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IUI is Intra Uterine Insemination.
The pregnancy rate after IUI for the first time is 15 %, increases to 25 % after 3 cycles . The success rate drops after 5th cycle. So we generally recommend 4 cycles in our center’s.
-> After trying natural intercourse for 1 year and not conceived
-> When sperm count is less than 15 million
-> When motility is 15 to 30 %
-> When there is erectile or ejaculation problem or sexual problems
-> When wife requires gonadotropin injections to increase or induce egg/follicle growth (PCOS)
- Male Partner: Semen Analysis
- Female Partner: Tubal patency test ( HSG/ Laparoscopy), Ovarian reserve test ( USG & AMH)
-> Needs minimum of three to maximum of six visits to the doctor.
-> First visit will be during menses day 2 or 3 . The baseline scan will be done and medications will be prescribed
-> Second visit will be on day 9 or 10 to monitor the follicle/ egg growth
-> Next visit will be mostly on day 13 or 14 , once follicle grows to 20 to 22mm, a trigger injection ( Painless Subcutaneous injection/ pen type ) will be given.
-> About 36 hours later, Husband will be giving semen sample for Processing.
-> Processing will take about 45 to 90 min , then IUI will be done
Female partner scan is done to confirm rupture of follicles. Then in the same position , the private area is cleaned with saline , a small speculum is inserted and cervix or uterine mouth visualized. Under USG / abdominal scan guidance with partially filled urinary bladder, processed semen sample is instilled into uterine cavity. She lies down relaxed in the couch for 20 minutes , then gets back home. It is a comfortable easy procedure. Not painful and infact they usually ask “ Is it over Dr, that’s all ?”
Post IUI, a female can undergo normal activity as before. To avoid stressful activities physically or mentally. Can climb stairs. Can sit down. Can go to work if not stressful.
-> It’s better to have normal intercourse before IUI. Just 1 to 2 days before abstinence is better.
-> Post IUI, once or twice intercourse is advisable to increase the success rate. But after 2 days there is no harm or no advantage in having normal sexual life.
Healthy diet is the gold standard. Avoid junk foods, foods causing acidity/ loose stools/ allergies/cold.
Post IUI, after 20 days urine pregnancy test can be done. If want to be precise blood test can be done.