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IUI ( INTRAUTERINE INSEMINATION )

In the case of heterosexual couples where the woman is finding it difficult to conceive, before artificial insemination is turned to as the solution to impregnate a woman, doctors will require an examination of both the male and female involved in order to remove any and all physical hindrances that are preventing them from naturally achieving a pregnancy.

IUI is a treatment we utilize for a variety of causes of infertility. In particular, couples with unexplained infertility, cervical factor infertility, endometriosis-associated infertility and male factor infertility can be treated by this technique. We have found that very severe male factor infertility is not effectively treated by IUI so men with extremely low sperm counts or motility are generally advised proceeding with this treatment. With natural intercourse many of the ejaculated sperm never make it past the cervix up to the fallopian tubes where fertilization takes place.

The concept behind IUI is to isolate the motile sperm out of the ejaculate and place many of these sperm high in the reproductive tract. By placing the sperm past the cervix and into the uterus, more of the sperm will be present in the fallopian tube to fertilize the ovulated egg. Several studies have now demonstrated that IUI is more effective than intercourse in the couples with infertility problems.

HOW IUI's ARE PERFORMED ?

The IUI cycle begins by having testing for ovulation. Most often, We will get to have blood test around day 12 (depending on the length of your cycle or whether ovarian stimulation is utilised).When an LH surgery is detected, it indicates that ovulation is likely to occur approximately 24 to 36 hour later. Equally we will scan and oredict maturity of your eggs and trigger ovulation to occur. We generally recommend between 2 to 4 days of abstinence from ejaculation prior to producing sample. If ejaculation has occurred more recently than 2 days , the sperm count may be low. In contrast it has been too long since an ejaculation, sometimes the quality of sperm and motility of sperm is impaired.

After you have provided the semen sample, our scientist will wash and separate out the motile sperm from ejaculated semen. The preparation time in the lab is 0.5 to 1 hours. The insemination is performed by placing a speculum into the vagina to visualize the cervix. A small catheter is placed past the cervix into the uterus where the motile sperm are deposited. You are then asked to rest in the room approximately 30 minutes before you leave, although this is not absolutely necessary.

ARTIFICIAL INSEMINATION USING DONOR SPERM

Married woman can choose to be inseminated with their husband’s sperm(provided the sperm is viable) or with the sperm of donor from a sperm bank, a process called artificial insemination by donor(AID).A married woman may use a sperm donation if artificial insemination by husband(AIH) is not an option due to male factor infertility. Artificial insemination using donor sperm may also be a solution to patients who cannot afford more advanced treatment such as intracytoplasmic sperm injection(ICSI) or for couples whose male partner could transfer genetic disorders to the embryo. Using a screened donor’s sperm eliminates this danger.

FREQUENTLY ASKED QUESTIONS

A) How soon after an IUI can a women have intercourse ?

Usually one can intercourse anytime after an IUI. But if there was any kind of bleeding or complication during the IUI, some doctors may suggest waiting for.

B) What risks are involved ?
  1. There is no anaesthetic risk as no general anaesthesia is required.
  2. Risk of bleeding as the catheter is being inserted into the womb.
  3. Risk of infection.
  4. Risk of cervical shock(you may feel dizzy or become light-headed).
C) Is bleeding common after an IUI ?

It doesn’t usually happen, but it isn’t uncommon; especially if there was a problem while carrying out the procedure.

D) How to know if a pregnancy has occurred after IUI ?

Approximately 2 weeks after IUI, a pregnancy test would be advised by the doctor to confirm the pregnancy.

E) Is there an alternative treatment ?

We recommend for 3-4 IUI cycle depending on the patients clinical history. If IUI doesn’t work for patient, then can go for IVF process or in some cases for ICSI.