IUI - Gynecology

What is IUI?

Intrauterine Insemination (IUI) is a fertility treatment that involves placing sperm directly into a woman's uterus to facilitate fertilization. It is commonly used to treat certain types of infertility.

Who Can Benefit from IUI?

IUI may be a viable option for couples facing unexplained infertility, mild endometriosis, or issues with the cervix or cervical mucus. It can also help couples where the male partner has mild male factor infertility, such as low sperm count or low motility.

How is IUI Performed?

The procedure typically involves the following steps:
Ovarian Stimulation: The woman may take medications to stimulate the ovaries to produce multiple eggs.
Monitoring: Regular ultrasounds and blood tests monitor the development of follicles.
Sperm Preparation: A semen sample is collected and processed to concentrate the sperm.
Insemination: The prepared sperm is inserted directly into the uterus using a thin catheter.

What are the Success Rates of IUI?

Success rates can vary based on several factors, including the woman's age, the underlying cause of infertility, and the use of fertility medications. On average, the success rate for IUI ranges from 10-20% per cycle.

What are the Risks and Side Effects?

While IUI is generally safe, some risks and side effects include:
Multiple Pregnancies: The use of fertility medications can increase the risk of twins or higher-order multiples.
Ovarian Hyperstimulation Syndrome (OHSS): This can occur if the ovaries over-respond to fertility medications.
Infection: There's a small risk of infection associated with the procedure.

How to Prepare for IUI?

Preparation typically includes thorough medical evaluations of both partners, including blood tests, ultrasounds, and semen analysis. It's also essential to discuss any medications or supplements being taken with the healthcare provider.

What to Expect After IUI?

After the procedure, some women may experience mild cramping or spotting. It's advisable to avoid strenuous activities for a few days. A pregnancy test is usually scheduled about two weeks after the insemination to determine if the procedure was successful.

Are There Alternatives to IUI?

If IUI is not successful or not suitable, other Assisted Reproductive Technologies (ART) such as In Vitro Fertilization (IVF) may be considered. It's essential to discuss all available options with a fertility specialist.

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