Indications: This procedure can be done only for patients with patent tubes.
1. Patients with intractable infertility where all other measures of treatment have failed.
2. Patients with unexplained infertility,
3. Wives of men with low sperm count and
4. Women who have some disease of the cervix
Involvement for the patient:
IUI is usually done in cycles where ovulation is enhanced using oral and injectable drugs to make sure that the woman produces a lot of ova which can stay ready for the sperms.
The woman has to undergo ultrasound examination every alternate days from day 10-11 to find out when her follicles have reached the appropriate size.
Usually when the follicle has reached 18mm, an injection is given to induce ovulation.
Intra uterine insemination is done 36 hours later after confirming ovulation on ultrasonography.
As the procedure involves repeated visits to the hospital , it may place a lot of mental strain on the patient and should be done only when all other doors seem to be really closed. It should be the choice of therapy before going in for the more costly treatment of IVF-ET or ICSI.
In IUI, the dead and ineffective sperms and a lot of useless debri are discarded and only the active and useful sperms are deposited in the uterus. These can reach the ovum faster as they have to travel much less.
Result: The couple can expect a pregnancy rate of 15-25% depending on the indication for which the procedure is done.