Intrauterine Insemination (IUI)
Intrauterine insemination (IUI) is a simple and gentle method that can be a solution for couples who have trouble conceiving. During this procedure, sperm is inserted directly into the uterus at the time of ovulation, which increases the chances of successful fertilisation. IUI is often the first choice for those seeking a gentle way to enhance their chances of conception.
What is IUI?
What is IUI?
Intrauterine insemination (IUI) is a method in which sperm is inserted directly into the uterus during ovulation, increasing the chances of fertilisation. The goal of this procedure is to bring the sperm as close as possible to the fallopian tubes, thereby increasing the likelihood of conception.
We carefully select only the highest-quality sperm, which are separated from the rest and then inserted directly into the uterus. IUI is also a suitable option for couples who choose to use donated sperm.
Who is this method suitable for?
Who is this method suitable for?
Intrauterine insemination (IUI) is an effective and gentle method that can help couples struggling with conception issues. This treatment offers solutions in various situations where natural pregnancy is difficult:
- Reduced cervical mucus permeability: If the cervical mucus is too thick or the cervix is less permeable, which prevents sperm from reaching the uterus, IUI eliminates this issue by directly inserting the sperm into the uterus.
- Low sperm count or quality: Only high-quality sperm are selected for IUI, increasing the chances of success.
- Use of donor sperm: This method is also suitable for couples who need donor sperm.
- Ejaculation or erection disorders: If the partner has problems with ejaculation or erection, IUI may be a suitable solution.
- Sperm allergy: For women with a sperm allergy, IUI can help as the allergens are removed during sperm preparation.
- Unexplained infertility: IUI can be chosen when the cause of infertility cannot be identified.
IUI is also suitable for women with mild endometriosis, provided their fallopian tubes are clear. The suitability of this method is always determined by the doctor based on the specific situation.
How does treatment with the IUI method work?
The principle of this method is the insertion of concentrated sperm into the uterine cavity using a special catheter. This procedure is performed during ovulation and is completely painless.
During the initial consultation, the doctor will diagnose your condition and recommend an appropriate type of treatment.
Initial consultation
Ovulation is crucial for this type of treatment, as sperm must be inserted into the uterus during this period. At our clinic, we monitor ovulation through ultrasound during regular check-ups. This procedure can be done in a natural cycle or with hormonal support (if natural ovulation is absent).
Ovulation
On the day of the scheduled insemination, the partner provides a semen sample at our clinic. The sample is provided through masturbation in complete privacy within our collection rooms. The sperm is then processed in the embryology lab and prepared in a special catheter, which is used to insert it into the uterus.
Sperm collection and preparation
The insemination itself is a quick and painless procedure. It is performed while lying down, as the doctor gently inserts the catheter with the prepared sperm through the cervix directly into the uterus. After the procedure, you can immediately go home, and there is no need for sick leave in this case.
Insemination
We recommend taking a pregnancy test only if your period does not arrive at the usual time. If the test is positive, the pregnancy will be confirmed by a blood test.
Pregnancy test
During the initial consultation, the doctor will diagnose your condition and recommend an appropriate type of treatment.
Initial consultation
Ovulation is crucial for this type of treatment, as sperm must be inserted into the uterus during this period. At our clinic, we monitor ovulation through ultrasound during regular check-ups. This procedure can be done in a natural cycle or with hormonal support (if natural ovulation is absent).
Ovulation
On the day of the scheduled insemination, the partner provides a semen sample at our clinic. The sample is provided through masturbation in complete privacy within our collection rooms. The sperm is then processed in the embryology lab and prepared in a special catheter, which is used to insert it into the uterus.
Sperm collection and preparation
The insemination itself is a quick and painless procedure. It is performed while lying down, as the doctor gently inserts the catheter with the prepared sperm through the cervix directly into the uterus. After the procedure, you can immediately go home, and there is no need for sick leave in this case.
Insemination
We recommend taking a pregnancy test only if your period does not arrive at the usual time. If the test is positive, the pregnancy will be confirmed by a blood test.
Pregnancy test
1. Initial consultation
During the initial consultation, the doctor will diagnose your condition and recommend an appropriate type of treatment.
2. Ovulation
Ovulation is crucial for this type of treatment, as sperm must be inserted into the uterus during this period. At our clinic, we monitor ovulation through ultrasound during regular check-ups. This procedure can be done in a natural cycle or with hormonal support (if natural ovulation is absent).
3. Sperm collection and preparation
On the day of the scheduled insemination, the partner provides a semen sample at our clinic. The sample is provided through masturbation in complete privacy within our collection rooms. The sperm is then processed in the embryology lab and prepared in a special catheter, which is used to insert it into the uterus.
4. Insemination
The insemination itself is a quick and painless procedure. It is performed while lying down, as the doctor gently inserts the catheter with the prepared sperm through the cervix directly into the uterus. After the procedure, you can immediately go home, and there is no need for sick leave in this case.
5. Pregnancy test
We recommend taking a pregnancy test only if your period does not arrive at the usual time. If the test is positive, the pregnancy will be confirmed by a blood test.
What should you know before starting IUI treatment?
What should you know before starting IUI treatment?
Before beginning IUI treatment, it’s important to undergo several medical examinations to help prepare both you and your partner for a successful process.
These tests may include:
- Ultrasound examination of your uterus
- Semen analysis (spermiogram) of your partner
- Additional blood tests as recommended by the doctor.
The doctor may also recommend that you start taking folic acid (which is part of most prenatal vitamins) at least three months before the planned conception or IUI treatment. This step can contribute to a healthy pregnancy.
IUI Treatment Success Rate
IUI Treatment Success Rate
The success rate of intrauterine insemination (IUI) depends on several factors, such as the woman's age and the cause of infertility. Generally, the chances of success range between 10–15 % per attempt.
One of the advantages of IUI is that it is a less invasive method compared to IVF, as it does not require egg retrieval or anaesthesia. Couples can undergo multiple IUI cycles, which increases the overall chances of conception.
However, if pregnancy is not achieved after several IUI cycles, the doctor may recommend a more effective treatment, such as IVF. IUI can help increase the chances of conception above the level typically seen with natural conception.
How much does IUI treatment cost?
(price includes includes examination, sperm preparation, and insemination)
FAQ
Most patients can return to their normal daily activities immediately after the procedure. It is recommended to avoid activities that may cause discomfort, but typically, there are no specific restrictions.
You can take a pregnancy test approximately two weeks after the IUI procedure. Ideally, it’s best to wait until your period is late before testing.
IUI does not require anaesthesia, and the procedure should not be painful. However, you may experience mild cramping and discomfort during and shortly after the procedure.
IUI may be combined with medication to support ovulation, stimulating the ovaries to produce and release as many eggs as possible. However, this is not always necessary - your doctor will provide more detailed information based on your specific situation. Additionally, medication supporting the luteal phase may also be used.
IUI is a low-risk method of treating infertility, especially compared to more invasive procedures like IVF.
A contraindication for IUI is vaginal discharge. The inflammation needs to be specifically treated first before IUI can be performed.
The optimal number of IUI attempts before considering IVF is highly individual. Generally, it is recommended to complete 2 to 6 IUI cycles before moving on to other treatments. Factors influencing this decision include your age, causes of infertility, results of previous treatment cycles, and your personal preferences.
If pregnancy does not occur after several IUI attempts or if there are specific obstacles, IVF may be a more effective path to conception. Your doctor will provide further recommendations based on your situation.
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