Intrauterine Insemination (IUI) Procedure/technique

IUI is a painless, non-invasive procedure, and it can also be done with your natural cycle without using medication. During your ovulation, sperms collected from your partner are used for IUI.

However, IUI can also be combined with ovarian stimulation medications such as human chorionic gonadotropin (HCG) and follicular stimulating hormone (FSH). This results in the production and release of multiple eggs, increasing the chances of conception.

Your fertility clinic and the doctor will have specific instructions to follow for the IUI procedure.

  • You may have to visit your fertility clinic during menstruation for the blood test, ultrasound, and to receive instructions about medications.
  • If medications are needed, you will be advised to start your medications during your menstrual cycle.
  • After a week, you will be called for an ultrasound and blood test.
  • Depending on your test results, you will be called to examine if you are ovulating, which is after 10 to 15 days of starting your medications.
  • Semen samples from your partner will be collected on the day of the procedure or well before, and stored.
  • Sperms will be washed to remove seminal fluid and other debris.
  • IUI does not require anesthesia; it is a quick procedure and is less painful.
  • You will be made to lie down. Your doctor will use a speculum to open the vagina gently.
  • The sperms will be inserted into the uterus using a long and thin tube.
  • You will be advised to relax in a reclined position for about thirty minutes.
  • You might experience slight discomfort or mild cramping during the procedure. Sometimes spotting or vaginal bleeding is also seen.
  • You will be asked to take a pregnancy test two weeks after the IUI procedure.

Risks Associated with IUI
There might be chances of infection, but an experienced doctor takes all precautionary measures using sterile instruments to avoid any infection. If you are taking fertility medication during IUI, there are chances of multiple pregnancies. Your fertility doctor will adjust the medication and keep monitoring you to avoid any complications.

You may experience Ovarian hyperstimulation syndrome when there is an over-response to fertility medication. Consult your doctor if you experience these symptoms

  • Nausea and vomiting
  • Shortness of breath
  • Severe abdominal pain or pain in the pelvic area
  • Dizziness or lightheadedness
  • Bloating of the abdomen
  • Diarrhea
Pros of IUI
  • Fewer medications needed
  • Less expensive
  • Less Invasive
Cons of IUI
  • Addresses few infertility issues
  • Low success rate
  • Not as effective as IVF in decreasing the chances of miscarriages
  • Multiple pregnancies can lead to high-risk pregnancy