Intrauterine Insemination (IUI)
It is a fertility treatment procedure where the sperms are directly placed inside a woman’s uterus to facilitate fertilization.
The goal is to increase the number of sperms that reach the fallopian tubes by bypassing all vaginal and cervical factors and as a result increase fertilization rates.
IUI is used in cases of borderline low sperm count numbers or mobility, unexplained infertility, and ejaculation dysfunction.
Stages of IUI:
On day 3 or 5 of the cycle, the female partner will be asked to come in for a transvaginal ultrasound to check the uterus and the ovaries. She will then be started on hormonal medications (either tablets or injections) to induce multiple egg development and will be followed up every few days with a transvaginal ultrasound.
When follicular size reaches around 20mm in diameter, final egg maturation will be induced by a hormonal injection (HCG) and insemination will be performed around 34-38h later.
On the day of the procedure, the male partner will be asked for a semen sample. The semen sample will be washed in the laboratory to separate the semen from the seminal fluid. Sperm processing takes around 30-60 min.
The separated and washed sperm is then placed in the uterine cavity using a sterile, thin and soft catheter. The patient will then be prescribed progesterone supplements and a pregnancy test will be performed 14 days later.