May 27, 2013 in Health
Intrauterine insemination (IUI) is a relatively low tech approach to fertility treatment. It involves preparing the male partners sperm in the laboratory and then placing only those sperm which move well and are normally formed in the women’s uterus. The sperm are transferred into the uterus at the time of ovulation. IUI can be performed with the sperm of the male partner or with donor sperm.
The success of IUI depends on 2 factors :
- The indication for IUI (the reason it is being performed)
- Whether performed in a drug stimulated or natural (drug free) cycle
- In general IUI is a good treatment if it is performed to ovecome a problem of lack of sperm . It is also successful if intercourse is not occurring normally such as in cases of ejaculation dysfunction (ED). It is moderately successful when used for cervical mucus hostility when sperm are killed within the cervix. It tends to be less useful if the indication is male factor subfertility. The success rates are higher in a drug stimulated cycle (super-ovulation intrauterine insemination)Intrauterine insemination is a successful treatment if used in appropriate couples. The chance of pregnancy is reduced in women over the age of 40 years and it is probably not an appropriate treatment for male factor subfertility if less than five million motile sperm are obtained at the end of the sperm preparation technique.
For most couples, up to three cycles of intrauterine insemination may be attempted assuming a good response is being maintained
- After that time we would review treatment with you and either consider further IUI treatment or it may be appropriate to move onto other forms of fertility treatment at that stage.