Intrauterine insemination (IUI) is a common treatment for infertility and is treated by the physicians at The Center for Reproductive Health. It can be used in cases where the male has a low sperm count or when abnormalities of ejaculation (retrograde ejaculation, impotence) exist. IUI is also utilized when the cause of infertility is unknown, when cervical disorders are present or with use of donor sperm. Ovulation inducing drugs are usually used as well.

The insemination procedure is a relatively simple therapy. A fertility medication may be recommended before you have the IUI procedure to help stimulate ovulation. During this process, the staff will monitor the maturity of the follicles with blood tests and ultrasound. A gonadotropin may also be given to help release the egg when it is mature. The procedure, then, is timed to coincide with ovulation.

During this process, your male partner will be asked to provide a semen sample about one to two hours before the insemination. The semen is then processed, or washed, to separate the sperm from the seminal fluid. This concentrates the sperm into a small volume.

The washed, or processed sperm is placed in the cervix, or high in the cavity of the uterus using a thin, soft catheter. Many women find the procedure similar to having a PAP smear. An IUI takes approximately 10-15 minutes to complete.

Timing is very critical while utilizing the IUI procedure. Kits and the use of ultrasound are used to better the chances of a successful outcome. If you do not become pregnant, the IUI procedure may be repeated over several cycles, sometimes 3 to 4 times. About 5 percent to 25 percent of women who undergo IUI conceive. The pregnancy rate from IUI depends on sperm quality and ovarian factors, such as age and response to fertility medications.

There are small risks and side effects of IUI include abdominal cramps, spotting, or infection from introducing bacteria through the vagina. Please consult with our staff for further information regarding risks and side effects. Also, the use of fertility drugs may increase your risk for multiple pregnancies and developing ovarian hyperstimulation syndrome.