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Intrauterine Insemination (IUI) Process for Infertility Treatment
You might have heard of artificial insemination and might think of this as modern technology, but did you know that the technology has been around since the late 18th Century? Yes, that's right. While the methodology has improved by leaps and bounds, the basic procedure remains the same. Intrauterine Insemination (IUI) is considered as one of the best infertility treatments to help a woman conceive.
Video: Intrauterine Insemination IUI Process for Infertility Treatment
https://www.youtube.com/watch?v=l9xKWJF4j3I
What is IUI?
IUI or intrauterine insemination is a type of artificial insemination treatment, which has gained a lot of popularity of late. IUI treatment includes separating high-quality sperm from sluggish or non-moving ones. The sperm is then injected directly into the womb. The sperm used for this process might be a refined version of the partner’s sperm, or a donor sperm, in which case the process is known as donor insemination. Artificial insemination treatment is beneficial for single women, female couples or even heterosexual couples having trouble conceiving a child. It might be used in the following cases:
Couples with fertility issues
Single women or same sex couples not suffering from any fertility issues, but who want a baby
Couples unable to have vaginal intercourse or finding it difficult to do so for various reasons, like a physical disability or psychosexual issue
Couples with medical issues who need some help to conceive, like in the case of an HIV positive partner, who could pass on the disease to their partner or unborn baby
An important thing to note here is that IUI or Intrauterine Insemination is not the same as IVF or Invitro Fertilisation. IUI works better for women who do not have very serious fertility issues.
During IUI, the best quality sperm is selected, separated and then injected into the uterus manually instead of via sexual intercourse (where the same process would take place naturally). The sperm will then fertilise the eggs naturally. IUI is less invasive than IVF and is less expensive too. One cycle of IUI (explained below) is approximately worth a quarter of what you would pay for an IVF cycle!
Intrauterine Insemination Method To Get Pregnant
So how does the IUI method to get pregnant work? Well, the two basic requirements for IUI are a naturally released egg in the woman’s fallopian tube, and a sample of semen with healthy sperms, whether it’s the partner’s or a donor’s. Every treatment or attempt of IUI made in the woman’s body is referred to as a ‘cycle’: the time from day 1 of the period to ovulation, followed by insemination, to about a fortnight later (when a pregnancy test is taken to detect success).
Procedure of IUI for Infertility Treatment
1. How Does IUI work?
Here is a detailed timeline of the IUI process:
Production of eggs
Whether it is natural or induced by fertility drugs, production of an egg is vital for IUI. Women typically release only one egg a month, but in such a case, fertility drugs might be prescribed to produce multiple healthier eggs together so that the chance of insemination can be higher.
Tracking the eggs
Tracking the ovulation is also very important, as it is necessary to time the insemination properly, which is also a factor in the success rate of the treatment.
Picking and washing the sperm
The sperm sample, whether from the partner or a donor, is picked and then ‘washed’; which implies that the best sperm is concentrated together to a much smaller amount of fluid.
Inseminating the patient
A thin and long tube known as the catheter is used to place the concentrated or ‘washed’ sperm directly in the uterus.
Testing for success
Almost two weeks after the insemination, a pregnancy test is done to check whether the process was successful or not.
A) For Men
As far as men are concerned, all they're contributing to the process is their sperm, which should be healthy. They might be required to give multiple samples to get the healthiest sperms concentrated together for insemination. If the sperm count, motility or morphology scores of the sperm are very low, then intrauterine insemination might not work
B) For Women
It is not as simple for the women. They are required to track their period and ovulation, might have to take some drugs, and need to let a long tube inseminate them instead of the natural way. IUI has very little chance of working successfully in women over the age of 40.
2. When to use IUI
IUI is usually preferably used for those opting for surrogacy or even same sex couples. It is also the first line of treatment in cases where the woman is unable to conceive, due to explained or unexplained factors like:
Infertility
Cervical scarring or other abnormalities
Couples unable to have sex
Ejaculation or erection problems
HIV patients
Semen allergy cases
Is the IUI process Painful?
The procedure sounds painful, but it actually isn’t. Mild cramping is reported by some women, but for most, it’s pretty similar to the discomfort during a pap smear.
3. How to have a successful IUI?
Timing is crucial for artificial insemination, as is the quality of the sperm and egg. The insemination should be carefully timed to the T, as it should occur slightly before the time of ovulation. It is important to note here that the female eggs are viable for only about 12-24 hours after ovulation. The IUI must be attempted strictly within this duration, when the eggs are still viable. If the timing is nailed, that by itself can double chances of a successful pregnancy.
4. What is the success rate of IUI?
The success rate for IUI is dependent on a lot of factors, the age of the woman and the exact nature of the couple’s fertility problem being the most important. In couples with unexplained infertility, research puts the pregnancy rate at about 4 to 5 percent per cycle. In cases where fertility drugs are used, that rises to about 7 to 16 percent.
5. How soon after IUI can I take a pregnancy test?
One must wait for at least 2 weeks to take a pregnancy test after IUI to confirm whether pregnancy was successfully established or not, but an eye can be kept out for the signs of pregnancy after IUI treatment.
6. Care after IUI
You can control what happens after IUI to some extent, to increase the chances of success. Some doctors might recommend complete bed rest for about 5 days after the procedure, to conserve the body’s energy for conception. Heavy exercise is not recommended, and it is better to stick to light walking. Make sure to be positive and visualise a successful pregnancy!
How Long Does It Take To Do IUI?
The process of insemination doesn't take long - only a couple of minutes - but it is the planning that goes on for longer. One might be on fertility drugs for about a week before ovulation. Since success is not a sure shot, multiple cycles of IUI might be required to get pregnant successfully. If not, then moving on to IVF is recommended; this might be recommended right after one or two failed IUI cycles, especially in the case of women above the age of 35.
Advantages and Disadvantages of IUI
Pros
The procedure is more ‘natural’, which means that the sperm is inseminated into the woman’s body and left fuse with the egg in a natural way
IUI is less invasive than other procedures like IVF
It costs much lesser as well, almost 1/4th the price of an IVF cycle
In case of male fertility problems, IUI can work very well
Cons
The reaction time is very less. The doctor needs to be intimated as he must start the insemination as soon as the woman releases an egg, which might be a window of 24 to 36 hours
The success rate of IUI is much lower as compared to IVF
This procedure is not an option for women above the age of 40
IUI presents a high probability of conceiving and delivering two or more babies, which might be a high-risk pregnancy
One may have to go through several cycles for success
What are The Complications of IUI?
Since the success rate of IUI is not very high and the process is ‘natural’ post placing the healthy sperm in the woman’s uterus, the complications aren’t too many. However, there are chances of developing an infection in the uterus or the fallopian tubes due to bacteria transmitted through the semen sample, the catheter or other equipment used. That is why this should be done in a reputed clinic which is hygienic and cleans the cervix before the insemination procedure.
Another main worry for women undergoing IUI is that the chance of a multiple pregnancy, which refers to twins, triplets or more, increases. Multiples can carry serious health risks to both mother and the babies. Babies born in multiples also have a higher chance of being premature or not making it before or after delivery. Such pregnancies are usually high risk too.
How Much Does It Cost for IUI treatment?
IUI in India is pretty affordable, as compared to IVF. One cycle can cost as much as Rs 3,000, depending on where you get it done. However, the total cost might come up to somewhere between Rs 5,000 and 10,000 including drugs and tests. In the case of donor sperm IUI, the cost might increase.
Important Precautions after IUI
While the procedure of Intrauterine Insemination is not that complicated, there are certain precautions to keep in mind so that the chances of a successful pregnancy become higher. Approximately 10-20% couples opting for IUI become pregnant after one cycle of the procedure. Keep an eye out for the symptoms of a pregnancy after IUI.
IUI Success Tips
Manage your stress well. Not being able to conceive can take quite a toll on women, and reducing stress through meditation or other means can be helpful
Make sure you’re eating healthy
Increase lean proteins in your diet
Cut down on smoking and alcohol
Cutting or limiting your caffeine intake is also recommended.
Take an expectorant, which can thin out your cervical mucus, which will help the sperm sustain.
Do some low-intensity exercises. Yoga and pilates are highly recommended!
IUI Success Stories
X says, “We attempted medicated cycles (Clomid) at first. It was an epic failure. So then we moved onto IUI, and the first cycle worked! My advice would be to do your research and choose a reproductive endocrinologist you feel most comfortable with. Hopefully it’s someone who has a good reputation with cases similar to yours. We only had one egg when all was said and done, but that one egg fertilized and became our daughter. Believe them when they say that all you need is one!”
Y says, “We attempted IUI three times, with the third ending in an ectopic pregnancy. We took a break and thought we’d come to grips with our position. Three years later, we decided to give IUI one more try. We ended up with a triplet pregnancy! One faded, and now we have two healthy babies.”
Z says, “I have severe polycystic ovary syndrome (PCOS). My left ovary doesn’t work at all and my pelvis is tilted. We were trying to conceive for two years, with eight rounds of Provera and Clomid, plus trigger shots. It never worked. So then we did an IUI round with the same protocol and got pregnant. I started bleeding at five weeks, was placed on bed rest at 15 weeks, and stayed there until I had an emergency cesarean delivery at 38 weeks. My miracle IUI baby is now 5 years old, healthy, and perfect.”
Also Read: Pregnancy Symptoms after IUI Read more
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You Need to Know THIS to Maximise Your Chances of Conception + 4 Ways to Prevent Infertility
For women who wish to conceive, it is important to know about their most fertile days. They need to be updated with their menstrual cycle and keep a check on the ovulation days. Additionally, there are certain measures to be taken in order to avoid infertility.
Getting pregnant is all about the timing. Women must be well informed about the time period in which they are most fertile and thus are able to conceive. It is important that they are aware of the ‘fertile window’ and have intercourse accordingly. Note that on an average, it takes around 4 months for a woman to conceive and in one month there is a 15-20 percent chance of getting pregnant. So you do not have to emphasise too much on fast results, but if you are really trying for a baby then follow some basic things that can help you get an approximate idea of the most fertile days.
Know About Your 'Fertile Window'
Getting pregnant is all about the timing. It is important that women are aware of the ‘fertile window’ and have intercourse accordingly. Note that on an average, it takes around 4 months for a woman to conceive and in one month there is a 15-20 percent chance of getting pregnant. So you should not emphasize too much on fast results, but if you are really trying for a baby then study some basic things that can help you get an approximate idea of the most fertile days.
Menstrual Cycle & Pregnancy
Stay updated with your menstrual cycle and the time lapse between your periods. The best way to know this is by marking the first day of your period on a calendar. Then mark all days and see when the next period begins. Continue this exercise for 2-3 months in order to get an accurate measure of your menstrual regularity. The usual cycle is 28 days, but it can vary from 23-35 days.
Ovulation Period is the Best Time for Intercourse
The best time to have an intercourse is during the days of ovulation when your mature egg is liberated from the ovary and moves into the fallopian tube. The easy way to find out is by checking your menstrual cycle.
Ovulation is 14 days before your periods arrive or on the 14th day of 28 days cycle. If you minus 14 days from your monthly cycle, you will get the approximate dates of ovulation.
In cases where your cycle is not regular, you can try other methods such as tracking your body temperature. You can check your temperature each day before getting up from bed and start charting it to discover a pattern. It tends to increase 24-36 hours after ovulation, so you can know if you are ovulating.
Another way is to test with an OPK (Ovulation Predictor Kit). This is more accurate and measures the LH Level (luteinizing hormone) in your urine. A rising level indicates your body is preparing for ovulation.
Some women also check their fertile days by noticing changes in their cervical mucus. It gets stretchy, slippery and clear like egg whites during the fertile days. As your ovulation days end, it becomes thicker and then finally dries up.
WATCH: Signs of Ovulation
https://www.youtube.com/watch?v=zzscjmlTywY
Four Tips to Prevent Infertility
Here are the main precautions you need to take to prevent infertility.
Make sure you give up any kind of substance abuse. Limit smoking or alcohol intake. They decrease the chances of fertility and in case you deliver a baby, chances are the baby may develop birth defects.
Avoid medications that can increase your chances of infertility. Talk to your doctor about any daily medicines that you take and know about its side effects.
Excessive caffeine is not only a threat to your fertility, but is, in general, unhealthy for your body. Ask your doctor for guidance if you are too addicted to your coffee. You can try replacing your habit of morning caffeine with some other beverages like an herbal tea.
Avoid being in the extreme weight category. Being too thin or too heavy can impact the hormones in your body and in turn cause infertility.
Now that you know how you can avoid infertility and spot the most fertile days, use these tips effectively to increase your chances of conceiving. Read more
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Being a Mother of Four is a Struggle, Yet I'm a Winner
Being a mother is lovely, joyful playful, tiring, even messy at times. A mother has so many responsibilities whether it's for a newborn, two-year-old, five-year-old or 30-year-old.
I am the mother of four kids and don't have any "me-time". It's the toughest part of my life as my kiddos are too young. A simple way I manage them is by being calm as there may be many challenges in life relating to their health, their food, their growth and later on their academics too. At a very early age, kids frequently get ill coz of teething, it becomes hectic for both parents. They become ill, restless, fever... the list goes on, I have gone through many things, it's not easy being the mother of four.
Having a baby means a big responsibility, new begining and a lot of compromises in a good way, still sacrificing alot. We should be a good example for every one around. At times, I feel very lonely as I don't have time for myself and my husband. We have to take time out with kids or else we will always be busy to maintain relationships. We have to take out time... we sometimes feel there is no spark left but no, it's just for a few days till kids grow up, then we will have plenty of time, inshallah.
Still, I find some time to bake a cake by myself on birthdays and anniversaries which definitely brings a smile on their faces. As it is said way, the way to the heart is through the stomach, by Allah's grace, I am a good cook which makes sundays special. Also planning a picnic outing with kids and spouse could be a good use of our time.
I was a financial analyst but it's absolutely great being a super mom. Once they grow up, I will surely start doing something again professionally. Already started implementing it... every thing has to be planned, it may take some time but I have faith that miracle will happen some day.
One thing I have learnt is never to get discouraged. Keep going where life takes you and have patience....
As you sow so shall you reap. Giving time to the family will definitely bring good result from our kids too.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her. Read more
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Game Ideas to Make Mother's Day Special
Break out of the traditional Mother’s Day celebration ideas and plan a day that is exciting and fun-filled instead! Activities and games are the perfect way to bring families together while also making your mother feel special. With these activities, you can kill two birds with one stone!
If there is one thing that mothers are naturally good at, it's planning events. Why else do you think your birthdays and holidays turn out so special? With Mother's Day around the corner, it's time to return the favour by planning a fun-filled day, especially for her. Hear our ideas, and let your mom feel special and closer to you!
Fun Mother's Day Activities You Can Try
1. Awards
Here’s a perfect way to make your mom feel special! Think of all the wonderful things you appreciate about your mom like best cook, best fashion advisor, best friend, most caring, etc. Make cute handmade card or prizes for her and gift her an award every hour! The expressions on her face will be your ultimate award.
2. Hot Seat
This one can prove to be one of the coolest and endearing Mother’s Day games ever. Put your mom in the quiz master’s seat and let her question you about the things that she likes. Answer them, and let your mom know you pay more attention to her words and needs than what she gives you credit for!
3. Feeling Sporty
When planning your Mother’s Day celebration, think of a picnic and anything outdoorsy, if your mom is a nature lover. Don’t forget to pack your badminton gear or frisbee if she doesn't mind a game or two. A food basket of her favourite snacks would be a double whammy!
4. Test of Patience
When planning your Mother’s Day activities, don’t forget to play “Mom-ism”. How do you play it? Make a list of all the favourite phrases that your mom uses and see how long she can last without using them!
5. Rock Star
Make your mom feel like a rock star that she truly is by dressing her up in a glam outfit (gifted by you!) and belting out songs on a karaoke system. It is one of those Mother’s Day event ideas that can make a special day even more special!
6. Free Chores
Write various chores on chits and insert each one of them in different balloons before inflating them. Ask your mom to burst as many balloons as she can before a one-minute timer is up. She can claim fulfilment of the chores on the chits that she collects! Your mom will definitely enjoy this one.
With these Mother's Day celebration ideas you can turn a traditional celebration into something fun and exciting. Engaging in these activities will not only bring you together as a family but will also help you create some enjoyable memories. What more! Your mom will surely be proud of your efforts. Read more
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Dr Ghouse has added a new answer
Expecting Mom due in 4 months
3 hours ago
Q. hello everyone, please suggest me, am getting pain in lower abdomen right side, anybody plz tell me why am getting pain pls
Dr Ghouse
Paediatrician
3 hours ago
A. this needs proper examination to find out problems like appendicitis. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Rashmi has added a new answer
Expecting Mom due in 2 months
3 hours ago
Q. hi mam for 2days I am seeing my baby bumb decreasing is it cause of worry?
Rashmi
Mom of a 9 yr 8 m old girl
3 hours ago
A. I don’t know how the bumps of your child decreasing that’s not fair to me second you have not mentioned the current age of your child to do it and there is no clarity in the query it would be difficult for me to help us so if you don’t mind can you please repost with all the necessary details associated with your question
Dr Ghouse has added a new answer
Trying To Conceive
2 hours ago
Q. Hello I had my period missed for April month and today I got my period. Is it normal to have period after 1 month or is there anything I should be worried about? Iam worried please let me know if that's ok or should I consult my doctor
Read moreDr Ghouse
Paediatrician
1 hour ago
A. consult your doctor for any evaluation required. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Ghouse has added a new answer
Guardian of 0 children
1 hour ago
Q. hllo am in 34 week of pregnancy,cramps in my hand and foots,my pulses is very fast,i feel tiredness internally,are these symptoms are normal
Dr Ghouse
Paediatrician
1 hour ago
A. get investigations particularly hemoglobin level. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Ghouse has added a new answer
Guardian of 0 children
1 hour ago
Q. i feel some fever internally also
Dr Ghouse
Paediatrician
1 hour ago
A. please check the temperature and get the investigations. fever can be because of different reasons most of the times viral bacterial sometimes due to less immunity there can be recurrence better to treat only with paracetamol if the fever more than 100degr
Rashmi has added a new answer
Guardian of 0 children
34 mins ago
Q. Now I am having pain till then my miscarriage has been done at home
Rashmi
Mom of a 9 yr 8 m old girl
30 mins ago
A. I’m sorry I’m unable to understand your query as you haven’t given any detail about it so whatever the situation is you should get a check with your gynaecologist the doctor would be able to give you better help in whatever treatment of precaution you need to require further
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