When is IUI used?
Doctors often recommend IUI, or intrauterine insemination, to help with various infertility issues. Typically, the procedure is performed over several cycles until the couple achieves pregnancy. Most infertility specialists will start with IUI before progressing to more invasive options, like IVF.
Here are some common situations where IUI might be chosen:
Unexplained Infertility: Sometimes, after running tests, doctors can’t figure out why a couple is having trouble conceiving. In these cases, they may recommend IUI along with medications to stimulate ovulation.
Donor Sperm: IUI is frequently used when a woman needs sperm from a donor. During the process, the doctor will use frozen sperm from a reputable lab.
Endometriosis-related Infertility: If a woman has infertility linked to endometriosis, the doctor will first focus on ensuring a high-quality egg is available. Once this is confirmed, they can proceed with IUI.
Cervix-related Infertility: During ovulation, the cervix usually produces mucus to create a supportive environment for the egg. However, some women may have issues with mucus production due to medical conditions, which can lead to fertility problems. In these cases, doctors will work to treat the underlying issue before considering IUI.
Semen Allergy: While rare, some women might develop an allergy to certain proteins in semen, resulting in redness and itching when exposed. Using condoms can prevent these reactions, but it complicates conception. If the allergy is severe, IUI is a better option. During the procedure, doctors can remove certain components from the semen, making it safer for women with this sensitivity. Overall, IUI can be a helpful first step for couples facing infertility challenges.
Indications for IUI:
There are various health reasons that might indicate the need for an Intrauterine Insemination (IUI) procedure. Here are some of the most common situations:
– The presence of female humoral anti-sperm antibodies
– Male infertility issues – Removal of the cervix or other related cervical health problems
– Experiencing severe pain during intercourse
– Previous unsuccessful attempts with fertility medications
IUI Procedure?
The IUI process is generally straightforward and doesn’t involve much pain. If you’re going through it for the first time, it’s normal to feel a little nervous. Getting familiar with the steps can help you feel more prepared. Here’s what to expect:
Step 1: Collecting the Semen:
Initially, the doctor will need a small sample of sperm for the procedure. This can be obtained through masturbation, similar to how a semen analysis is done. If your partner can’t provide a sample at the hospital, he can collect it at home instead. The doctor will give him a sterile semen collection kit. Just make sure the sample gets to the clinic within an hour after ejaculation.
Step 2: Washing the Semen
Human semen contains more than just sperm. It also has proteins, vitamins, and other important components. To ensure the best sample is used, the doctor will wash the semen to remove any unnecessary substances before proceeding with the IUI.
Step 3: Inserting the Catheter
Next, you’ll lie back on an examination table and place your legs in stirrups. The doctor will attach a vial filled with sperm to a thin tube called a catheter and then use a tool called a speculum to help access your vagina. The doctor will carefully insert the catheter through your cervix into your uterus and then push the sperm sample into your uterus through that thin tube. After that, they’ll remove the catheter and the speculum. That’s it! The procedure is designed to be as quick and comfortable as possible.
Risks of IUI Treatment
The IUI procedure is pretty simple and generally doesn’t cause side effects. However, there are a few risks to keep in mind: – **Spotting:** Occasionally, the catheter placement may cause slight vaginal bleeding. This is typically very light and will usually clear up within a day or two. –
Infection:
There’s a small chance of developing an infection on the outer part of the vagina, but your doctor will likely catch it early if it happens.
Success Rates of IUI
How well IUI works can depend on various factors, especially on the health of the sperm. Most women have about a 10% to 20% chance of success with one IUI cycle. This rate can go up to around 80% after three to six cycles, so persistence can really pay off.
Cost of IUI Treatment
When looking at the cost of IUI, there are several things to think about, such as your age, medical history, and the specific type of infertility. In India, the cost varies across different states, generally averaging between INR 12,000 to INR 17,000. Overall, IUI tends to be more affordable compared to other fertility treatments like In Vitro Fertilization (IVF).