Intrauterine insemination is a fertility treatment that involves inserting washed sperm into the uterus. It is done at the time of ovulation to improve the chances of pregnancy.
For IUI to work, you need at least one fallopian tube that is open and healthy.
IUI may help you if:
IUI can be used on its own or, more commonly, along with medication to increase the number of eggs being ovulated. There are three medication regimens typically used with IUI. These are:
You take these medications during the first part of your menstrual cycle. When ovulation occurs, an IUI is performed.
On the day of the IUI procedure, the male partner ejaculates a semen sample into a cup at home or in our private room at the clinic. The sample is given to one of our andrologists, ideally within 30 minutes of it being produced. After getting the sample, the andrologist washes the semen and prepares it for IUI (this takes approximately two hours). Then, the washed sperm is put into a thin plastic cathether which is then put into the woman’s uterus through her cervix. The sperm are then released.
You will lie down for about five minutes after insemination. You do not need to lie down longer as the cervix is then closed and the sperm will not fall out. You can resume regular activities after the IUI.
IUI takes about 5 minutes to perform.
Fertility drugs are administered to stimulate the growth of two to three eggs to maturity. Typically, clomiphene pills or gonadotropin injections are used to stimulate the growth of follicles, and cause ovulation to take place.
Monitoring is conducted to measure the growth of follicles and to control the drug doses based on the patient. Because fertility drugs can produce multiple eggs, monitoring is also needed to reduce the risk of multiple births. Blood tests measure estrogen concentrations, and ultrasound is used to measure follicular development.
Either a surge of LH will be detected in the blood or ovulation will be triggered. Injection of the hormone hCG (human chorionic gonadotropin) is used to induce ovulation when at least two or three follicles are mature.
On the morning of ovulation, a sperm sample is provided by the male partner, prepared for the IUI, and injected later the same day. With a very fine catheter, the washed and concentrated sperm sample is inserted through the cervix, high into the uterus of the woman. The IUI procedure is fairly painless and uncomplicated.
Two weeks after the procedure, you will learn if you are pregnant. Once your pregnancy has been confirmed, the pregnancy is monitored by early ultrasounds to be sure the pregnancy is in the correct location in the uterus and is developing normally.
The success rate is 5%-25%, depending on the particular situation.
Ask your doctor if IUI is appropriate for you. Then, on the first day of the menstrual cycle, you call the Olive nursing line and get started.
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Olive Fertility Centre resides on the traditional, ancestral, and unceded territory of the xʷməθkwəy̓əm (Musqueam), Skwxwú7mesh (Squamish), and Tsleil-waututh Nations (Vancouver and Surrey clinics), of the Lekwungen people (Victoria clinic), of the syilx/Okanagan people (Kelowna clinic) and of the Lheidli T’enneh First Nation (Blossom Fertility clinic in Prince George).
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