Best Time to Do IUI Before or After Ovulation
Intrauterine insemination (IUI) — a type of artificial insemination — is a procedure for treating infertility. Sperm that have been washed and concentrated are placed directly in your uterus around the time your ovary releases one or more eggs to be fertilized.
The hoped-for outcome of intrauterine insemination is for the sperm to swim into the fallopian tube and fertilize a waiting egg, resulting in pregnancy. Depending on the reasons for infertility, IUI can be coordinated with your normal cycle or with fertility medications.
Monitoring for ovulation
Because the timing of IUI is crucial, monitoring for signs of impending ovulation is critical. To do this, you might use an at-home urine ovulation predictor kit that detects when your body produces a surge or release of luteinizing hormone (LH). Or, an imaging method that lets your doctor visualize your ovaries and egg growth (transvaginal ultrasound) can be done. You also may be given an injection of human chorionic gonadotropin (HCG) or medications to make you ovulate one or more eggs at the right time.
Determining optimal timing
Most IUIs are done a day or two after detecting ovulation. Your doctor or other care provider will have a plan spelled out for the timing of your procedure and what to expect.
On Which Day of My Cycle Should I Have An IUI?
IUI should be done on the day of ovulation, which occurs the day following a positive result with a commercial ovulation predictor kit, or 36-40 hours after an HCG trigger shot.
Why Would an HCG Trigger Shot Be Used Instead of Monitoring for Ovulation with A Predictor Kit?
You may be recommended to take an HCG trigger shot, depending on what type of medication you are using, how you are responding to treatment, and how you have
responded in previous cycles. Using a trigger shot does take some of the guesswork out of the timing of an IUI and can reduce the anxiety associated with the fear of somehow missing out on doing an IUI in any given cycle.
Does Ovulation Induction Increase My Risk of Having a Multiple Pregnancy?
The risk of having a multiple pregnancy is largely dependent on maternal age and diagnosis. Multiple pregnancy can occur in any situation when two or more mature follicles are present at the time of ovulation. Fertility medications can result in the maturation of multiple follicles; therefore, careful monitoring of ovarian response is important in order to minimize this risk. The overall risk of a twin pregnancy is estimated to be 5-10% with oral medications and 10-15% with gonadotropins. Chances of triplets or higher multiples are much lower.
Can I have an IUI if I am ovulating on the weekend?
Yes. If your ovulation test turns positive on Saturday or Sunday, call the office and speak to the doctor on call to schedule an IUI for the next day. In order to avoid delays on the weekends, specimens should be obtained at home and brought in at the appointment time unless you are unable to get to the office within 45 minutes
About Iranian Surgery
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For more information about the cost of Fertility Treatments in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.
Source:
https://www.mayoclinic.org/tests-procedures/intrauterine-insemination/about/pac-20384722
https://southeasternfertility.org/assets/25-questions-and-answers-about-ovulation-induction-final.pdf