Intrauterine insemination places prepared sperm into the uterus around ovulation. It can be useful in selected circumstances, but success depends strongly on age, diagnosis, sperm quality, tubal patency and whether medication is used.
Who may be offered IUI
Possible indications include use of donor sperm, mild sperm-factor issues, ovulatory treatment or selected unexplained infertility. IUI is less effective when both tubes are blocked, sperm parameters are severely reduced or age-related decline makes delay important.
Cycle preparation
IUI may be performed in a natural cycle or with ovulation-induction medicines. Ultrasound and sometimes hormone testing track follicle development. The trigger and insemination timing are coordinated with ovulation.
Procedure and risks
Prepared sperm is passed through a thin catheter into the uterus. Cramping is usually brief. Infection is uncommon. The major treatment-related concern is multiple pregnancy when several follicles develop, so a cycle may be cancelled or converted according to an agreed policy.
Reviewing success and next steps
Success is assessed over several cycles rather than one attempt. After a defined number of unsuccessful cycles, the diagnosis and strategy should be reviewed rather than repeating treatment without a plan.
Questions worth discussing at your consultation
- Why is IUI preferable to timed intercourse or IVF in my case?
- How many follicles are acceptable before cancellation?
- How many cycles are reasonable before reassessment?
- What are the expected success rates for my age and diagnosis?