IUI process in Iran

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IUI process in Iran

iui process in iran

IUI process in Iran

Intrauterine insemination infertility treatment is referred to as the process of placing prepared sperm into the uterus. It is the process of separating and cleansing of sperm for the removal of dead, non-motile and toxic sperms from which only healthy and fast sperm are extracted which have higher chances of fertilizing the egg present inside. The prepared sperm are placed inside the uterus of a woman while she is ovulating. This is done with the help of a catheter. IUI infertility treatment is very simple as compared to IVF- invitro fertilization, as in IUI the process is similar to that of the natural process.

How Intrauterine insemination (IUI) process done?

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. Older types of artificial insemination placed the sperm in the vagina. While this was easier, it was not as successful as the current procedure.

The hoped-for outcome of intrauterine insemination is for the sperm to swim into the fallopian tube and fertilize a waiting egg, resulting in a normal pregnancy. Depending on the reasons for infertility, IUI can be coordinated with your normal cycle or with fertility medications.

iui process in iran

Why we use iui procedure ?

A couple's ability to become pregnant depends on many different factors. Intrauterine insemination is used most often in couples who have:

Donor sperm. For women who need to use donor sperm to get pregnant, IUI is most commonly used to achieve pregnancy. Frozen donor sperm specimens are obtained from certified labs and thawed before the IUI procedure.
Unexplained infertility. IUI is often performed as a first treatment for unexplained infertility along with ovulation-inducing medications.
Endometriosis-related infertility. Like unexplained infertility, the combination of medications to obtain the best egg and IUI is the first treatment.
Mild male factor infertility (subfertility). Your partner's semen analysis, one of the first steps in the medical assessment of infertility, may show below-average sperm concentration, weak movement (motility) of sperm, or abnormalities in sperm size and shape (morphology). IUI can overcome some of these problems because preparing sperm for the procedure helps separate the highly motile, normal sperm from those of lower quality. This works best if the sperm have only one abnormality, such as only a motility problem.
Cervical factor infertility. Your cervix is at the lower end of the uterus and provides the opening between your vagina and uterus. The mucus produced by the cervix around the time of ovulation is supposed to provide an ideal environment for sperm to travel from your vagina to the fallopian tubes. However, if the cervical mucus is too thick, it may impede the sperm's journey. IUI bypasses the cervix, depositing sperm directly into your uterus and increasing the number of sperm available to meet the awaiting egg.
Semen allergy. Rarely, women have an allergy to proteins in their partner's semen, so ejaculation into the vagina causes redness, burning and swelling where the semen has contacted the skin. A condom can protect you from the symptoms, but it also prevents pregnancy. If your sensitivity is severe, IUI can be effective, since many of the semen proteins are removed before the sperm is inserted.

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IUI treatment risks

Intrauterine insemination is a relatively simple and safe procedure, and the risk of serious complications is low. Risks include:

Infection. Studies indicate that fewer than 1 percent of women experience infection as a result of the procedure.
Spotting. Sometimes the process of placing the catheter in the uterus can cause a small amount of vaginal bleeding. This does not usually have an effect on the chance of pregnancy.
Multiple pregnancy. IUI itself is not associated with an increased risk of a multiple pregnancy — twins, triplets or more. However, when coordinated with ovulation-inducing medications, the risk of a multiple pregnancy increases significantly. A multiple pregnancy has higher risks than a single pregnancy does, including early labor and low birth weight.

iui process in iran

IUI procedure in Iran step by step


1.Stimulate Egg Growth: The woman begins taking oral or injectable medication to stimulate the growth and maturation of her eggs. The injections are just beneath the skin (subcutaneous) and recommended in an area of the body with fat, such your stomach or the top of the thigh. Oral medication is taken for 5 days and injectable medication is usually taken for 8-12 days based on how the ovaries respond.
Ultrasound & Blood Monitoring: While on injectable medication, brief ultrasound appointments are needed every 2-3 days to monitor the ovaries and egg development. Blood tests are also completed to assess hormone levels related to egg growth and ovarian function. Through this testing and monitoring, we ensure everything is progressing safely.
2.Ovulation Induced: Once a “ripe” egg is present, a patient receives a “trigger shot” that causes ovulation within about 36 hours. The shot is given by a nurse at the clinic or self-administered at home.Sperm Sample Processed: The male partner provides a sperm sample or a donor sperm sample is thawed, then processed by the laboratory. During preparation, the sperm sample is “washed” to remove debris, immobile sperm and substances in semen that could cause severe cramping and the sperm cells are highly concentrated into a small volume.
3.Insemination Procedure: Just like a routine pelvic exam, a woman lies on an exam table. The sperm sample is injected into the uterus through a thin, long, flexible catheter. The entire process is virtually painless and takes seconds to complete. Getting up shortly after the procedure will not impact chances of pregnancy. On some occasions, insemination will be recommended two days in a row, but in most cases, a single well-timed insemination is all that is needed in each cycle.
4.Follow-Up: A week after ovulation, progesterone levels are often tested. For some patients, additional hormone support (such as progesterone) may be suggested to help prepare the uterine lining for pregnancy. Progesterone support is often used for women with recurrent miscarriage.
Additional Testing: About two weeks after insemination, follow up blood testing determines if pregnancy has resulted.

10 common Questions about IUI process in Iran

1What are the chances of getting pregnant with 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. “The peak IUI effect is around three to four cycles,” says Baratz.
2How long does it take sperm to reach the egg after IUI?
The Sperm's Long Journey A man may ejaculate 40 million to 150 million sperm, which start swimming upstream toward the fallopian tubes on their mission to fertilize an egg. Fast-swimming sperm can reach the egg in a half an hour, while others may take days. The sperm can live up to 48-72 hours.
3Which is better IVF or IUI?
The main difference between an IUI and IVF treatments are: IVF is a process involving egg stimulation, retrieval, fertilization, and transfer; whereas, an IUI injects sperm into a uterus to decrease the sperm's travel time to the egg. ... transfer of the resulting embryos into the uterus.
4Does IUI hurt?
Does IUI Hurt? 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.
5Is bed rest required 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."
6How many follicles 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.
7Does urine flush out sperm?
Fact: As the pre-ejaculate leaves the body, however, it may pick up sperm from a previous ejaculation that remains in the urethra. One study found small clumps of sperm in the pre-ejaculate fluid of some men. ... Such small amounts of sperm can likely be flushed out with urination, although no research has verified this.
8Will an Orgasim help IUI?
Intercourse after the IUI for the next couple of days is encouraged - and intercourse and orgasm cause the uterus to contract and can help propel the sperm in to the fallopian tubes. 6. If you do not get your period 14 days after the insemination, a pregnancy test should be done.
9Does sperm fall out after IUI?
Instructions for after the IUI It is o.k. ... In fact, for men who have very low sperm counts, having intercourse in addition to the IUI will increase the total amount of sperm in the uterus and may imporve the chance for pregnancy. It is possible that woman may feel some fluid leaking out of the vagina after an IUI.
10How expensive is IUI?
In the United States, the average cost of an IUI cycle using your partner's sperm is about $865. Keep in mind that treatment costs vary depending on how much medicine you need, where you live, and whether your state mandates insurance coverage for infertility.

 

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