IUI Procedure
- IUI Procedure is a fertility treatment procedure that involves placing washed and prepared sperm directly into the woman’s uterus to increase the chances of fertilization and pregnancy.
- IUI is recommended for couples with specific fertility issues such as mild male factor infertility, cervical factor infertility.
- IUI procedure is also including unexplained infertility, or for single women or same-sex female couples using donor sperm.
- IUI procedure is a less invasive and less costly fertility treatment option compared to procedures like IVF.
- The success of IUI can vary depending on individual circumstances and underlying causes of infertility.
Procedure for IUI
Ovulation Monitoring:
- IUI procedure, the woman’s menstrual cycle is closely monitored to determine the timing of ovulation.
- Ovulation Monitoring can be done through various methods such as tracking menstrual cycles, monitoring basal body temperature, or using ovulation predictor kits.
Sperm Preparation:
- IUI procedure, the semen sample from the male partner or a sperm donor is collected and processed in the laboratory.
- The semen sample goes through a washing process to separate the motile and healthy sperm from the seminal fluid.
- This preparation helps to increase the concentration and quality of the sperm that will be used for insemination.
Insemination:
- IUI procedure, the prepared sperm is loaded into a thin, flexible catheter.
- The female lies down on an examination table, and a speculum is inserted into the vagina to visualize the cervix to achieving pregnancy.
- The catheter is then carefully inserted through the cervix and into the uterus. The washed sperm is slowly injected into the uterus using the catheter.
Post-Insemination:
- After the insemination, the woman usually rests for a short period before being able to resume normal activities.
- There are no specific restrictions or limitations following the IUI procedure.
Follow-Up and Pregnancy Testing:
- Around two weeks after the IUI procedure, a pregnancy test is performed to determine if the treatment was successful.
- If the test is positive, it indicates a successful pregnancy.
- If the test is negative, further discussions with the fertility specialist may be needed to discuss additional options or future treatment plans.
How Much Sperm is used for IUI Procedure
- IUI procedure, the sperm sample is washed or processed in the laboratory to remove seminal fluid and other impurities, leaving behind a concentrated sample of motile and healthy sperm.
- The processed sample is then carefully placed into the uterus using a catheter.
- The volume of the processed sperm sample used for IUI can range from around 0.5 mL to 1.5 ml.
- The number of sperm cells in the sample is usually in the range of several million to tens of millions, depending on the specific requirements of the patient and the recommendations of the fertility specialist.
- The exact volume and number of sperm used can vary between clinics and even between individual IUI cycles.
Sperm Test: Sperm Count & Motility
- Sperm Count (Concentration):
- Sperm count refers to the number of sperm cells present in a given volume of semen.
- A lower sperm count may indicate a potential fertility issue and can affect the chances of natural conception for achieving pregnancy.
- Sperm Motility: Sperm Motility is assessed in terms of both forward progression and total motility. The World Health Organization provides the following guidelines for sperm motility:
- Progressive Motility (PR): The percentage of sperm with forward movement. A value of 32% or higher is considered normal.
- Total Motility (TM): The percentage of sperm that are actively moving, regardless of the direction. A value of 40% or higher is considered normal. Motility is an important factor for successful fertilization as it enables sperm to travel through the female reproductive system to reach and penetrate the egg and increases the chances of pregnancy.