will be given.
➣ About 36 hours later, Husband will be giving semen sample for Processing.
➣ Processing will take about 45 to 90 min, then IUI will be done

How is the Procedure done?

Female partner scan is done to confirm rupture of follicles. Then in the same position, the private area is cleaned with saline , a small speculum is inserted and cervix or uterine mouth visualized. Under USG / abdominal scan guidance with partially filled urinary bladder, processed semen sample is instilled into uterine cavity. She lies down relaxed in the couch for 20 minutes, then gets back home. It is a comfortable easy procedure. Not painful and in fact they usually ask “ Is it over Dr, that’s all ?”

Post IUI do I need to take bed rest?

Post IUI, a female can undergo normal activity as before. To avoid stressful activities physically or mentally. Can climb stairs. Can sit down. Can go to work if not stressful.

Can we intercourse after or before IUI?

➣ It’s better to have normal intercourse before IUI. Just 1 to 2 days before abstinence is better.
➣ We will tell you to avoid sex after trigger injection , as we will get adequate quality and quantity of sperms.
➣ Post IUI, once or twice intercourse is advisable to increase the success rate. But after 2 days there is no harm or no advantage in having normal sexual life.

What to eat after IUI?

Healthy diet is the gold standard. Avoid junk foods, foods causing acidity/ loose stools/ allergies/cold. Can follow the fertility diet advises as given in the diet section.

When to check urine pregnancy test?

➣ Post IUI, after 20 days urine pregnancy test can be done. If want to be precise blood test can be done.
➣ We are happy to let the miracle happen in your family too and be a part of your journey towards parenthood.