Intrauterine insemination or IUI, as commonly known, is the simplest & first line of treatment for infertility. IUI can be useful for both male and/or female factor related infertility.
IUI Procedure: In this process the husband’s sperm is washed in enhancing media. Then the concentrated, actively motile sperms are injected into the wife’s uterine cavity during ovulation, near the opening of tubes with the help of a soft plastic canulla, thus significantly increasing the chances of pregnancy than normal intercourse. IUI may be of 2 types
AIH: Artificial Insemination of Husband where husband is having <20 million / low quality sperm
AID: Artificial Insemination of Donor where husband is having no sperm at all
IUI may be advised for couples with the following fertility issues:
- low sperm count
- sperm motility problems
- sexual dysfunction
- need for donor sperm
- hostile cervical mucous
- antisperm antibodies
- unexplained infertility
IUI is less expensive than other assisted reproductive technology (ART) treatments like IVF. which is more invasive and costly. Because of this, IUI may be a good choice for couples who can not afford IVF. Even though IUI is not as effective as IVF, it is still more successful than just trying to time intercourse well. Couples are advised to have 3-6 cycles of IUI treatment first failing which they may opt for IVF or other ART treatments. IUI is often combined with induction of ovulation or controlled ovarian stimulation to increase the success rate of pregnancy. The success rate is 10-15% only.