INTRAUTERINE INSEMINATION (IUI)

INTRAUTERINE INSEMINATION (IUI)

Intrauterine Insemination Treatment in Pune


INTRAUTERINE INSEMINATION (IUI)
is a fertility treatment that involves 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 and subsequently increase the chance of fertilization.
IUI provides the sperm an advantage by giving it a head start, but still requires a sperm to reach and fertilize the egg on its own. It is a less invasive and less expensive option compared to in vitro fertilization. The rationale being increased gamete density at the site of fertilization
About 40% couples with some male or female factor of subfertility require IUI
The pregnancy rates with one IUI are 22-25% and this increases with the number of IUI’s.
Who should undergo IUI?

  1. Cervical factors: when female genital tract has antibodies against male semen .patients having a negative post coital test
  2. Male factor :when the semen count and motility are low
  3. The TMSC(total motile sperm count)should be 5-10 million and TM(total motility) 30%. If the sperms are absent or morphologically abnormal then ICSI is the next best option
  4. Ejaculatory factors: Either retrograde or premature ejaculation
  5. Unexplained infertility: when no cause can be found out despite normal male and female factors

How do we prepare the patient for IUI?
In females multiple eggs are stimulates either by oral tablets like clomifene citrate or injectable hormones depending on her age, ovarian reserve and previous treatment . Then she is monitored for the growth of eggs and the endometrum ie the inner uterine lining by serial ultrasound examinations . On the day of the dominant follicle reaching the desired size ,follicle rupturing injection given
Then IUI done within 36-48 hours . It can also be timed as per LH surge seen on the kit as two distinct lines.Its suggestive of ovulation

The actual procedure :
IUI can either be done once or twice within 36-48 hours
The semen sample collected from the husband is washed either by the density gradient method or swim up technique
This washed sample is then infused into the female uterine cavity
Bed rest after the procedure for 10-15 minutes is more than enough.

Complications
None
Very few patients experience minimal cramps which go off in few hours
It does not result in any chromosomal or structurally abnormal baby, as is the common myth.

IUI is definitely an inexpensive and noninvasive way of dealing with both male and female subfertility. If indications are worked out correctly the results are 20-30%. After 2 years of marriage if the couple doesn’t conceive, at least they should opt for proper diagnosis and management on the right path to get the best outcome.

Best Gynaec Endoscopy Surgeon & IVF Specialist in Pune is available at Asha IVF Center which is best Infertility Center in Pune.