IUI procedure step by step

IUI procedure step by step

What is the process for IUI step by step?

Before IUI procedure

During the IUI procedure?

After the IUI procedure

How do you do IUI for the first time?

How long does IUI take from start to finish?

When should I start IUI treatment?

What is the success rate of IUI?

What is the best way to prepare for IUI?

What is the process for IUI step by step?

Before IUI procedure

 Before having the insemination procedure, you may take fertility medicines that stimulate ovulation. Semen is collected from your partner or a donor. It goes through a process called “sperm washing” that collects a concentrated amount of healthy sperm from the semen.

Then your doctor puts the sperm right into your uterus. Pregnancy happens if sperm fertilizes your egg, and the fertilized egg implants in the lining of your uterus.

Read more about: IUI vs IVF success rates over 40

Read more about: The keys to a have successful IUI

During the IUI procedure?

The procedure is pretty simple, though it’s normal to feel nervous about it. It will be done in your fertility clinic. (You don’t need to go to the hospital for the procedure)

If you’re using a sperm donor, the donor sperm will be thawed and prepared.

If not, your partner will come into the clinic that day with you and give a semen sample. The semen sample is achieved via masturbation. (Similar to how a semen analysis is done.)

If your partner will be out of town or, if he had difficulty providing a sample in the past your partner may provide the semen sample before IUI day. In this case, if the sample is frozen, it will be thawed and prepared.

Semen contains more than just sperm. Your doctor will put the semen through a special “washing” procedure. This takes out the impurities and leaves only what’s needed for conception.

For the procedure itself, you will lie down on a gynecological table, similar to the ones used for your yearly exam.

A catheter a small, thin tube will be placed in your cervix. You may have some mild cramping, similar to what you might feel during a pap smear.

The specially washed semen will then be transferred into your uterus via the catheter.

The catheter is removed, and you’re done!

Your doctor may suggest you remain lying horizontally for a short while after the procedure, or you may be able to get up right away.

In either case, you don't need to worry about the sperm falling out when you stand up. The sperm are transferred directly into your uterus. They aren't going anywhere but up, to a (hopefully) waiting egg!

Read more about: IUI success symptoms

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After the IUI procedure

After the IUI procedure, you may be prescribed progesterone. This is usually taken via a vaginal suppository.

About a week after the IUI, your doctor may order blood work. He will check your progesterone levels, estrogen, and (maybe) hCG levels.

Ten to 14 days post IUI, your doctor may order a pregnancy blood test. Or, he may tell you to take an at-home test.

Waiting to find out if the treatment was successful can be very stressful. Take good care of yourself!

Read more about: IUI and IVF side effects

Read more about: What you should avoid after IUI

How do you do IUI for the first time?

When you undergo the IUI procedure, you can expect to go through the following three steps:

  1. You may begin taking fertility drugs and your ovulation cycle will be monitored.
  2. Your partner will provide a sperm sample (or you will obtain donor sperm) that will be specially washed and prepared for the insemination.
  3. Your doctor will inject the prepared sperm into your uterus.

How long does IUI take from start to finish?

The visit for intrauterine insemination takes about 15 to 20 minutes and is usually done in a doctor's office or clinic. The IUI procedure itself takes just a minute or two and requires no medications or pain relievers. Overall, the process usually takes an hour and a half.

Read more about: GIFT infertility in Iran

When should I start IUI treatment?

To increase your chances of success, a cycle of IUI should be done just after ovulation. Ovulation usually happens 12 to 16 days before your next period. This can vary if you have an irregular menstrual cycle.

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What is the success rate of IUI?

Success rates for intrauterine insemination (IUI) are more difficult to determine than IVF success rates as they depend on the cause of infertility and whether fertility drugs are used to stimulate egg production. Artificial insemination success rates also depend on a woman’s age, fallopian tube status (must have at least one healthy, open tube), and the sperm sample.

  • Women aged 20 to 30: 17.6% pregnancy rate, 13% delivery rate.
  • Women aged 31 to 35: 13.3% pregnancy rate, 10% delivery rate.
  • Women aged 36 to 38: 13.4% pregnancy rate, 9% delivery rate.
  • Women aged 39-40: 10.6% pregnancy rate, 7% delivery rate.
  • Women over age 40: 5.4% pregnancy rate, 3% delivery rate.

Read more about: Laparoscopic infertility treatment in iran

What is the best way to prepare for IUI?

Modify Your Diet

While you are mentally preparing for fertility treatment, use this time to also prepare your body. Treat food as fuel and opt for healthier alternatives when possible. Reach for an apple or handful of almonds when that mid-day hunger strikes and trade a side of french fries for seasonal veggies or a salad.

Stay informed and ask questions

Take a look at some of our online tools that we offer to help you as you are preparing for fertility treatment:

Try a relaxation technique

Drop the extras

Whether it’s clutter or pounds, neither one helps when it comes to preparing for fertility treatment. Excess clutter in your life can cause anxiety and unwanted stress. Tackle tasks around your home or office one thing at a time.

Get in shape

You don’t have to be at the gym every morning at 5 a.m., but it’s always good for your mind, body, and spirit to incorporate some form of cardiovascular exercise into your daily routine. Even if your schedule makes it difficult to get to the gym, try taking the stairs at work instead of the elevator, and walk instead of drive to pick up lunch during the day. Even a small weight loss can have a big gain when it comes to your fertility.

Pay it forward

Feed your soul by giving back to the community. Nothing makes us feel better about ourselves than knowing we really helped someone else in need. Let someone with only a few items go in front of you in the grocery line, offer to help an elderly neighbor, or volunteer at a local community shelter. What you give out, you will receive back.

Focus on today

Realize that not every day is going to be a good day, and that’s ok. Try and focus on the things you can control and let go of the things you can’t. When you get to the finish line and look back on your journey, you will hopefully agree that it was all worth the ride.

Read more about: One testicle fertility

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10 common questions about IUI procedure step by step

1How is an IUI procedure done?
During the IUI procedure, the doctor slides a thin, flexible tube through your cervix into your uterus. They use a small syringe to insert the sperm through the tube directly into your uterus. ... The insemination procedure is done at your doctor's office or at a fertility clinic, and it only takes about 5-10 minutes.
2How long does IUI take from start to finish?
This process can take up to 2 hours to complete. IUI is performed near the time that the woman is ovulating. The IUI procedure is relatively simple and only takes a few minutes once the semen sample is ready
3What is the success rate of IUI?
Women often have a 10 to 20 percent chance of getting pregnant with just one IUI cycle. The more cycles of IUI you undergo, the higher the chance is for a pregnancy. With 3 to 6 cycles of IUI, pregnancy rates can be as high as 80 percent.
4Is it necessary to take bed rest after IUI?
A short period of bed rest after intrauterine insemination makes no difference to pregnancy rates. ... "In our opinion," said Dr van Rijswijk, "immobilisation after IUI has no positive effect on pregnancy rates, and there is no reason why patients should stay immobilised after treatment."
5Is IUI successful in first try?
One study found that IUI success rates were 16.4 percent per cycle for the first three tries or 39.2 percent if looking at all three trials together. However, for IUI treatments cycles 4 through 6, the success rate dropped significantly to only 5.6 percent
6What should I avoid after IUI?
Avoid strenuous exercise right before and after insemination Strenuous activities could cause uterine contractions that could interfere with implantation. Light exercise such as light aerobics, swimming, walking, and yoga are fine. High impact exercise such as jogging and step aerobics should be avoided
7Can I get pregnant with first IUI?
IUI success rate On average, a woman under 35 will have a 10 to 20 percent chance of pregnancy with each IUI, while a woman over 40 will have a two to five percent chance. ... “If you're going to get pregnant [with IUI], you'll get pregnant within those attempts.
8How many follicles are good for IUI?
What is the IUI success rate with one follicle? On average ten to twelve follicles are produced per cycle, but this can vary from person to person and is affected by multiple factors such as age, medical history and your individual response to ovarian stimulation
9Which day IUI is done?
Ideally an IUI should be performed within 6 hours on either side of ovulation. When timing is based on an hCG injection, the IUI's are usually done between 24 and 48 hours later. If two IUI's are scheduled, they are usually spaced at least 24 hours apart
10Does sperm fall out after IUI?
It is possible that woman may feel some fluid leaking out of the vagina after an IUI. Sometimes some of the fluid inseminated into the uterus will leak back out through the cervix. This is called reflux. ... In most cases, there will still be plenty of sperm that stayed in the uterus to produce pregnancy


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