For women who are good candidates, success rates are slightly lower than those associated with IVF, but still quite high. In the days following an IUI procedure, you may be overwhelmed by feelings of anxiety and eager anticipation as you await your pregnancy test sometimes called a beta.
Intrauterine insemination is a procedure that implants semen directly into the uterus at a time when the woman is likely to be fertile. This shortens the journey the sperm has to make to the egg. It also ensures that sperm is in the body at the best possible time for conception.
Combining these two factors greatly increases the odds of a successful pregnancy. Prior to an IUI procedure, a woman may take fertility medications to increase the number of eggs she produces or to induce ovulation.
While a woman does not have to use fertility drugs to try IUI, these medications can greatly increase the chances that an IUI procedure will be successful. After the procedure, though, the rest is up to nature. To create a pregnancy, the sperm must fertilize the egg. The egg must then implant in the wall of the uterus, and the body must produce enough hormones to sustain the pregnancy.
IUI cannot treat all infertility issues, especially implantation issues or recurrent miscarriages. Ask lots of questions about whether IUI is the right options for you. A skilled fertility specialist can help you determine whether IUI is a good choice, and should be able to help you assess the odds of success. Meticulous timing is key to the success of IUI. The procedure occurs roughly in the middle of your cycle, when you ovulate.
Otherwise, a provider will test for ovulation and time the procedure accordingly. After IUI, you should feel fine. The procedure is not dangerous and under most circumstances will not require sedation. This means you can drive yourself home and return to your usual activities right away. This ensures that, if the implantation is successful, the pregnancy gets the best possible start. Talk to your doctor about any medications you take, especially prescription drugs that can affect pregnancy.
Additionally, do the following:. Nonmedicated cycle with IUI: Also known as natural cycle IUI, a non-medicated cycle with IUI is often used by single women or same-sex female couples who are not directly experiencing infertility, but rather a lack of sperm. This treatment involves tracking the development of the egg that is naturally recruited during a menstrual cycle and then introducing the donated sperm.
You will come into the office for two to four monitoring appointments to track egg development and cycle timing. Ovulation induction with IUI: The goal with ovulation induction is to recruit and develop a single egg during the stimulation phase.
At the time of ovulation, insemination occurs, placing the sperm directly into the uterus. IUI puts the sperm closer to the egg than possible with intercourse alone. You will come into the office for three to five monitoring appointments to track egg development and cycle timing. These medications stimulate the ovaries to produce two to four eggs; when combined with IUI, you have an increased possibility of conception. Essentially, the sperm is given more targets to hit.
You will come into the office for four to eight monitoring appointments to track egg development and cycle timing. Schedule Appointment. Additional Information Guarantee programs Two week wait F ind a doctor. Common indicators for IUI Patients who have been diagnosed with unexplained infertility, mild male factor infertility, a cervical factor, or irregular or absent ovulation are often good candidates for IUI.
Intrauterine insemination IUI process. Step 1A: Ovarian stimulation Medications The main goal of this phase is to induce ovulation with common medications like Clomiphene citrate Clomid, Serophene. Step 1B: Ovarian stimulation Monitoring The physician will monitor egg development with E2 and LH hormone tests and ultrasound scans of the ovaries. Step 2: Sperm washing While ovary stimulation occurs, our andrologists also turn their attention to sperm samples to perform a procedure commonly known as sperm washing to identify the most healthy, motile sperm.
Step 3: Insemination Our physicians generally perform IUIs one and a half days after the trigger injection, which sets ovulation in motion. Step 4: Implantation Following the IUI, the patient will take daily supplemental progesterone — usually in the form of a capsule inserted into the vagina twice a day — to support the endometrial lining of the uterus and implantation of the embryo. Success rates Natural rate of conception varies from 5 to 25 percent based on maternal age For couples who have no difficulty achieving a pregnancy, the natural chance of pregnancy per month of ovulation is largely dependent on the age of the woman.
Intrauterine insemination pregnancy rates by age For most couples having difficulty achieving a pregnancy their chance of achieving a pregnancy is not zero, it is just lower than the average rate of conception—unless both Fallopian tubes are completely blocked, there is no sperm, or the woman never ovulates.
Figure 1. Pregnancy rate per cycle following ovulation induction OI or superovulation with intrauterine insemination IUI with a minimum of 9 million total motile sperm TMS according to female age at the time of treatment.
Figure 2. Higher than normal progesterone levels cause pregnant women to feel sleepier and more tired than usual. Some women experience fatigue early in pregnancy while others may not feel frequent tiredness until later when progesterone levels reach their peak. Pregnancy symptoms after intrauterine insemination or in vitro fertilization IVF procedure are similar to those of "intercourse" pregnancies. That's because pregnancy--no matter how it is initiated--causes the body to produce hormones responsible for symptoms.
However, since each woman experiences signs of pregnancy differently, you should not assume you are pregnant or not pregnant based on symptoms. A blood test is the only way to accurately confirm a pregnancy. In the unlikely event that you begin to experience severe pain, bloating, or bleeding, contact your doctor immediately: these could be signs of infection or other very rare side effects.
Sex after IUI is allowed and sometimes even encouraged: intercourse and orgasm can cause the uterus to contract, which can help push the sperm towards the fallopian tubes and the egg. Your doctor may advise a short waiting period of up to 48 directly after the procedure, but after that it may be a good idea. IUI is carefully timed to ensure that the procedure takes place within hours of ovulation.
Sometimes, depending on how regularly and dependably a woman ovulates, IUI may be timed to her natural cycle. In most cases, small doses of fertility drugs are used to stimulate the ovaries and trigger ovulation so that the timing can be controlled.
The sperm and the egg must meet within this window for fertilization to occur. The next step of pregnancy is for the fertilized egg to implant in the lining of the uterus. The signs of implantation can be subtle and confusing. Some women become pregnant without experiencing any implantation symptoms, and to muddy the water further, these symptoms can be mimicked by early menstruation or even side effects of the IUI procedure itself.
This can make the waiting period even more difficult if you find yourself obsessing over every little detail and playing the symptom guessing game. However, it is natural to wonder whether you will feel implantation occurring. These are the most common implantation signs:. Some women opt to take home pregnancy tests earlier than this, which can be somewhat stressful.
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