Intrauterine Insemination (IUI)
Intrauterine insemination (IUI), a fertility treatment that deals with 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.
IUI is the first step towards fertility treatment after OI (ovarian Induction). This procedure is considered effective and increases the chances of pregnancy by 18-20%. The procedure for IUI starts with ovarian induction or stimulation of ovary; medications are given for development of one or more mature follicles in a woman’s ovaries. Then the follicles and endometrium are monitored by ultrasound scan and if required doctor might give gonadotropins injections to those whose egg are not growing.
It is followed by an HCG injection to induce ovulation, the final maturation of the egg and loosening of the egg from the follicle wall. After 34-36 hours the male partners semen sample is collected and washed in which sperm is separated from the other components of the semen. Through a speculum the washed specimen of highly motile sperm is placed higher in the uterine cavity using a sterile, flexible catheter.
IUI is the first step towards fertility treatment after OI (ovarian Induction). This procedure is considered effective and increases the chances of pregnancy by 18-20%. The procedure for IUI starts with ovarian induction or stimulation of ovary; medications are given for development of one or more mature follicles in a woman’s ovaries. Then the follicles and endometrium are monitored by ultrasound scan and if required doctor might give gonadotropins injections to those whose egg are not growing.
It is followed by an HCG injection to induce ovulation, the final maturation of the egg and loosening of the egg from the follicle wall. After 34-36 hours the male partners semen sample is collected and washed in which sperm is separated from the other components of the semen. Through a speculum the washed specimen of highly motile sperm is placed higher in the uterine cavity using a sterile, flexible catheter.
IUI treatment is suggested for
- Patent(Open) falopian tubes
- Cervical factors- abnormalities of cervical mucus or cervical canal
- Unexplained infertility issues.
- Some ovulatory abnormalities – irregular menstrual cycles, PCOS
- Mostly normal sperm evaluation and complete absent of sperms in male(azoospermia) requiring donor sperms.
- Ejaculatory dysfunction.
- Mild endometriosis – stage I & II endometriosis.
IUI treatment is suggested for
- Tubul blockage – sever tubal damage.
- Diminshed ovarian reserve
- Sever male infertility – low sperm count – less sperm motility and morphology.
- Advance female age (>40 years)
- Advance stages of endometriosis.