Frequently Asked Questions (FAQ)
What is IUI and what is the full form of IUI?
IUI is the abbreviated form of intrauterine insemination. In this procedure, male sperm is placed inside a woman's uterus for fertilization.
How much does IUI cost?
The cost of intrauterine insemination [IUI] in India may vary due to
- Admission fee
- Doctor fee
- Age of the patient
- The medical condition of the patient
- Cycles you choose to complete
- Post-surgical complications that are involved
- Type of hospital
- The admission room that you opted for
Minimum cost for IUI in Bangalore starts from Rs.5,000
Average price for IUI in Bangalore is approximately Rs.7,000
Maximum amount to be paid in Bangalore rises up to Rs.10,000
Approximately, this procedure may cost around Rs.5000 to Rs.10,000
Is IUI painful?
Intrauterine insemination [IUI] is a very short procedure that takes only a few minutes and the pain experienced is mild. You may experience some discomfort and cramping during the procedure which is tolerable.
Is IUI successful for infertility treatment?
Intrauterine insemination [IUI] treatment may be successful in couples who are having mild to moderate sperm motility. The success rate of IUI depends on
- Age of the male
- Age of the female
- Reason for infertility
- The health condition of the female reproductive organs
- Ovulation period
If IUI is performed each month for 4-5 months, then the success rate may increase by 20% per each cycle.
Can IUI cause birth defects?
There are low chances of risk noticed in babies who are born using IUI method. If the IUI method is followed along with stimulation medicines, then there may be no risks involved.
Why does IUI fail?
There are many reasons which may cause IUI to fail:
- Age plays a major role
- Improper usage of fertility drugs
- Low quality of eggs
- Blockage of fallopian tubes
- Poor timing
- Low-quality sperm
Are IUI babies healthy?
In almost all cases IUI babies are very healthy. In a few cases, IUI may cause low birth weight and other birth defects. Before deciding to proceed with the IUI procedure, consult your doctor.
Are there side effects of IUI?
The side effects involved in this procedure is very minimal. Very rarely you may experience the following symptoms:
- Mild pain
- Spotting, or feeling full post-procedure.
What is the difference between IVF and IUI?
In-vitro fertilization [IVF] and Intrauterine insemination [IUI] are both fertility treatments. IVF is a long procedure which includes 5 steps to complete and whereas IUI is a simple procedure in which, washed and concentrated sperm is introduced into the uterus of the women for fertilization.
Which day IUI is done?
The intrauterine insemination [IUI] method is usually done on the 12th day and 16th day of your natural menstrual cycle. But, it may vary according to the individual.
What are the signs if IUI was successful?
If intrauterine insemination [IUI] is successful, then the individual shows the following signs and they are:
- Tenderness in breasts
- Menstrual delay
- Implantation bleeding
- Cravings and aversion
- High body temperature
What next if IUI fails & why does it fail?
If IUI fails for the first time, your doctor may suggest this procedure two more times. Even after 5-6 IUI failures, your doctor may recommend you medications that help in inducing the ovulation. If the medicated ovulation also fails, most of the patients may prefer in vitro fertilization [IVF].
Intrauterine insemination [IUI] may fail due to:
- Irregular ovulation
- Low sperm motility
- Women may have problems in fallopian tube or uterus
Who performs IUI?
Any doctor who is a qualified Gynecologist or who has experience or training in, fertility treatments are allowed to perform this method.
You may also want to know
IUI is an abbreviated form of intrauterine insemination. It is used to treat fertility problems. In this process, male sperm is introduced into the woman’s uterus to help fertilize. The main goal in this procedure is to increase the number of a sperm count to reach the fallopian tubes and thus helps in facilitating fertilization. In this method, sperm is collected from the male partner. Then the sperm is washed to remove all the debris and seminal fluid. The washed sperm is well concentrated and placed directly into the uterus of the women. Washed sperm is placed during the time of ovulation [when the ovary releases eggs] and thus the fertilization process takes place. This IUI process is mostly coordinated with your menstrual cycle and few fertility medications. As with every surgery, IUI also has few complications and risks. IUI is less expensive and less invasive when compared with other infertility treatments. If IUI fails 3-5 times then most of the patients prefer IVF [in-vitro fertilization] method.
IUI is indicated for the individuals who are facing any of the following conditions:
- Male infertility
- Reason for infertility is unexplained
- If a sperm donor is used for pregnancy
- Cervical mucus problems
- The inability of the sperm to reach the uterus
- If treatment with fertility medications fail
- Ejaculation dysfunction
Eligibility criteria for IUI
IUI is done in the women who are having any one of the following:
- Couples who fail to conceive even after having unprotected sexual intercourse for one to two years.
- Females whose reproductive organs are in good condition and can support pregnancy but cannot conceive.
- Women who are allergic to sperm.
- Same-sex couples who are wishing to conceive.
- Single women who like to get pregnant.
- Couples who want to avoid passing the genetic defect to baby from the male partner.
Ineligible criteria for IUI
Individuals who are suffering from the following conditions are not eligible for IUI. The conditions are:
- History of pelvic infections
- Low ovarian reserve
- Tubal disease
- Male partner infertility
- Severe endometriosis
- Previous attempts of IUI which was unsuccessful
- Severe endometriosis
- Blocked fallopian tubes
Right specialists type for IUI
A qualified Gynecologist or who has experience or training in infertility treatment is allowed to perform this method.
How to prepare for IUI
- Before undergoing this procedure, inform your doctor about your current medications.
- They may ask you to stop certain medications and dietary supplements before undergoing this procedure.
- Your doctor may instruct you the diet that you should be taking before and after the procedure.
- Your doctor will perform tests to determine when you are ovulating.
- On the day of the procedure, the semen sample is collected from your partner or donor semen is thawed.
- Then the semen sample is immediately taken to the lab and washed. By washing, all the seminal fluid and other debris are removed and the sperm is concentrated and does not irritate the uterus.
- Your doctor will explain all the outcomes and risks associated with the intrauterine insemination [IUI].
Steps of IUI
The steps involved in this process are:
- The first step involves a pelvic exam for which you may be asked to lie down on the exam table. Then with the help of a speculum, the vagina is gently opened to visualize the cervix.
- A thin and flexible catheter is inserted into your cervix by your doctor. During this process, mild discomfort, cramping, or vaginal bleeding may be caused.
- Then the sperm sample which is washed will be injected into the uterus.
- The second insemination may be performed in a few cases.
- In some cases, progesterone is also prescribed after the procedure. A pregnancy test can be taken after two weeks of this procedure.
Post-procedure care/ recovery after IUI
Once the surgical procedure is done, you will be discharged. Your doctor may provide you some instructions to follow and they are the following:
- If you experience bleeding, then you are advised to avoid having sexual intercourse for about 48 hours after completion of this process.
- Avoid taking NSAIDs or any other pain killers without consulting your doctor.
- You are advised to meet your doctor after a week so that your doctor will check your uterine lining using an ultrasound. This helps in understanding the effectiveness of the performed IUI.
Risks/ complications associated with IUI
Intrauterine insemination [IUI] is a simple and safe procedure. However, IUI has some risks and complications and they are the following:
- Risk of developing an infection
- Chance of causing vaginal bleeding
- Can cause multiple pregnancies if done with ovulation-inducing medications
- Mood swings
- Ovarian cysts
- Mild abdominal pain
- Swelling and rashes at and around the site of injection
- Hot flashes
- Visual disturbances
- Low birth weight
- Developmental problems
Advantages of IUI
Advantages of IUI are the following:
- It is a less expensive and less invasive procedure when compared with other methods to treat infertility.
- IUI is a simple method that can be performed in the doctor office.
Long term outcome/results of IUI
IUI may help to conceive and the procedure is less expensive. If the first cycle is failed then 3-5 more cycles are recommended by your doctor. So, there is a chance to conceive in 3-5 cycles of IUI.
The success rate of IUI
The success rate of IUI mostly depends on the factors like
- Age of male and female
- The condition of the female reproductive organs
- Sperm motility
- Ovulation period
- If IUI is performed each month for 4-5 months, then the success rate may increase by 20% per each cycle
Overall the success rate of IUI is 20-30%
Options if IUI is not successful
If IUI is not successful on the first cycle, then once again your doctor may suggest performing IUI 3-5 times. After 3-5 failure cycles, most of the patients will prefer to go for in-vitro fertilization [IVF]. Other options are available if IUI is not successful and they are:
- Drugs which stimulate the ovulation
- Medications that help to increase the motility of the sperm
- Micro IVF
Alternatives of IUI
There are several options for treating infertility. Some of them are the following:
- Fertility drugs
- Donor sperm
- In vitro fertilization [IVF]
- Donor eggs
- Donor embryos
- Reproductive surgery
- Gamete intrafallopian transfer [GIFT]
- Zygote intrafallopian transfer [ZIFT]