INTRAUTERINE INSEMINATION
What is IUI
The full form of IUI is Intrauterine insemination. It is one of the most simplest and cost effection treatment options where processed sperm sample is injected into uterus using a catheter around the time of ovulation
Who can opt for IUI
Females with ovulatory problems
Unexplained Infertility
Mild endometriosis
Husband is traveling for work for longer time
Painful intercourse : IUI under anaesthesia or sedation
Mild male factor
Individuals or couples using donor sperm
Who cannot opt for IUI
Severe endometriosis
Severe male factor
Infection
Tubal factors like tubal blockage
Low AMH or dropping trend of AMH
Unruptured follicle for more than 3 cycles .. IVF is the option
Protocol
Its simple oral medicines for 5 days starting from day 2 or 3 of periods . Gonadotropin Injections may be added if indicated and required
Follicular monitoring from day 7 or 8 of periods
Trigger when the follicle reaches proper size with good endometrium
IUI under sonography guidance
When is IUI done
When the growth of follicle is good
Usually it happens any day from day 12 or 13 to day 16 or 17 of the menstrual cycle
Is bed rest required after iui
No bed rest required before or after iui
You can continue your work
Friendly iui
I promote girls to continue there jobs or everyday routine while on iui cycle
Leave or half day is advised on the day of iui
Abstinence:
I advise to have relations or masturbate and throw off the sample on the day of trigger N give fresh samplw on day of iui
IUI for traveller
If husband is travelling he can freeze the sample before hand and iui can be done with frozen sample without any compromise on results
Success rate of iui
15 to 20 ℅
Whats the difference between IUI and IVF
The key difference between IUI and IVF is that IUI involves fertilization inside the uterus and with IVF, fertilization takes place outside of the uterus in an a lab.
IS IUI PAINFUL?
IUI may feel uncomfortable, but is a relatively pain-free procedure and does not require anesthesia.
You might experience some cramping, which can feel similar to having a Pap smear.
You may also have some spotting afterward due to irritation of the delicate lining of the cervix. This should go away after a few days
You can have normal activities and intercourse after iui
WHAT ARE THE RISKS OF IUI?
IUI is a low-risk procedure, but there are some concerns to be aware of. These can include:
Infection
Becoming pregnant with twins/multiples
Ovarian hyperstimulation syndrome (OHSS): A condition where injectable fertility medications can cause the ovaries to respond too well and a large number of eggs mature and possibly release at once.
When multiple follicles are growing we either cancel the cycle Or give option of converting IUI to IVF
HOW SOON AFTER IUI CAN I TAKE A PREGNANCY TEST?
You will return to the clinic for your pregnancy test (done by blood test)14 days after your procedure.
Advanced IUI
Here the semen sample is washed with the help of technology to get better success rate
The material used for iui is advanced
IUI with donor sperms : donor can be used in cases of azoospermia , single mothers , genetic abnormalities in male , single mothers