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Home > Health Hub > Article > What are the Do’s and Don’ts before Intra Uterine Insemination?

What are the Do’s and Don’ts before Intra Uterine Insemination?

Medikoe HealthTech Expert

Medikoe HealthTech Expert

  80 feet road indira nagar, Bengaluru     Feb 11, 2017

   5 min     


Intrauterine insemination (IUI) is a fertility treatment that involves placing sperm inside a woman’s uterus to facilitate fertilization. It is also known as artificial insemination(AI). It is the deliberate introduction of sperm into a female's cervix or uterine cavity to achieve a pregnancy through in vitro fertilization by means other than sexual intercourse. IUI and AI are the same. Semen refers to the seminal fluid that contains millions of sperms. Don't confuse it with sperms. 

The IUI procedure should only take a few minutes and it shouldn't hurt. Some mild discomfort may occur when the speculum is inserted, or you may experience cramping when the catheter passes through the cervix. The discomfort is temporary and should be gone by the end of the procedure. The success of IUI depends on several factors. If a couple has the IUI procedure performed each month, success rates may reach as high as 20% per cycle depending on variables such as female age, the reason for infertility, and whether fertility drugs were used, among other variables. The most common type of fertility treatments is IUI and IVF which stands for In-Vitro Fertilization. While IUI is a less invasive and less expensive option, pregnancy rates from IUI are lower than those from IVF. While both fertility treatments are used to achieve the same goal (a healthy baby), the processes are quite different.

Things you should do to increase success (TIps)

Follow all the instructions given by the doctor.

  • Ensure all medication and injections are taken as per doctor’s advice. This includes the date and time of medications.
  • The husband has to ensure abstinence of a minimum of 3 days and a maximum of 7 days before the semen sample is given.
  • Work towards reducing stress levels. Stress has a huge bearing on the success rates. Yoga, pranayama, meditation, light music, exercise, etc. helps a lot. Talk to your doctor if you need counseling on any of these aspects.

What are the Do’s and Don’ts after the IUI process is done?

Follow all the instructions given by the doctor.

  • Ensure all medication and injections are taken as per doctor’s advice. This includes the date and time of medications.
  • Do not travel in two-wheelers or autos over long distances.
  • Do not climb stairs or indulge in heavy work or exercise for the first week.
  • Ensure that there is no stress. Stress has a direct effect on the hormones which may then harm the conception.

How much time does the IUI process take?

On the day when the IUI procedure has been posted, the husband needs to give a semen sample. Processing the semen takes about 60 – 90 minutes. Once the semen sample has been prepared, the actual IUI process takes less than 15 minutes. Once the insemination is done, the patient needs to rest for 30 to 45 minutes.

Considering all of the above, the patient needs to plan for being at the hospital for 3 hours including the time taken for semen collection.

What are the success rates of IUI?

Women under the age of 35 usually have higher rates of success than women over age 35, but the average success rate for IUI ranges from 10-20% in one cycle. With IUI, as with other methods of artificial insemination, the success rate depends primarily on the health of both the sperm and the woman.

My IUI cycle has failed. What should I do now?

  • If the previous IUI cycle has not resulted in a successful pregnancy, please consult the doctor. The doctor may proceed based on these lines
  • Additional blood investigations may be done to ensure all hormone levels are within the required limits
  • Identify the cause for the failure (if possible). If identified, the treatment program may be put in place to address the cause.
  • Doctors may suggest another cycle of IUI.
  • If more than 3 – 4 cycles have not yielded a positive result, the doctor may recommend other options, including IVF.
  • If the doctor feels that the cause may be due to male factors, the doctor may suggest a cycle of donor IUI. Donor IUI is the same IUI process done with the semen of an anonymous donor. This is done only if the couple provide written consent for the same

What are the challenges/downsides of IUI?

  • The male partner needs to provide a semen sample at short notice. Generally, this can be planned. But there may be instances where ovulation occurs unexpectedly and so the semen sample has to be provided for processing and insemination. Some patients may find this uncomfortable.
  • Few patients are unable to give a semen sample within the hospital premises, due to stress and anxiety. In such cases, the semen sample will have to be collected at home and delivered within a short time. This may be a challenge based on the time needed to come to the hospital.
  • If it is a stimulated cycle, there is a chance that the patient may go into OHSS (Ovarian Hyper Stimulation Syndrome). In this, the ovaries become overactive. In such cases, there may be abdominal pain and ovaries may get bloated. This can be handled effectively through medication.
  • Success rates of IUI per cycle are not very high. If a cycle does not succeed, patients may feel disappointed and depressed.

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Tags:  Women's health,Sexual Health- Female and Male ,Drug Discoveries ,Understanding scientific terms ,

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