Intrauterine Insemination (IUI Treatment)
It is a simple technique that involves the deposition of a washed semen sample into the woman’s uterus around the time of ovulation.
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Intrauterine insemination (IUI) involves a laboratory procedure to separate fast-moving sperm from more sluggish or non-moving sperm. The fast-moving sperms are then placed into the woman’s womb close to the time of ovulation when the egg is released from the ovary in the middle of the monthly cycle. It is used as an intermediate level intervention prior to proceeding to in vitro fertilization (IVF).
It is essential that your fallopian tubes are known to be open and healthy before the IUI process begins. The second essential requirement is that there is no severe problem with sperm numbers or sperm quality. The intrauterine insemination success rate is up to 12- 20% per cycle. It is recommended that at least 3-4 cycles of treatment are attempted before considering other options.
- Ejaculatory dysfunction (including sexual dysfunction and impotence)
- Severe vaginismus (Where woman is unable to have an intercourse)
- Cervical factor infertility
- Mildly Low sperm count and motility
- Unexplained infertility
- Stage I or II endometriosis
- Absent or defective ovulation as in PCOS
- Absent sperms (azoospermia) – For Donor sperm insemination
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Frequently Asked Questions
Besides the number of sperm, the percentage with rapid forward-progressive motility and with normal morphology at the time of insemination are important to know. If the functional sperm count (number with normal morphology and rapid forward-progressive motility) exceeds 5 million; chances for pregnancy with well-timed IUI are excellent.
Normal, healthy sperm live approximately 48-72 hours. (Abnormal sperm may have a shorter life, which may vary according to sperm health.) At IVF India we know that washed sperm can survive in the IVF incubator for up to 72 hours. That would be considered the upper practical limit.
Eggs are able to be fertilized for about 12-24 hours after ovulation. The older the woman, the shorter this time becomes.
Once a patient has had 3-6 IUI cycles , they might consider moving to IVF as the chance of a successful IUI cycle is reduced.
Donor insemination (DI) uses sperm from a donor to help the woman become pregnant. IUI donor sperm in case –
- Male partner is unable to produce sperm
- Male partner’s sperm count or quality is so poor that it is unlikely to result in the conception of a baby unless IVF/intra-cytoplasmic sperm injection (ICSI) is carried out, for which the patient is unwilling
- Male partner has a high risk of passing on an inherited disease and patient does not want an IVF with PGD ( preimplantation genetic diagnosis)
- Male partner is chronically infected with HIV/ Hepatitis B in which case washing the sperm and inserting in uterus decreases virus in semen and hence decreases the chance of infection.
- Patient is single and does not have a male partner