Do you know what the term IUI means?
(IUI) stands for Intrauterine Insemination, this fertility procedure might be unfamiliar to many, but it offers hope to couples who want to expand their families despite facing infertility challenges.
People often use IVF and IUI terms interchangeably, but in reality, to differentiate between the two, the latter is comparatively more cost-effective and requires multiple cycles, unlike IVF.
IUI is a fertility treatment that holds promise for couples who dream of expanding their families but can’t because of infertility problems.
According to the Indian medical association (IMA), the success rate of IUI is 10 to 20% per cycle in India.
In this blog, we will delve into what the term IUI means, the step-by-step process, the factors influencing the outcomes and much more. This will help couples decide whether to opt for IUI or consider any other fertility treatments.
Also Read: The Complete IVF Guide: Process, Success Rates & Key Considerations
What is IUI?
Intrauterine Insemination (IUI) is a fertility treatment in which the process begins by:
- Collecting sperm samples and washing them
- Using a thin tube to place the washed sperm directly into the uterus, aiming to achieve pregnancy
The motive behind washing sperm is that it removes seminal fluid and concentrates the sperm. This process involves depositing the sperm higher into the reproductive tract, thereby increasing the chances of successful fertilization during the reproductive procedure.
This also helps eliminate the potential contaminants that might interfere with the fertilization process in the future.
The major problem during normal intercourse is that only a few hundred sperm reach the egg; in the case of IUI, it helps you get millions of sperm directly placed into the uterus, significantly closer to the egg.
When there is a need for IUI
For females, IUI is required when:
- Previous infections or surgery
- Complications with ovulation induction
- Ovulatory dysfunction
- Unexplained infertility
For males, IUI is necessary when:
- There is a low sperm count
- Inability to ejaculate semen
Cases when IUI should be avoided:
- Males having sperm count of less than 1 million
- Blocked fallopian tubes
- Females with severe pelvic infection
Why IUI?
As we discussed earlier, Intrauterine Insemination (IUI) is a fertility treatment preferred by couples and doctors over any other fertility treatment. It is because of the success rate and the cost-effectiveness involved. Let’s explore in depth the advantages one by one:
Cost Effective
IVF is considered more costly as compared to IUI. This is because IVF involves undergoing several medical procedures, medications, and laboratory processes, making it a more feasible and convenient option for couples.
High success rate
Couples facing mild male factor infertility, ovulation issues, or cervical mucus abnormalities tend to experience a higher success rate with IUI treatment. When precisely timed with ovulation, IUI significantly enhances the chances of successful fertilization and pregnancy.
Reduced risk of multiple pregnancy
Compared to other fertility treatments that carry a higher risk of multiple pregnancies due to the transfer of multiple embryos, IUI allows for the controlled introduction of sperm into the uterus. This approach decreases the likelihood of multiple pregnancies, making Intrauterine Insemination an attractive option for couples to avoid risks.
Less time consuming
On the one hand, while IVF and other processes involve multiple steps to complete the fertility treatment, the IUI process consists of placing concentrated sperm directly into the uterus, resulting in a shorter treatment timeline.
IUI Process
Ovulation monitoring
The IUI process begins with closely monitoring the woman’s ovulation cycle. This involves tracking hormone levels and performing ultrasounds to determine the optimal time for the procedure.
Sperm collection and washing
Before beginning the process, the male partner provides a semen sample. This sample undergoes a rigorous washing procedure to separate the healthy sperms from seminal fluid. Concentrating the sperm ensures a higher chance of successful fertilization.
Insertion of sperm
Once the fertile window is identified, then the next step is that it involves introducing a concentrated sperm sample into the woman’s uterus. The process does not include any pain and is very normalized.
Post-procedure care
Following the procedure, patients are usually advised to take a break for a while. Hormonal medications might be prescribed to facilitate the implementation of fertilized eggs.
IUI success rates
According to the National Institute of Health, clinical pregnancy rates per cycle range from 10% to 20%. Remember, the success rate comparatively decreases with an increase in the women’s age.
For example – Women in their late 20s might have an 80% chance of success, whereas women in their late teens might experience a success rate of 20%.
At Nimaaya, we have maintained and consistently increased the success rate of IUI year by year.
Apart from the woman’s age, other factors also contribute to the success of IUI. Let’s explore them one by one individually:
Age of partners
It is often said that the age of both partners is crucial in determining IUI success. As we discussed earlier, a young age for women is associated with higher success rates. Additionally, advanced male age can decrease sperm quality, affecting the likelihood of successful fertilization.
Therefore, performing the IUI process at a younger age generally leads to a higher success rate than in later life stages.
Fertility history
The fertility history of couples matters the most when conceiving a baby through the IUI process. Firstly, if a couple has previously conceived, whether naturally or through assisted methods, they have a higher chance of success. Couples with a history of miscarriage might face additional challenges.
At Nimaaya, our IUI specialist Dr. Pooja Nadkarni Singh and Dr. Yuvrajsingh Jadeja provides a thorough consultation on the IUI procedure and guide you through the steps to build your family successfully.
Ovarian reserve
Maintaining an adequate ovarian reserve is essential for the success of each IUI cycle. An adequate ovarian reserve ensures a sufficient number of healthy eggs available for fertilization. A good ovarian reserve increases the likelihood of producing viable embryos, contributing to a successful IUI cycle.
Quality of sperm
A crucial role in accomplishing IUI fertility treatment is sperm quality. Factors such as sperm count, motility, and shape influence fertilization and embryo development.
At Nimaaya, we go through a rigorous procedure for quality checks of sperm and recommend couples separate the healthy from less viable ones in the initial stages. It is done to avoid potential failures and increase the overall chances of success.
Is the IUI procedure painful?
Most women experience slight pain or discomfort during the entire IUI process. The level of discomfort is not defined because it varies from individual to individual. Additionally, the type of discomfort differs at each step due to the pain caused to your body:
Speculum insertion
Women might experience pain when a speculum is inserted into the vagina to visualize the cervix.
Catheter insertion
A thin, flexible catheter is gently guided through the cervix and into the uterus to deposit the sperm. During this phase, individuals might experience minor cramping or a sensation similar to menstrual cycles.
Deposition of sperm
The process of actual sperm deposition is quick and relatively painless. It involves slight pressure or sensation as and when the catheter is removed.
After procedure
Some women may experience discomfort, cramping, mild spotting, or minimal bleeding, which is normal and can also cause slight dizziness.
In case you are experiencing any major discomfort, you can consult a nearby IVF center or Nimaaya, which has over 30 years of experience in the field.
Important consideration for individuals and couples related to IUI
Understanding the process
Consult an IVF specialist at Nimaaya, who will guide you in-depth on what IUI is, its process, the costs involved, mental and physical conditions, and many other important things that will enable you to approach the IUI fertility treatment confidently.
Financial consideration
Before any fertility treatment, the important consideration is understanding the financial implications. Understand the costs involved, ascertain whether insurance coverage is needed, and explore available financial schemes to make the cash flow easy. Creating a well-planned budget before proceeding with the IUI journey is essential.
Emotional and psychological
Beyond financial considerations, emotional and psychological factors hold significant importance. Both partners need to support each other emotionally and mentally throughout the process. Nimaaya’s suggestion for couples is to join the counseling session carried out by an IUI specialist, which can be immensely beneficial.
Sperm quality and preparation
A major factor to be kept in mind is checking out the quality of sperm. Ensuring a thorough evaluation of sperm is essential. Additionally, proper washing and concentration to enhance its visibility and effectiveness during the preparation should be taken care of during the procedure.
Also Read: Low Sperm Count: Causes, Symptoms, and Treatments
Conclusion
To sum up, IUI is a much better option than IVF when considering factors such as saving costs and time. Whether it’s the process itself or the associated risk, such as multiple pregnancies, IUI has been the first choice of every gynecologist.
If you and your partner consider adopting the IUI process, you can begin your journey with one of the best fertility treatments across Gujarat, Nimaaya.
You can trust us! Your dream to expand your family will be successful with our specialists, Dr. Pooja Nadkarni Singh, and Dr. Yuvrajsingh Jadeja. Their guidance guarantees a smooth IUI or any other fertility treatment journey.
With over 30 years of experience in the field, Nimaaya stands with you at each stage of your fertility treatment. Our dedicated team will support you with updated technology and help you successfully conceive a baby without any complexions. Book an appointment with Nimaaya today and get on your path to parenthood with confidence.
