Intrauterine Insemination OR Artificial Insemination

Artificial Insemination is the process by which sperms are placed into the reproductive tract of a female for the purpose of impregnating the female by using  means  other than sexual intercourse or natural insemination. It is  method of  assisted reproductive technology using either sperm from the women’s male partner or from a sperm donor.

Indication of IUI: IUI is used in infertile couples demonstrating abnormal male or female factors or both. Male factors: Decrease sperm count and motility Decreased Sperm Quality [ hyperviscosity] Disorder of Sperm Function Hypospadias – Defect of Penis. Retro grade ejaculation
Female Factors: Cervical stenosis Cervicitis  (Inflammation of the cervix) Ovulation disorders  PCOD Unexplained Infertility

PROCEDURE
After the initial consultation you will undergo  some test to determine the best way for you to achieve pregnancy. If IUI is method, you will have to wait for your periods (Menstural Cycle)

• On 2nd or 3rd day of period, we will start a medication / to stimulate follicular growth.
• You will be called for follicular monitoring from day 8 of your cycle,  till the follicle is of favourable size - 18-20 MM
• Then you will be instructed to take HCG injection for the rupture of follicle and release of eggs.
• Husband will be called to produce a sample preferably at the clinic which will be processed/washed in the laboratory. Processing of Semen sample include separation of the sperm from proteins within the semen. Motile sperms are concentrated in small volume.
• Various  techniques can be used for the washing and separation. This takes about 30-60 Minutes.
• You will have a scan to confirm for the rupture and asses the endometrium.
• No anaesthesia is required for the procedure . A sterile catheter is used to inject the sperm through the cervix into the uterine cavity. The washed  sample consist of highly motile sperms which are  placed either in cervix  (intracervical)  or  inseminated  higher in uterine cavity (intrauterine Insemination)
• Medication will be given for luteal   support and you will be told when to report IFC for pregnancy test.

Artificial Insemination- Donor Semen: In many cases donated semen is required to achieve conception.

• Couples in which male partner has no sperm.
• Single women desiring conception.
• Same sex couple.

Artificial Insemination should not be used in women with blocked fallopian tubes, ovarian failure,  severe male factor infertility.

IF unsuccessful after  five to six cycle of IUI ,the fertility treatment can be reviewed .