Treatment FAQ

what is iui in fertility treatment

by Roxane Okuneva Published 3 years ago Updated 2 years ago
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During an intrauterine insemination (IUI) procedure, sperm is placed directly into the uterus using a small catheter. The goal of this treatment is to improve the chances of fertilization by increasing the number of healthy sperm that reach the fallopian tubes when the woman is most fertile.

How can I improve my chances of successful IUI?

IUI stands for in intrauterine insemination. It’s also sometimes called donor insemination, alternative insemination, or artificial insemination. IUI works by putting sperm cells directly into your uterus around the time you’re ovulating, helping the sperm get closer to your egg. This cuts down on the time and distance sperm has to travel, making it easier to fertilize your egg.

What to do after IUI?

Intrauterine Insemination (IUI) is a fertility treatment that involves placing sperm inside a woman’s uterus to facilitate fertilization. The goal of IUI is to increase the number of sperm that reach the fallopian tubes and subsequently increase the chance of fertilization.

How successful is IUI?

Mar 02, 2018 · IUI may be the only treatment needed to achieve pregnancy. IUI can be performed using a male partner’s sperm or donor sperm. IUI is most commonly used in these scenarios: unexplained infertility ...

What is the process of IUI?

Intra-uterine insemination or IUI is a simple fertility treatment that involves inserting the sperm directly into a woman's uterus while she is ovulating. It may also be performed with donor sperm or frozen sperm.

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How long does IUI take to get pregnant?

How long does it take to get pregnant using IUI? Since insemination occurs during ovulation, it takes approximately two weeks after the procedure to determine if the treatment is successful after a positive pregnancy test.

What is better IUI or IVF?

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.

What are chances of IUI getting pregnant?

Through a diagnosis, the doctor may identify issues that can affect your success rate. If you are experiencing unexplained fertility with healthy eggs and two fallopian tubes, IUI success rates are around 7% to 10% per cycle.Jul 22, 2021

Is IUI a painful process?

Does IUI Hurt? The IUI procedure should only take a few minutes and it shouldn't hurt. Some mild discomfort may occur when the speculum is inserted, or you may experience cramping when the catheter passes through the cervix. The discomfort is temporary and should be gone by the end of the procedure.Jan 8, 2020

Can u have twins with IUI?

Although IUI increases the chance of pregnancy, this procedure alone does not increase the chance of having multiples. By itself, IUI does not affect ovulation, so a patient who undergoes IUI has about the same chance of conceiving twins or other multiples as individuals who conceive naturally.Oct 2, 2019

Is normal delivery possible after IUI?

The pregnancy rate per IUI cycle was 4.5 %. Conclusion: The birth of normal, healthy infants by IUI using PESA indicates that the caput epididymal sperm possess fertilization capacity. The PESA-IUI programme is a practical and economical procedure for the management of patients with obstructive azoospermia.

Is IUI better than natural?

There is no improvement in clinical pregnancy rates with OI versus natural cycle IUI among young, non-infertile women. However, clinical pregnancy rates were higher for older women (age 38-40) with OI/IUI versus natural cycle IUI. Multiple pregnancy rates are much higher with OI compared to natural cycle IUI.Oct 8, 2018

How much sperm is needed for IUI?

CONCLUSIONS: These data suggest that a threshold number of sperm may exist to optimize IUI success and that the minimum total number of motile sperm needed is approximately 6.7 million per insemination.

Can sperm fall out after IUI?

Q : Can the sperm fall out? A : Once the sperm is injected into the uterus, it does not fall out. There can, however be an increased wetness after the procedure because of the catheter loosens mucus in the cervix and allows it to flow out.Oct 15, 2020

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 IUI done under Anaesthesia?

Performing an IUI The whole process only takes a few minutes and is usually painless. Patient should hence try to relax and take it easy the day of the IUI. No anesthesia is needed.

Which day IUI is done?

IUI is usually done between day 12 and day 16 of a natural menstrual cycle, but the exact day will depend on your individual cycle . If your fertility specialist has offered IUI during a stimulated cycle, you'll probably be given fertility drugs in the form of tablets or injections.

What is IUI in a pregnancy?

What is IUI? What is IVF? What is IUI? Intrauterine insemination (IUI) is a simple procedure that puts sperm directly inside your uterus, which helps healthy sperm get closer to your egg.

How does IUI work?

IUI works by putting sperm cells directly into your uterus around the time you’re ovulating, helping the sperm get closer to your egg.

How long does it take for a sperm tube to inseminate?

The insemination procedure is done at your doctor’s office or at a fertility clinic, and it only takes about 5-10 minutes.

Why do you wash your sperm?

Sperm washing also helps get rid of chemicals in the semen that can cause reactions in your uterus and make it harder to get pregnant. If you’re using donor sperm from a sperm bank, the sperm bank generally sends the doctor's office sperm that’s already “washed” and ready for IUI.

What is the process of insemination?

Semen is collected from your partner or a donor. It goes through a process called “sperm washing” that collects a concentrated amount of healthy sperm from the semen.

How much does it cost to get infertility treatment without insurance?

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. But many insurance plans don’t offer any fertility treatment coverage at all.

Is IUI a fertility treatment?

IUI is a simple and low-tech procedure, and it can be less expensive than other types of fertility treatments. It increases your chances of pregnancy, but everyone’s body is different, so there’s no guarantee that IUI will work.

When is IUI used?

The most common reasons for IUI are low sperm count or decreased sperm mobility. However, IUI may be selected as a fertility treatment for any of the following conditions as well:

How does IUI work?

Before intrauterine insemination, ovulation- stimulating medications may be used, in which case careful monitoring will be necessary to determine when the eggs are mature.

What are the risks?

The chance of becoming pregnant with multiples is increased if you take fertility medication when having IUI. There is also a small risk of infection after IUI.

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 ).

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.

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.

When is IUI done?

IUI is done around the time of ovulation or in conjunction with fertility drugs to maximize the likelihood of conception. You may know of IUI by the more commonly used term artificial insemination (AI). IUI is a type of AI treatment.

When should I start taking fertility pills?

Assuming everything looks good, you’ll start taking the oral fertility drugs on the days prescribed by your doctor. You may or may not have ultrasound monitoring and more blood work as the cycle progresses. If your doctor is monitoring your cycle, they will schedule the IUI procedure just before ovulation.

When to schedule IUI?

If your doctor is monitoring your cycle, they will schedule the IUI procedure just before ovulation. Or, your doctor may ask you to use an ovulation predictor test at home. When the test indicates ovulation is near, you’ll call your doctor’s office to schedule blood work, possibly an ultrasound, and the IUI procedure.

What is IUI performed on?

IUI can be performed using a male partner’s sperm or donor sperm. IUI is most commonly used in these scenarios: unexplained infertility. mild endometriosis. issues with the cervix or cervical mucus. low sperm count. decreased sperm motility. issues with ejaculation or erection. same-sex couples wishing to conceive.

What is IUI in pregnancy?

Overview. Intrauterine insemination (IUI) is a fertility treatment where sperm are placed directly into a woman’s uterus. During natural conception, sperm have to travel from the vagina through the cervix, into the uterus, and up to the fallopian tubes. With IUI, sperm are “washed” and concentrated, and also placed directly into the uterus, ...

How soon after IUI can I take a pregnancy test?

You can take a pregnancy test two weeks after the IUI procedure.

What to expect when you have IUI?

What to expect when you have the procedure. IUI is a relatively painless and noninvasive procedure. IUI is sometimes done in what is called the “natural cycle,” which means no medications are given. A woman ovulates naturally and has the sperm placed at a doctor’s office around the time of ovulation.

How many cycles of IUI can I get pregnant?

Success rates for IUI tend to decrease in women over the age of 40, and in women who have not gotten pregnant after three cycles of IUI.

How does IUI affect pregnancy?

With IUI, sperm are “washed” and concentrated, and also placed directly into the uterus, which puts them closer to the egg. This process can increase the likelihood of pregnancy in certain couples who have had difficulty getting pregnant.

What hormones are used to stimulate ovaries to produce eggs?

Medications such as clomiphene citrate (Clomid), hCG (human Chorionic Gonadotropin), and FSH (follicle stimulating hormone) may be used to prompt the ovaries to mature and release an egg or multiple eggs. Ovulation with more than one egg usually increases chance of pregnancy.

IUI Procedure

IUI is usually preceded by oral or injectable fertility medication. As the menstrual cycle progresses, serial ultrasound scans or follicular monitoring are carried out. The doctor may schedule a date for the IUI procedure if she is monitoring ovulation or ask the patient to use a home ovulation kit and come to the clinic when she is ovulating.

Risks

IUI is a relatively low-risk procedure. Some women may develop ovarian hyperstimulation syndrome (OHSS). However, complications such as OHSS or infections are extremely rare. Women who are prescribed gonadotropins before the procedure may develop too many potential follicles.

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Why It's Done

  • A couple's ability to become pregnant depends on many different factors. Intrauterine insemination is used most often in couples who have: 1. Donor sperm. For women who need to use donor sperm to get pregnant, IUI is most commonly used to achieve pregnancy. Frozen don…
See more on mayoclinic.org

Risks

  • Intrauterine insemination is a relatively simple and safe procedure, and the risk of serious complications is low. Risks include: 1. Infection.There's a slight risk of developing an infection as a result of the procedure. 2. Spotting.Sometimes the process of placing the catheter in the uterus causes a small amount of vaginal bleeding. This doesn't usually have an effect on the chance of …
See more on mayoclinic.org

How You Prepare

  • Intrauterine insemination involves careful coordination before the actual procedure: 1. Preparing the semen sample.Your partner provides a semen sample at the doctor's office, or a vial of frozen donor sperm can be thawed and prepared. Because nonsperm elements in semen can cause reactions in the woman's body that interfere with fertilization, the sample will be washed in a wa…
See more on mayoclinic.org

What You Can Expect

  • The visit for intrauterine insemination takes about 15 to 20 minutes and is usually done in a doctor's office or clinic. The IUIprocedure itself takes just a minute or two and requires no medications or pain relievers. Your doctor or a specially trained nurse performs the procedure.
See more on mayoclinic.org

Results

  • Wait two weeks before taking an at-home pregnancy test. Testing too soon could produce a result that is: 1. False-negative.If pregnancy hormones aren't yet at measurable levels, the test result may be negative when, in fact, you really are pregnant. 2. False-positive. If you're using ovulation-inducing medication such as HCG, the medication that's still circulating in your body could indic…
See more on mayoclinic.org

What Is Intrauterine Insemination (IUI)?

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IUI, or intrauterine insemination, is a relatively simple fertility treatment. It may be done with or without fertility drugs. The procedure itself involves transferring semen that has been washed and concentrated directly into the uterus via a thin catheter. IUI is done around the time of ovulation or in conjunction with fertility dr…
See more on verywellfamily.com

When It's Used

  • 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). Some insurance companies require a few cycles of IUI before paying for IVF. Cycles of IUI may be recommended to treat any of the followi…
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Cost

  • When considering fertility treatments above and beyond taking fertility drugs, IUI is often the first tried because it's easier to do than assisted reproductive technologies like IVF. It also costs much less. Some insurance plans will cover IUI (and possibly other infertility treatments), while others do not. Check your coverage and all fees before getting started so that you can make a financiall…
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Treatment Cycles

  • Your treatment cycle (and how many cycles you plan to do) will depend on why your doctor has recommended IUI and on whether you’re taking fertility drugs. Two common treatment cycles that do involve fertility drugs include:
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The Procedure

  • The procedure is simple and virtually painless, though it’s normal to feel nervous about it. It will be done in your fertility clinic. (You don’t need to go to the hospital for the procedure.) It doesn't require any medications or painkillers and takes just a few minutes to complete.
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Risks

  • IUI is a relatively low-risk procedure. There is a very small risk of infection.1 Some of the biggest risks come from the fertility drugs used. If you’re using gonadotropins, you may be at risk for having a multiple pregnancy or developing ovarian hyperstimulation syndrome (OHSS).
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Potential Challenges

  • IUI has helped many women become pregnant, but it doesn't always work. In cycles where fertility drugs and IUI were combined, the pregnancy success rate can reach as high as 20%.5 These are per-cycle rates, meaning that the success odds are higher when looking at multiple cycles together. Often, it is recommended to commit to trying IUI for a minimum of three cycles. In a st…
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A Word from Verywell

  • Deciding whether or not to pursue IUI is a personal choice. Though IVF success rates per cycle are much higher, IUI is significantly less expensive. The procedure is also easier and less invasive. If IVF is out of your price range, multiple IUI cycles might be the better choice, depending on the cause of your infertility. Another option to consider is mini-IVF. Understand that while IUI can hel…
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