intrauterine insemination (iui)

Intrauterine Insemination - IUI success rate, IUI success tips

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Medically Reviewed by Dr. Deepika Tiwari - MBBS on 15 Jan 2019 - Written by Dr. Neha Gupta - MBBS - Grammatically Approved by Dr. Kavita Jaggi Agrawal - MBBS

Intrauterine insemination is one of the top infertility treatments. IUI success rates make this infertility treatment in demand for infertile couples. Your infertility specialist will ask to choose it in case of male infertility, usage of donor sperms, and informs about IUI cost in India.

Let’s Discuss in More Details About Intrauterine Insemination:

IUI or Intrauterine Insemination is a type of artificial reproductive treatment, in which sperms are injected into a woman’s uterus or fallopian tubes when she is ovulating. IUI treatment is less invasive and cheaper than IVF. IUI is generally performed using the intended father’s sperm or donor sperm. To encourage fertilization, the treated sperms are placed at close proximity to the egg inside the uterus of the woman so that they can fertilize the egg.

iui, iui procedure

Reasons for IUI Treatment

IUI treatment is recommended when any of the following condition arises:

1. Male Infertility

Male infertility usually occurs, due to either low sperm count or decreased motility. In some men, sperms can be too weak to travel to the fallopian tube to fertilize the egg. Male infertility can be a result of unhealthy lifestyle, smoking, alcoholism, exposure to harmful substances, illnesses, chronic health problems or injuries. Around 90 percent of men suffer from infertility issues due to low sperm count.

2. Hostile Cervical Mucus

Hostile cervical mucus or infertile cervical mucus is one of the reasons for a woman not being able to conceive. It is needed for sperms to survive and swim through cervical mucus while traveling from cervix to fallopian tubes. Hostile cervical mucus occurs when there are problems with vaginal secretions or vaginal dryness. This can be due to the use of birth control methods or hormonal imbalances.

3. Unexplained Infertility

If the cause of infertility is unknown, it is known as unexplained infertility. Unexplained infertility can be associated with both male and female infertility issues.

4. When fertility Drugs are not Successful

Fertility drugs may help a woman conceive but they are not effective for everyone. IUI treatment is performed when other fertility treatments and drugs fail to provide the desired results. 

5. In Case of Donor Sperms

If the male partner is not able to produce sperms or do not have the quality of sperms to conceive, the sperms from a donor are used to fertilize the female egg. 

6. If Sexual Pain makes Intercourse Impossible

Some couples may face problems during sex itself. Problems may be because of extreme vaginal pain or male ejaculatory dysfunction during sexual intercourse. This can lower the chances of conceiving through natural methods, so the only way of fertilizing the egg could be through Intrauterine Insemination (IUI). 

7. When to Avoid IUI

IUI is not recommended for those with:

  • Blocked fallopian tubes
  • Severe endometriosis
  • Previous pelvic infection

Some hospital and specialist may recommend a few cycles of IUI before paying for IVF treatment.

Intrauterine Insemination (IUI) Procedure

When a patient undergoes IUI procedure, they are expected to go through the following three steps:

  • Firstly, the patient is given fertility drugs and ovulation cycle is monitored.
  • The male partner provides a sperm sample (or it can be obtained from a donor) that is specially washed and prepared for the insemination.
  • Finally, the doctor injects the prepared sperm into the uterus.

iui procedure

IUI Procedure for Male Infertility

During this evaluation, a doctor checks the male partner’s semen for sperm count and motility. Male partner is asked to give several semen samples in case the sperm count is low. These semen samples are further prepared to improve the sperm count. They are washed and treated to remove any kind of toxic chemicals. The motile and healthy sperms are selectively prepared to increase the success rate of the IUI procedure. The doctor may also advise avoiding ejaculation for two to three days to increase sperm count.

IUI Procedure for Female Infertility

Before the procedure, the woman needs to visit a fertility specialist and do certain tests. These tests determine the patient’s health, hormone levels and the ability of the patient to support a pregnancy. Next, the doctor gives ovulation drugs to produce healthy eggs while regularly monitoring through ultrasound. 

Inserting Sperms during IUI

The insertion of sperms during the IUI treatment requires a maximum of one to two hours. Sperms are inserted when the luteinizing hormone (LH) surges before ovulation. The female partner lies down on the examination table as a very thin and flexible catheter is inserted into her cervix. The treated sperm sample is directly injected inside the uterus or fallopian tube through the catheter.

Inserting sperms during IUI

Post IUI Procedure

After a week, the doctor checks the progesterone levels. After the IUI process, the doctor prescribes progesterone hormone to assist pregnancy. With an ultrasound, the doctor observes the thickness of the uterine lining. By checking the thickness of the uterus lining, the doctor may have some idea as to whether the IUI procedure was successful. The doctor may also do blood tests to examine the level of progesterone and estrogen. After 14 days, he may again call the patient for other pregnancy tests.

Success Rate of IUI

The success rate of IUI depends on the cause of infertility and age. The success rate of IUI treatment can go up to 80 percent with three to six cycles of IUI procedure. When IUI treatment fails after several attempts, the doctor may recommend IVF treatment (In Vitro Fertilization) or surrogacy, which is much effective than IUI. Though the success rate of IUI is not as high as IVF treatment, IUI is easier to perform and less expensive.

IUI Treatment Cost

Infertility treatments in India are also performed through medications and fertility drug use but the success rate for medical treatment is low. IUI treatment cost is higher than treatment through medication. Although IUI offers a higher success rate, it is less effective as compared to IVF. 
IVF treatments are expensive but provide a higher success rate of pregnancy. The cost of treatment may also depend on the specialization of the doctor, the reputation of the hospital and the region where the patient is treated.

IUI treatment cost

Risks in IUI Treatment

IUI treatment involves a lesser risky procedure but still has some small risk of infection. Side effects of IUI caused by fertility drugs are mild and often disappear once the medication is stopped. The risk of becoming pregnant with twins, triplets, or more children with IUI is small, and this is a side effect of fertility drugs taken with IUI. The risk of developing Ovarian Hyper- stimulation Syndrome (OHSS) and becoming pregnant with multiples is ten percent for women who takes ovulation inducing drugs and 30 percent for women who takes gonadotropins.

There are many reputed IVF and IUI treatment centers in India with high success rates. Before going for an IUI treatment, confirm that treatments and services are delivered in a professional and caring environment by a team of specialists, embryologists, nurses and counselors who are all expert in their fields.

Read more such articles on IVF and IUI on elawoman.com.

If you are looking for one of the most trusted fertility hospitals incorporating international treatment standards for infertility treatment and assisted reproductive technologies (ART) like IUI, IVF/ICSI, IMSI, you can consult Ela. If you are concerned about your fertility, you can book a preliminary appointment by calling us at +917899912611.

Dr. Neha Gupta

Written by

Infertility Specialist, IVF Specialist
Gurgaon

Dr. Neha Gupta is an Obstetrician and Gynaecologist in Gurgaon. She has been practicing for many years now. Her rich experience in Normal Vaginal Delivery, Intrauterine Insemination (IUI), In-Vitro Fertilization (IVF), Hysterectomy and Tubectomy makes her the most preferred names in Gurgaon. She has acquired MBBS in 2004, DNB from National Board of Examinations in 2009 and MS - Obstetrics and Gynaecology from Maulana Azad Medical College in 2009. She is a member of the Royal College of Obstetricians and Gynaecologists, London. Dr. Neha Gupta has an expertise in Intrauterine Insemination and is practicing at Fortis Memorial Research Institute in Gurgaon. You can get the contact details of Dr. Neha Gupta at elawoman.com

SOURCES AND REFERENCES:


1.  Anatomy of uterus, functions and uterine conditions in women and pregnancy  uterus, Elawoman - 2017
2.  How does intrauterine insemination help to conceive? iui success rates  IUI treatment, Elawoman - 2017
3.  Male infertility - causes of infertility, male infertility tests  Male infertility, Elawoman - 2017
4.  How sleep affects sperm count in men?  low sperm count, Elawoman - 2017

6 Comments

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Mahima Kulshreshtra

My sister has taken fertility drugs, but she was not successful with that. Now, she is thinking of going for IUI.

Nov. 16, 2018, 7:15 p.m. 4.5

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Ramesh Shastri

Elawoman really does a great job in all kinds of infertility treatments. Good work team Ela and good luck.

Oct. 13, 2018, 5:34 p.m. 5.0

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Punit Singhala

This article gave me a complete view of IUI. I could visualize the whole process in my mind. Really helpful and well informative blog.

Aug. 10, 2018, 11:13 a.m. 5.0

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Kunal Jolly

The way IUI treatment works looks so unreal like that long needle and externally supplied sperms.

Aug. 24, 2017, 3:33 p.m. 5.0

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Shrabani Saha

Yes it works. The healthiest sperms are inserted and chances are raised if the cycle is repeated twice or thrice. In fact, IUI treatment is proving to be a boon for all those couples who cannot conceive naturally.

Aug. 24, 2017, 3:32 p.m. 5.0

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Kate Doucet

Does this really work? I mean what are the chances one can really get pregnant by IUI treatment?

Aug. 24, 2017, 1:43 p.m. 4.5

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