Best IUI Treatment In Hyderabad

Best IUI Treatment In Hyderabad

What is IUI?

IUI stands for Intra Uterine Insemination.

IUI is a procedure in which the processed sperm sample of the partner is placed inside a woman’s uterus through the natural opening of the uterus with the help of a thin tube/catheter at the time of ovulation (egg release).

Processing of a semen sample refers to separating the active sperms from the sluggish/non-motile sperms.

The objective of IUI is to increase the number of motile sperms that reach the egg in the fallopian tubes in order to enhance the chances of fertilization.

By eliminating the path that sperm would normally take to the uterus, there is a better chance that more sperms will make their way to the egg and hence the chances of pregnancy will increase.

It is usually the first-line approach for couples seeking assisted reproductive treatment (ART)

For whom is it advised?

It is recommended for women with patent fallopian tubes with mild infertility issues such as:

  • Unexplained infertility
  • Mild endometriosis
  • Mild Cervix-related infertility
  • Ovulation-related infertility
  • Mild male factor infertility (borderline low sperm count & motility)
  • Sexual dysfunction (Erection/ejaculation problems)
  • When donor sperm is being used (when indicated and after consent of both partners is given)

Timing for IUI:

For successful insemination, it is important to time the IUI accurately.

IUI is performed in conjunction with ultrasound to track follicular development to estimate the likely day of ovulation (release of the egg from the ovary) and typically, an injection of HCG is given to help time the release of the egg with the IUI.

IUI can be done either in a natural cycle or an ovarian-stimulated cycle.

In a natural cycle, the timing of ovulation is predicted based on serial follicular monitoring on ultrasound.

In a stimulated cycle, medication is given to promote follicular growth. When the follicles grow to a certain size, a HCG injection trigger is given to induce maturation and ovulation. The IUI is then performed 36 hours post-HCG or according to evidence of ovulation on ultrasound.

Another strategy is to have two inseminations per cycle to increase the chances of fertilisation. This procedure is termed ‘Double IUI’.

double IUI process

How is IUI performed?

The husband is instructed to collect his semen sample through masturbation into a sterile container. If the male spouse is unable to provide a sample in the clinic, he is permitted to collect the sample at home or use a non-spermicidal condom. However, the semen sample must arrive at the clinic within 20 minutes to ½ hr and be submitted in person.

The laboratory then processes the semen sample and prepares a final sample with highly motile sperm.

Insemination is a relatively simple and painless procedure done within a couple of minutes with minor discomfort. The clinician inserts a thin catheter into the uterine cavity through the cervix and releases the processed sperm sample. Following the procedure, the patient can resume normal daily activities.

Is IUI painful?

IUI is a minimally invasive procedure that takes about 10-15 minutes.

It is usually pain-free, and you should be able to return to work or home straight away.

What is the success rate for IUI?

IUI is the simplest assisted reproductive technique and has a modest success rate. If IUI is done together with fertility medications, injections and a proper follicular study, the success rate is about 15-20%.

What are the side effects of IUI?

IUI is a relatively simple and safe procedure and the chances of side effects are rare which include:

  • Infection
  • Spotting
  • Multiple Pregnancy

How many days does the IUI treatment take?

STEP 1 :  Day 1 (first day of periods) – Call and book an appointment for a consultation on day 2/3 of your period.

STEP 2 : Day 2/3- An ultrasound is done to check the uterus and ovaries and determine if it is a good cycle to start treatment.

STEP 3 : Day-2-5 – Medication is prescribed for ovulation induction.

STEP 4 : Day 7-14 – Follicular monitoring is done every alternate day to assess follicle growth and to check for ovulation. Medication (Injection) is given if necessary for the growth and release of the egg. Sometimes egg formation and ovulation might take longer.

STEP 5 : IUI is done around the time of ovulation.

STEP 6 : Medication is prescribed for hormonal support.

STEP 7 : Pregnancy test after 2 weeks and follow-up is advised.