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e-book IUI: Intrauterine Insemination

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IVF, Fertility Treatment, Assisted Conception, pregnancy, Test Tube Baby

By eliminating the path that sperm would normally take to the uterus, there is a better chance that more sperm will make their way to the egg and a pregnancy will occur. Donor sperm is purchased through a sperm bank and shipped directly to ORM. Selecting a donor can take anywhere from a few weeks to months, so we encourage you to begin the process early on. We are very happy to work with known sperm donors.

Due to FDA requirements and clinic policies it will take longer to have this donor sperm available than if purchasing from a sperm bank. Intrauterine Insemination IUI is a simple procedure that places sperm in the reproductive tract. Your medications may be adjusted based on your hormone levels and the size and number of follicles growing on your ovaries.

What You Should Know About Intrauterine Insemination (IUI)

When one or more follicles reach maturity, your doctor will schedule a trigger shot of hCG and schedule the IUI procedure. It will be done in your fertility clinic. 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.


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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.

Why it's done

Semen contains more than just sperm. 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. 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! After the IUI procedure, you may be prescribed progesterone.

What to Expect During IUI (Intrauterine Insemination)

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! IUI is a relatively low risk procedure. There is a very small risk of infection. Some of the biggest risks come from the fertility drugs used. Your risk of conceiving multiples twins, triplets, or even more is higher when taking gonadotropins. This is why monitoring is important.

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If there are too many potential follicles, the cycle may be canceled and tried again another time. If your doctor cancels your cycle because there are too many follicles, he will also likely tell you to abstain from sexual intercourse. It is important you take this instruction seriously. Some couples are hesitant to "throw away" the cycle.

However, if you have sex and conceive, you put yourself and your future babies at risk.


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Don't do it. In cycles where fertility drugs and IUI were combined, the pregnancy rate was 8 percent to 17 percent. These are per cycle rates, meaning that the success odds are higher when looking at multiple cycles together.


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In a study of about 1, IUI cycles, researchers found that the success rate per couple over one or more cycles depended on their age and cause of infertility. In a review of studies on IUI and unexplained infertility , just 4 percent of women got pregnant per cycle without fertility drugs.

The procedure is also easier and less invasive.

IUI - Intrauterine Insemination | ORM Fertility

If IVF is out of your price range, multiple IUI cycles might be the better choice, depending on the cause of infertility. Another option to consider is mini-IVF. Speak to your doctor to understand all your options and risks. Get diet and wellness tips to help your kids stay healthy and happy. There was an error. Please try again.