Intra uterine insemination (IUI) is one of the most straightforward forms of assisted fertility treatment. Sperm is prepared in the laboratory and is then placed directly into the woman’s uterus, increasing the chances that the sperm will reach and fertilise the egg.
IUI using semen from the male partner is recommended for:
Couples whose reasons for sub fertility are unknown.
Couples in which the woman has ovulation problems.
In cases where there is an abnormality of the cervix.
Couples in which the sperm count or motility is reduced.
IUI using semen from a donor is recommended for:
Single women
Same Sex couples
Couples where the men have no sperm.
Couples where the male partner is a carrier of a genetic disease which cannot be screened for in an embryo.
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At your first visit to an IVI clinic the doctor will fully explain all suitable treatments available to reach your desired result. If you opt for intra uterine insemination (IUI), then the procedures are as follows.
A sperm sample will be required by the laboratory several hours prior to the insemination procedure. The sperm is prepared for use by selecting and concentrating those with the best motility. This is done by separating the motile sperm from the immotile ones in a centrifuge.
The insemination (IUI) is a simple procedure similar to a smear test. A speculum is inserted into the vagina and the cervix located. A fine catheter is then passed through the cervix into the enabling the motile sperm to be placed within the endometrium (lining of the uterus).
During treatment, a series of 3 or 4 transvaginal ultrasound scans are performed to check the growth and development of the follicles (follicles are fluid filled sacs in which an egg will develop). When the follicle has reached the optimum size an injection of hCG is administered to mature the egg in the follicle and time the release of the egg (ovulation) . This injection is given approximately 36 hours before insemination takes place.
Ovarian stimulation can increase the chances of success by producing more than one egg to be fertilized. Injections are given daily usually for about 10 days. For artificial insemination to be successful it is essential that at least one of the Fallopian tubes is patent.