Intrauterine insemination IUI Treatment Lahore performs a biomedically assisted insemination (OBMP) procedure, where purified sperm from a partner (AIH) or a donor (AID) is transferred to the woman with a long catheter. It is carried out at the most suitable time for conception, at the time of ovulation. IUI is the least invasive and the most friendly method among OBMP procedures, so it is the method of first choice before moving on to more demanding processes such as IVF (in vitro fertilization).
Indications for infertility treatment with IUI:
- problems with ovulation in a woman
- anomalies in the cervical mucus
- problems with ejaculation (ejaculatory dysfunction) in men
- milder forms of male infertility
- unexplained infertility
IUI is unsuitable for treating infertility in cases where the woman has scarred/damaged fallopian tubes or one, or both have been removed. It is also problematic for women with a history of severe pelvic inflammation and a severe form of endometriosis and in cases where the quality of the man’s semen is too poor.
How is IUI performed?
IUI can be performed:
- in a woman’s spontaneous cycle (own ovulation)
- with mild ovarian stimulation with gonadotropins in the form of subcutaneous injections (e.g., Gonal F)
- with gentle ovarian stimulation using oral medications – Clomid (clomiphene) or Femara (letrozole)
All IUI methods require ultrasound monitoring of follicle/follicle growth and confirmation of ovulation or triggering ovulation with a “stop injection.”
Within 24 to 48 hours after ovulation or “stop injection,” IUI is performed. The man then submits a semen sample, which is then purified and, using the “swim up” technique, separates the sperm from the ejaculate, or seminal fluid, obtains the most mobile sperm, and in the process, also removes all substances and impurities that could cause spasms, inflammation and other problems in a woman.
A thin catheter injects the purified and prepared seed into the uterus (IUI – intrauterine insemination) or directly into the fallopian tube (ITI – intratubal insemination). After the procedure, the woman can lie on the gynecological chair for some time. In the following days, hospitalization is not required, but it is recommended that the woman rests if necessary and avoids physically strenuous activities.
If she does not get her period after 17 days from the IUI, take a pregnancy test or report for a blood test at the IUI Treatment Cost in Pakistan clinic.
Chances of success vary between 5-20%. The percentage of success increases with the number of procedures performed.
When does IVF replace the IUI procedure?
Even though the success of IUI increases with the number of procedures performed, it is reasonable for a couple to try in vitro fertilization (IVF) after three unsuccessful IUI procedures.
Sometimes, a woman may overreact to stimulation and produce more follicles. Due to the risk of multiple pregnancies, IUI is not recommended then. Follicle puncture is performed, and IVF is performed.