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Intrauterine Insemination (IUI): The Answer to Fertility Problems

calendarJuly 26, 2016
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IUI success rates

What is IUI? IUI or Intrauterine insemination is a type of assisted conception. The doctor will place washed while IUI is ongoing and then prepare the sperm to your womb, nearby the egg during ovulation. This process is usually in combination with fertility pills to boost the possibility of becoming pregnant. It involves a lab process to distinct the fast moving sperm from the inactive or to a nonmoving sperm. It may be done with the sperm of your husband or partner or through a donor sperm which is called donor insemination.The IUI process is a type of fertility treatment

The IUI process is a type of fertility treatment that includes putting the sperm inside the uterus of a woman to initiate fertilization. Its goal is to boost the number of sperm that reaches the fallopian tubes and boosts the possibility of fertilization. It an advantage, because it provides a start to the sperm, but it still mandates the sperm to reach and fertilize the egg on its own. This is noninvasive and it is not costly compared to vitro fertilization.

How Does IUI Work?

The IUI process will start at the patency health tests. The IUI may only start as soon as it has been determined that your fallopian tubes are still healthy. This typically happens after a test through a tubal patency test. This is a part of the assessment process which will be done in a fertility facility. Laparoscopy is involved, it is a process wherein a dye will be injected through the cervix and then the pelvis will be checked for possible blockages with a telescope that has a little camera attached to it.

This device is called laparoscope. If you are not comfortable with this procedure, you may just request to undergo a hysterosalpingo contrast sonography. It involves the use of a vaginal ultrasound to inspect the fallopian tubes if there are possible blockages. You may also go through an x-ray of the fallopian tubes and this is called the hysterosalpingogram.

There is a process involved for women and for men as well:

1. For Women

  • For women who are taking fertility pills, the IUI will be done between day 12 & day 16 of your menstrual cycle, with day 1 being the first day of the period. You will undergo a series of blood and urine tests to know when your ovulation will start.
  • If you are using a fertility pill to boost ovulation, a vaginal ultrasound can help in tracking the progress of the eggs. As soon as the egg matures, you will be given a hormone injection to boost the release.
  • The sperm will be placed in 36 to 40 hours’ time. The doctor will first insert a speculum into the vagina just like in a smear test, this will keep the walls of the vagina apart. There will be a fine catheter that will be used, it will be threaded into the womb through the cervix. They will pick the best kind of sperm using the catheter.

The entire process will take place in just a few minutes and it will be pain-free. Some women might suffer from a feeling of menstrual cramps after the process. You may also rest for a while before you will be sent home.

2. For Men

  • You will be asked to come up with the sperm sample on the treatment day.
  • The sperm will be washing to eliminate the fluid around them and the fast moving sperms will be parted out from the nonmoving and slow ones.
  • The fast moving sperm will be placed in a fine catheter and that will be inserted into the womb.
  • If you will donate your sperm to someone who will go through an artificial fertilization, it will be placed in a freezer and then it will be eliminated from the frozen storage and then it will be thawed and have it prepared just the same.

Why is Intracervical Insemination Used?

Intrauterine inseminationWomen go through IUI procedure due to certain reasons:

  • unexplained infertility of the partner;
  • an aggressive condition of the cervix that includes mucus problems;
  • cervical scar tissue from a previous procedure that may deter the sperms capacity to penetrate the uterus;
  • ejaculation dysfunction of the partner.

However, it is not meant for women with diseases of the fallopian tubes, those with background of pelvic infections and those with endometriosis.

IUI Success Rates

The IUI success rates depend on certain factors. If the couple has performed the IUI process monthly, the success rates might be around 20% in every cycle, but that still depends on the variables involved like the age, reasons for being infertile, fertility pills and others. Though the IUI is noninvasive and it is not costly as some other processes available to get pregnant, the pregnancy rates are still quite low in IUI when compared to the IVF.

If you will consider an artificial process to get pregnancy, you have to discuss this matter with your doctor to know the options available for your condition. The success rates may depend on the reason and rigorousness of infertility and the age as well.

IUI Cost

The IUI cost along with the cost of fertility pills are still important among a lot of couples who struggle with infertility. Infertility along with IVF insurance coverage is not typical and there are varieties involved as well in terms of what is covered and what amount is left for the patient to pay for. The rough estimate of the cost of in vitro fertilization in America is presently around $11,000-$12,000.

Normally speaking, the treatments for infertility like the ovarian stimulation along with intrauterine insemination, IUI are inexpensive than in vitro fertilization. On the other hand, there is also less effectivity in this process. The cost of the fertility test along with treatment may differ from one clinic to another. This will somehow depend on the level of competition in between fertility clinics in a place. The costs are affected by the infertility treatment that orders the health insurance plans to cover for the IUI cost in some of the states.

The Risks Involved in IUI

There are possibilities of becoming pregnant with multiple births and it will be boosted if you are also taking fertility pills while having IUI. The risk of having infection after IUI is just quite less.

When does Implantation Occur after IUI

According to the report revealed in 2014, there is around 1.5% of 4M babies born in the same year were because of the IVF or through intrauterine insemination. The truth is that the researches display that a lot of women yearly are into these procedures to be expectant and to have kids. As famous as these conception methods nowadays, women may still think of why implementation may happen after going through the processes. These processes are made to copy the usual conception methods in women who don’t have problems with pregnancy.

After women went through the processes in the case of IUI, she may also suppose the inseminated blastocyst to embed this one in the uterus in around 5 days, this is if the process was successful. The 5 days’ mirror time that it takes to fertilize an egg just after a natural conception to travel from the fallopian tubes and then implant itself in the uterus. In terms of pregnancy, the implantation may merely depend on some numbers of factors involved. This is not withstanding the entire health and disorder of the uterus. Women with serious gynecological problems such as endometriosis or anemia might find it quite hard to get pregnant even with the methods involved in IUI.

If the embedding will become successful, women who went through such method may expect of becoming pregnant and get positive result in around 2-3 weeks’ time. This is the same time frame that any other pregnancy method is, women who became pregnant in a natural manner must still wait for around 2-3 weeks just after formation to test as well as get a positive result. While going through the weeks of waiting before the test is made, it is essential for the patient who went through the IUI to prevent being stressed, life heavy weight, eat and drink foods and drinks that may cause miscarriage.

When does Implantation Happen after Ovulation?

IUI process

Aside from ovulation happening during the borderline of the menstrual cycle of a woman, her gestation will not embed on its own for another week, or it may be days longer. While the time between the ovulation as well as the conception of embedding, the inseminated egg will go through a sequence of fast and amusing the fertilized egg that goes through a series of fast and amusingly visible alterations till it spreads a definite point where it can embed on its own into the lining of the uterine. This is at a time of embedding that a lot of women might consider being pregnant. The truth is that there are few days after it took place, women may take an early gestation test then perhaps get an optimistic outcome.

As soon as the gestation embeds on its own and started to grow, the body of the women will go through certain alterations to be able to start preparing for pregnancy and then deliver a baby. By the time she starts her period, she might already be suffering from morning sicknesses and recurrent urination, 2 symptoms of primary gestation. Women may also progress dark lines on the abdominal area and breasts. As the baby starts to grow in the uterus, women might also find out that their skin is becoming smoother and the hair is becoming thicker. The alterations happen since the hormones come up by the uterus as it secures the unborn baby.

Just after 12-15 weeks after the implantation, a lot of women started noticing their abdomens getting bigger and rounder. This happens to hold the growing baby inside the womb and to provide a lot of room for growth. The abdomen of women will go on in growing until the days that she gave birth. For a lot of women, a usual pregnant woman, regardless if it will be conceived normally or through IUI, it will last around forty weeks. The countdown will start from the time that the egg that has been fertilized implant itself in the uterine wall. On the other hand, the 1st week of pregnancy will start in 2 weeks’ time before a woman will ovulate and will conceive. The delivery in women who are successful with their pregnancy will take place in around 27-38 weeks just after the fertilized egg embeds itself into the wall of the uterine and starts to improve into a baby.

Side Effects of IUI

Aside from the advantages, there are also downsides. The side effects of the IUI may be manageable to some. Though, it is not really meant for everyone.The timing of the insemination is important; your partner should be able to come up with a sperm sample by ejaculating into a cup in a facility directed by the doctor.

  • The timing of the insemination is important; your partner should be able to come up with a sperm sample by ejaculating into a cup in a facility directed by the doctor.
  • It might be uncomfortable if it shows hardship to insert the catheter. The process might bring cramps after the process and it is close to menstrual pains.
  • There is a high possibility of boosting the cycles, there is a small risk of having ovarian hyperstimulation syndrome. This is a serious instant that may occur when the ovaries respond very well to the fertility pills that bring you to ovulate. The ovaries will swell in a fast manner of up to few times of their usual size and it may leak the fluid inside the tummy, it will make you gain weight and it will make you feel bloated.

It is important for you to seek immediate medical attention if you think OHSS is happening to you. You might also need to be brought to the hospital while the ovaries settle down, the doctor will help you and may cancel the other treatments for the cycle. This is due to the fact that the risk of getting pregnant in a multiple manners will become greater too.

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