What is IUI? When should one do it?
Whatis IUI? When should one do it?
IUIor intrauterine insemination is a procedure of injecting virile sperms in the uterus with a thin catheter, at the time ofovulation.
Itincludes the following steps:
1.Ultrasound Monitoring: Starting on the second or third day of the cycle,doctors perform regular ultrasound scans to ensure that the ovaries and uterusare normal, and also to track the response to various medications.
2.Start ovulation induction agents: Ovulation induction agents are medicationsgiven to grow the eggs. These can be medicines or injections, or both. This isadministered for a duration of about eight to ten days. After that, thefertility specialist monitor the lady to see how the follicles are growing.
3.Trigger injection/HCG injection: Once the follicles reach 18 to 19 millimetersin size, a trigger injection is given; which is usually a HCG injection, forthe egg follicle to rupture. The IUI or the actual insemination is done around34 to 38 hours after the trigger injection.
4.Second ultrasound scan: A follow up ultrasound is done again to identify anddocument ovulation.
5.Semen Collection: We take the semen sample from the husband on that day, at thehospital, in a private setting. Husband has to masturbate and give theejaculate in a container.
6.Semen preparation: The collected semen is then washed and processed with specialliquids to remove debris, pus cells etc and also to isolate the more motilesperms.
7.Insemination: The processed semen sample is then loaded into a thin catheterwhich is designed specifically for IUI. This catheter is then inserted into thevaginal cavity and the loaded semen sample is released close to the fallopiantube, under ultrasound guidance.
8.Pregnancy test after 14 days: After 14 days of performing the procedure, apregnancy test is done to confirm the pregnancy.
Sofrom the time we start the medication to doing IUI, it takes about two weeks totwo and a half weeks to complete the treatment.
Theactual insemination process takes only a couple of minutes.
Whenshould one do the IUI process?
Oneshould do the IUI process in the following situations:
1.When the cause of infertility is not known: In this case, all reports are okay,i.e. the egg reserve of the wife is good, the tubes are fine, and the semenparameters are okay, and yet pregnancy is not happening. Couples are advisedtwo to three cycles of IUI before considering other treatment choices.
2.In case of erectile dysfunction: In case of erectile dysfunction, the activityof intercourse does not happen. In this situation, doctors advise IUI.
3.In case where donor sperms are needed: IUI with donor semen isused in situations where husband’s sperms cannot be used, due to any reason.
Thesuccess rate of IUI is around 15% to 18% at the best of the centers. It isbecause fertilization, embryo formation, and implantation have to happen on theirown after the transfer of the sperm.
Incase the IUI does not result in pregnancy even after three attempts then,couples are advised to consider other treatment options.
Formore information you can
visit:https://www.garbhagudi.com/?s=IUI&submit=Go
