IUI is a technique in which sturdy sperm are sifted out from flaccid ones and later the washed sperm are placed into women’s uterus during the time of ovulation. Before the IUI treatment commences, it is usually mandatory to undergo a Tubal Patency Test to ascertain whether the fallopian tubes are open.
This method is particularly beneficial for the couples whose infertility problem is unexplained and ambiguous. This technique is also used when men can’t ejaculate in their partners’ vagina due to various reasons ranging from psychological issues, impotence, vaginismus or anatomic problems. It is also useful in couples with mild problems in the semen of the male partner.
IUI is often recommended for women or couples who:
If you are not using fertility drugs, IUI will be performed between day 12 and 16 of your monthly cycle – with day one being the first day of your period. You will be given blood tests or urine tests to identify when you are about to ovulate. At Xenith, we believe in doing IUI with a mild amount of Ovarian stimulation as the rationale behind IUI is not just increasing male gametes but also female gametes, thereby increasing pregnancy rates.
If you use fertility drugs to stimulate ovulation, vaginal ultrasound scans are used to track the development of your eggs. Oral medication and lose dose hormone injections may be given to optimize the number and quality of oocytes. As soon as the eggs are mature, you are given a hormone injection to stimulate its release.
The sperm will be inserted 36–40 hours later. The doctor will first insert a speculum into your vagina, as in a smear test, to keep your vaginal walls apart. A small catheter (a soft, flexible tube) will then be threaded into your womb via your cervix. The best-quality sperm will be selected and inserted through the catheter.
The whole process only takes a few minutes and is usually painless. Some women may experience a temporary, menstrual-like cramping. You may want to rest for a short time before going home.
You will be asked to produce a sperm sample on the day the treatment takes place.
The sperm will be washed to remove the fluid surrounding them and the rapidly moving sperm will be separated out from the slower sperm.
The rapidly moving sperm will be placed in a small catheter to be inserted into the womb.
If you are using donated or frozen sperm, it will be removed from frozen storage, thawed and prepared in the same way.
Despite the benefits, IUI is not for everyone.