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| Treatments - Intrauterine Insemination/Sperm Wash |
Intrauterine insemination is a simple procedure that helps the sperm reach the fallopian tubes so that fertilization of an egg can occur. This is necessary when there are abnormal semen parameters like decreased sperm count or decreased motility that prevent the sperm from making their way up the uterus and to the fallopian tube. Interestingly, IUI is no more effective than sexual intercourse when semen parameters are completely normal.
Prior to selecting IUI as an option, male partners must have a recent semen analysis, which will determine the motility, volume, and morphology of his sperm. The female partner will be required to have either a sonohysterogram or hysterosalpingogram to assess the uterine cavity and the fallopian tubes.
The IUI Procedure:
After completion of all the required testing, your physician will usually order the treatment (medication in the form of tablets and/or injections), which is best suited for you. In cases of pure male factor infertility, natural cycle IUI (without any additional medications) is also a reasonable option.
All treatment cycles are very closely monitored with ultrasounds and blood work in order to ensure optimal results and to avoid multiple pregnancies. When follicle size is deemed to be suitable for ovulation you will be given an injection to cause ovulation. This will allow us to accurately time the insemination. On the expected date of ovulation, intrauterine insemination using your partner's prepared sperm will be performed. Two inseminations per cycle are sometimes indicated if we are dealing with significant male factor issues.
An IUI is a simple procedure and requires no anesthesia. A speculum is inserted into the vagina to expose the cervical opening. A catheter is loaded with the washed sperm and inserted through the cervix and into the uterus, where the sperm is injected.
Many couples will wish to try three or four IUI cycles before considering more advanced techniques such as IVF. The odds for conception in IUI cycles vary from 10% to 30% per cycle, depending on the reproductive health of the couple. |
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