Intrauterine insemination (IUI) is a complex laboratory procedure that aims to separate fast-moving sperm from the more sluggish or non-moving sperms in order to find the best sperm for artificial insemination procedures.
This procedure was first tried in animals to breed them with high quality. In 1793, the first human pregnancy was reported owing to successful IUI. The fast moving sperm is simply implanted into the woman’s womb when she is close to the time of ovulation. When the egg is released from her ovary in the middle of her monthly cycle, the sperm takes action and fertilizes the egg for a successful pregnancy.
What Is The Normal Process Of Fertilization During An IUI – IVF Cycle?
IUI can begin once it has been confirmed by an infertility expert that your fallopian tubes are clearly open and healthy to pass eggs. This is usually checked through a general tubal patency test which will be the part of your fertility assessment tests. Sometimes, this involves a laparoscopy, an operation in which a colored dye is injected through your cervix and your pelvis is inspected for various kinds of blockages with a laparoscope (a telescope that has a tiny camera attached to it).
You can also opt for a hysterosalpingo-contrast sonography (HyCoSy) which is a vaginal ultrasound probe test to check the fallopian tubes for blockages. A hysterosalpingogram can also be conducted which is essentially an x-ray of the fallopian tubes.
Your fertility clinic may recommend IUI for you, if:
there is a case of unexplained infertility
there are several ovulation problems in your ovaries
the male partner experiences sudden impotence or premature ejaculation which results in unhealthy sperm or failed insemination naturally.
you do not have any fertility problems and you are trying for a baby of your own using donated sperm
How Does The IUI Procedure Work?
If you are not on any kind of fertility drugs, the IUI can be performed between the 12th and 16thday of your monthly cycle, the day one being counted as being the 1st day of your period.
You will also undergo many blood tests or urine tests to properly identifyyour ovulation day.
In case you are using fertility drugs to stimulate ovulation in your ovaries, comprehensive vaginal ultrasound scans will be used to track the overall development of your eggs.
As soon as an egg is properly mature, you will be given a simple hormone injection to stimulate its release down the fallopian tube.
The sperm is inserted about 36–40 hours later before which an IVF specialist will insert a device called the speculum inside your vagina, to keep your vaginal walls apart.
A small catheter is then threaded until your womb via your cervical entrance to reach the womb. Then, the best sperm will be inserted slowly through the catheter directly into your womb.
You will be asked to produce a fresh sperm sample on the day the IUI treatment is to take place after which it will be washed and the rapidly-moving sperm will be removed from the slower and dead sperms.
The rapidly moving sperm will be placed inside the catheter to be inserted into the woman’s womb.
If donated or frozen sperm is being used, it will be removed from cryo-storage, thawed and prepared in the same way as mentioned above.
The whole process takes only a few minutes and is usually considered painless. However, some women may experience temporary, menstrual-pain like cramping.
You are suggested to rest inside the IVF clinicfor 10 minutes before going home.
Is IUIA Safe Procedure For Her?
Intrauterine insemination (IUI) is straightforward and secure. It is fairly painless with only mild cramps being experienced that are similar to period pains.
Who Can I Talk To If I Have Further Questions?
When you opt for an IUI cycle, your Physician will explain to you all the details about the procedure and its possible risks involved with it.
The medical staff at our IVF centre is highly familiar with the procedure and can give you all the latest information regarding it.
We encourage you to ask as many questions as you can to be assured that all your queries have been answered.