Treatment FAQ

what is iui and ivf treatment

by Carmine Kerluke Jr. Published 2 years ago Updated 2 years ago
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Intrauterine insemination (IUI) and in vitro fertilization (IVF) are two commonly used methods of fertility treatment, which increase a couple’s chance of becoming pregnant. IUI is a procedure during which processed and concentrated motile sperm are inserted directly into a woman’s uterus.

IUI and IVF are two types of artificial fertility treatments to help you get pregnant when nature isn't doing the trick on its own. During IUI, sperm is injected directly into your uterus. IVF is a multi-step reproductive technology that involves egg stimulation, retrieval, lab fertilization and transfer.Jan 31, 2022

Full Answer

Which fertility drugs are used with IUI?

IUI isn’t effective in the following scenarios:

  • women with moderate to severe endometriosis
  • women who have had both fallopian tubes removed or have both fallopian tubes blocked
  • women with severe fallopian tube disease
  • women who have had multiple pelvic infections
  • men who produce no sperm (unless the couple wishes to use donor sperm)

Is IVF better than IUI?

Undergoing IVF places heavier calendar and travel restrictions on patients than IUI does. IVF creates more embryos than IUI and allows for any resulting embryos to be stored indefinitely. This has three benefits: Each IVF cycle is more likely to be capable of delivering multiple embryos and thus multiple children.

What is the difference between an IUI and IVF?

What is the difference between IUI and IVF?

  • UNDERSTANDING IUI AND IVF. Intrauterine insemination (IUI), often known as artificial insemination, is a straightforward in-office treatment.
  • KEY DIFFERENCE BETWEEN IUF AND IVF. ...
  • IUI vs IVF success rate: Because of its increased success rate per cycle, IVF has a substantially shorter time to pregnancy. ...

What is IUI and how is it performed?

  • You’ll lie on an exam table and your doctor will use a speculum (the same tool used in a Pap smear) to gently open the vagina and visualize your cervix.
  • The sperm will be passed through the cervix and placed into the uterus using a long, very thin tube.
  • You’ll remain reclined on the exam table for 10 to 30 minutes following the insemination.

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Which is better IVF or IUI?

In general, IVF has higher success rates than IUI. It is the most highly recommended method for women over the age of 40. Additionally, IVF gives your fertility doctor and the intended parents more have over the number of embryos transferred into the uterus, which lowers the risk of multiple births.

How many IUI does it take to get pregnant?

Statistics show that the majority of IUI pregnancies occur in the first three to four cycles of IUI. One study concluded that 88% of all successful IUIs happen within three cycles and 95% within four. Another study found that 90% of IUI pregnancies occur in the first three cycles of IUI.

Is IUI a painful procedure?

IUI is minimally invasive, and patients do not even require pain medication or anesthesia during treatment. Patients may experience a slight pinching experience (similar to that experienced during a routine pap smear) and a little cramping as the catheter is passed through the cervix.

Is IVF painful or IUI?

So, is the embryo transfer painful? Typically, no. Most women only experience mild to moderate cramping in the days following the procedure. You will then undergo a scheduled pregnancy test with your fertility team 9-10 days after your embryo transfer to determine if pregnancy has taken place.

How much does IUI cost?

IUI is usually less expensive than other fertility treatments, like IVF. In general, it costs about $300-$1,000 without insurance. A few states have laws that say health insurance companies must cover some or all of the costs of infertility treatment if you meet certain requirements.

Are IUI babies normal?

Aside from the conception process and risks associated with combining the procedure with fertility medications, an IUI pregnancy is virtually indistinguishable from a traditional pregnancy.

Can IUI cause twins?

On its own, IUI does not increase the risk of twins. IUI brings sperm close to a woman's eggs so that fertilization is easier, but it does not alter any other part of ovulation or conception.

What are the side effects of IUI?

What are the risks?dizziness or lightheadedness.sudden weight gain of more than 5 pounds.shortness of breath.nausea and vomiting.severe abdominal or pelvic pain.sudden increase in abdominal size.

Is IVF your own baby?

The procedure can be done using a couple's own eggs and sperm. Or IVF may involve eggs, sperm or embryos from a known or anonymous donor. In some cases, a gestational carrier — someone who has an embryo implanted in the uterus — might be used.

Can you pick gender with IVF?

This is the process of a couple or individual choosing the genetic sex of the child, boy or girl, by testing the embryo(s) created through IVF before one is implanted in the uterus. Sex selection is only possible using IVF embryos. The term sex selection is preferable to the past term of gender selection.

Is IVF successful first time?

The national average for women younger than 35 able to become pregnant by in-vitro fertilization (IVF) on the first try (meaning, the first egg retrieval) is 55%.

Is IVF 100 percent successful?

The most important fact to know about IVF is it's not 100 percent successful—the process can take time, money, and even an emotional toll on your life. "There's a significant emotional drain on the couple and the relationship," says Dr.

Why is IUI important?

In addition to helping couples with infertility challenges, IUI can be useful for couples who are having trouble conceiving for other reasons, such as their work or travel schedule, or sexual dysfunction.

What are the risks of IVF?

IVF is usually recommended for couples facing the following situations: 1 Severe male infertility 2 Blocked Fallopian tubes 3 Lack of success using IUI 4 Concern about passing on certain genetic disorders

How is sperm placed in the uterus?

Through intrauterine insemination (IUI), sperm is placed directly into the uterus using a speculum. Through In-vitro fertilization (IVF), eggs are surgically removed using a needle that goes through the back of the vagina, and those eggs are fertilized outside of the body.

What does a fertility specialist do?

Your fertility specialist will run some tests and then advise you on potential treatment options based on the results of those tests. Your fertility specialist can also provide you with an estimated chance of conception success, either naturally or with each type of treatment.

What is pre-implantation testing?

Pre-implantation genetic testing is an advanced scientific procedure that can be performed before IVF. This may be beneficial for patients who have concerns about a genetic condition or who have had multiple unsuccessful IUI cycles or miscarriages. This procedure can be used to identify genetic disorders or chromosomal abnormalities in embryos, and can help identify the best embryo to transfer.

Can IUI cause multiples?

It is important to note that many women undergoing IUI are given hormones or medication in order to induce ovulation or to increase the number of eggs that are ovulated each month. This increases a couple’s chances of having twins or multiples. Although many couples undergoing fertility treatment welcome the idea of having twins or even more babies, in reality, having multiples will introduce complications for the mother and the babies.

Is IUI more invasive than IVF?

Couples with infertility often start treatment with IUI, which is much less invasive than IVF. IUI involves placing a washed sperm directly into the woman’s uterus during the fertile window. This can be done as part of a natural cycle or, more often, in combination with medications (like clomiphene citrate or letrozole).

How does IUI help with infertility?

An IUI helps beat infertility in two primary ways. Egg quality and ovulation: Medications are given to help grow and ovulate one or two mature eggs (some women may not ovulate otherwise). Sperm Quality: An IUI puts sperm much closer to its target (the egg).

What are the different types of IUI?

Types of IUI based on the medication used. Natural cycle – No medications are used for a natural IUI cycle. Trigger cycle – This adds the component of using medication to trigger ovulation for a specific time to more optimally time insemination, further increasing odds of pregnancy.

What is the first fertilization method?

Conventional IVF – Fertilization Technique: The first fertilization method developed. Sperm are placed in a petri dish to fertilize the egg via self-employed penetration into the egg.

How many eggs can I ovulate with IUI?

Treatment Process: IUI: An IUI can be done with no medications or a number of different medications to help develop and ovulate one or two eggs. Around day 14 of a woman’s cycle, the insemination takes place which deposits sperm inside the uterus.

What is the best fertility treatment?

One of the first things people should do when exploring fertility treatment options is to compare intrauterine inseminations (IUI) and in vitro fertilization (IVF) as they are two of the most common and effective fertility treatments.

What is an IVI?

There are two main types of artificial inseminations: IVI/ICI: An Intra (vaginal/cervical) Insemination is a treatment that can be done in a medical office or as an at-home insemination. With an IVI, sperm are deposited with a syringe at the top of the vagina as close to the cervix as possible.

Where can I do intrauterine insemination?

IUI: An Intrauterine Insemination can only be done in a medical setting, either at an OBGYN office or Fertility Clinic. With an IUI, the sperm is “washed,” concentrated, and loaded into a catheter that is fed through the cervix and deposited near the top of the uterus.

What is the difference between IUI and IVF?

Intrauterine insemination (IUI) and in vitro fertilization (IVF) are two commonly used methods of fertility treatment, which increase a couple’s chance of becoming pregnant. IUI is a procedure during which processed and concentrated motile sperm are inserted directly into a woman’s uterus.

How does IVF work?

The basic components of the IVF process include stimulation of the ovaries to produce multiple eggs at a time, removal of the eggs from the ovary (egg retrieval), fertilization of the eggs in the laboratory, and subsequent placement of the resulting embryos into the uterus (embryo transfer). The chance of pregnancy from IVF depends primarily on ...

How many times can Iui be performed?

This procedure is timed according to a woman’s ovulation, and may be performed one to two times in the days immediately following the detection of ovulation.

What is IUI fertility?

IUI is one of the simplest of the available fertility treatments.

What are the conditions that can be treated with IUI?

Some of the conditions which may be treated with IUI include: Sperm that does not swim properly and need help getting through the cervix and meeting the egg. Cervical abnormalities, like when there is severe scarring of the cervix that prevents sperm from traveling past the cervix and into the fallopian tubes.

How does IUI work?

This sperm is then deposited directly into the uterus without having to swim there on its own, which can be challenging, especially if the sperm do not swim well. IUI places a higher concentration of moving sperm closer to the ovulated egg. Often a woman will have taken medication prior to the IUI procedure to ensure she will ovulate around the time of the procedure, so egg and sperm can meet.

Why do people opt for IUI?

While many patients opt for IUI at the start of their fertility journey because it is less invasive and more affordable, success rates for IVF are considerably higher.

Why is FET used in IVF?

In RMA clinics, FET has become the standard of care for all IVF patients because this is known to lead to higher rates of implantation and improve obstetrical outcomes.

Why do women take medication before IUI?

Often a woman will have taken medication prior to the IUI procedure to ensure she will ovulate around the time of the procedure, so egg and sperm can meet.

How long does it take for IVF to work?

These are the stages involved in IVF: Ovarian stimulation with hormonal medication is performed over a period of around 10-14 days. During this time, progress is monitored through ultrasound scans and blood tests.

What is IUI treatment?

You may know of IUI by the more commonly used term artificial insemination (AI). IUI is a type of AI treatment.

What is IUI used for?

IUI is used to treat many types of infertility and is often done in multiple cycles until pregnancy is achieved—or another treatment is tried. IUI is often the first procedure tried before moving on to more invasive options, such as in-vitro fertilization ( IVF ).

How long after IUI can I take progesterone?

After the IUI procedure, you may be prescribed progesterone. This is usually taken via a vaginal suppository. About a week after the IUI, your doctor may order blood work. They will check your progesterone levels, estrogen, and (maybe) hCG levels .

How much does an IUI cycle cost?

When all is said and done, one IUI cycle may cost you $3,000 or more.

How much does it cost to get IUI?

According to a survey done by the nonprofit infertility association RESOLVE, the average IUI fertility treatment costs $895. 2  The price, however, varies considerably from clinic to clinic, ranging from as low as $300 to well over $1,000.

What is the name of the drug that is used to treat IUI?

Gonadotropins with IUI. Gonadotropins are injectable fertility drugs, including FSH, LH, hMG, and hCG. Brand names you may recognize are Gonal-F, Follistim, and Ovidrel. When you get your period, you’ll call your doctor to schedule a baseline ultrasound and blood work.

When should IUI be scheduled?

If your doctor is monitoring your cycle, they will schedule the IUI procedure just before ovulation.

How long does it take to get an IUI?

The IUI procedure itself takes just a minute or two and requires no medications or pain relievers. Your doctor or a specially trained nurse performs the procedure.

What is intrauterine insemination?

Overview. Intrauterine insemination ( IUI) — a type of artificial insemination — is a procedure for treating infertility. Sperm that have been washed and concentrated are placed directly in your uterus around the time your ovary releases one or more eggs to be fertilized. The hoped-for outcome of intrauterine insemination is for ...

What is frozen donor sperm?

Frozen donor sperm specimens are obtained from certified labs and thawed before the IUI procedure. Unexplained infertility. IUI is often performed as a first treatment for unexplained infertility along with ovulation-inducing medications. Endometriosis-related infertility.

What is a transvaginal ultrasound?

During a transvaginal ultrasound, your doctor or a medical technician inserts a wandlike device (transducer) into your vagina while you are positioned on an exam table. The transducer emits sound waves that generate images of your uterus, ovaries and fallopian tubes.

What is the first treatment for endometriosis?

Endometriosis-related infertility. For infertility related to endometriosis, using medications to obtain a good-quality egg along with performing IUI is often the first treatment approach.

How to monitor ovulation?

To do this, you might use an at-home urine ovulation predictor kit that detects when your body produces a surge or release of luteinizing hormone (LH). Or, an imaging method that lets your doctor visualize your ovaries and egg growth (transvaginal ultrasound) can be done . You also may be given an injection of human chorionic gonadotropin (HCG) or medications to make you ovulate one or more eggs at the right time.

How does a sperm speculum work?

Attaches a vial containing a sample of healthy sperm to the end of a long, thin , flexible tube (catheter) Inserts the catheter into your vagina, through your cervical opening and into your uterus. Pushes the sperm sample through the tube into your uterus. Removes the catheter, followed by the speculum.

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Iuis May Be Less Invasive, More Natural

  • Couples with infertility often start treatment with IUI, which is much less invasive than IVF. IUI involves placing a washed sperm directly into the woman’s uterus during the fertile window. This can be done as part of a natural cycle or, more often, in combination with medications (like clomiphene citrate or letrozole). The washed sperm sample wil...
See more on nm.org

Reasons to Pursue IVF

  • IUI can be a good starting point for couples facing issues involving ovulation or unexplained infertility. However, IUI may not be the most suitable fertility treatment for a couple. IVF is usually recommended for couples facing the following situations: 1. Severe male infertility 2. Blocked Fallopian tubes 3. Lack of success using IUI 4. Concern about passing on certain genetic disord…
See more on nm.org

Insurance Coverage and Fertility Treatment

  • Many couples living in Illinois have insurance coverage for infertility testing and/or treatment. Sometimes, insurance policies have certain requirements before IUI or IVF cycles are covered. Call your insurance company to see what kind of benefits are offered.
See more on nm.org

Which Approach Is Best?

  • Every patient and every situation is different, so you should meet with a fertility specialist to review your history and to discuss a recommended course of action. Infertility is not uncommon, and regardless of age, couples are encouraged to seek helpsooner rather than later. To learn more about fertility treatment and your options, visit fertility.nm.org. – Mary Ellen G. Pavone, MD…
See more on nm.org

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