Preparation for Intrauterine insemination (IUI) procedure
- On the basis of pelvic examination and ultrasound, the childbearing capacity of a woman and any structural abnormality in the ovaries and fallopian tube is determined.
- With the help of an ovulation predictor kit, the ovulation time is predicted by when the woman secretes maximum level of luteinizing hormone (LH); and at the same time serum sample with enriched sperm count is kept ready for further insemination.
- In case the woman has a problem with ovulation, she will be given hormonal injections.
- Ideally, IUI should be suggested within 6 hours, either side of the ovulation.
During the Procedure
- The intrauterine insemination (IUI) is a simple process lasting for 45 mins to 1 hour and can be performed in the fertility clinic.
- The patient is asked to lie down in a hospital gown on an examination table. The cervix is observed with a speculum and further cleaned with a little culture medium.
- The sperms are injected into the cervix using a fine plastic catheter. The patient is asked to stay immobile in a similar position for approximately 15 to 45 mins.
Risk & Complications
- The IUI is a relatively safe procedure with a rare indication of any complications; however, it has a relatively low success rate, demanding for multiple attempts.
- In some rare cases, the procedure may be associated with infection-causing abdominal pain.
- The fertility drugs prescribed may have various side effects like depression, hot flushes, pain etc.
- The drugs can also cause ‘ovarian hyperstimulation syndrome’ associated with the formation of multiple ovarian cysts, swelling in the ovaries, multiple egg production; thus, increasing the risk of multiple pregnancies.
- leading to the formation of ovarian cysts, swelling of the ovaries and production of multiple eggs at a time that can result in multiple pregnancies
Uses of intrauterine insemination
- It is a less expensive procedure, providing a more natural way of fertility.
- IUI is useful when the female partner suffers from a sperm allergy, has mild endometritis, cervical mucus resentment or when the male partner suffers from poor sperm motility or a low sperm count, unable to ejaculate into the vagina.
- In case of the unavailability of a semen sample of a partner, even stored semen can be applied.
- Since the procedure is non-invasive recovery is faster.
For medical tourists, advanced planning, proper diet, moderate exercise and a healthy lifestyle is suggested to increase the success rate.
Additional information about the procedure
The procedure is usually painless can be performed in the clinic itself.
Preparation before procedure
- Test to be scheduled when not menstruating.
- Sexual intercourse, vaginal medications, application of tampons should be avoided 24 hours prior to the procedure.
The abnormalities associated with cervix and vagina can be detected, such as:
Cervical abnormalities can be eliminated using certain treatments, such as:
Precautions after the Procedure
- Post-procedure, slight bleeding, or discharge of green-coffee colored fluid can be reported for a few days.
- The patient is advised to avoid douching, sexual intercourse, vaginal medications, or the application of tampons.
Why did it need?
. is advised in conditions that include
- Uterine/ovarian cancer
- Uterine fibroids
- Pelvic Adhesions
- Uterine bleeding not controlled by medicine
- Uterine prolepses
- Complications during childbirth
Facts and figures
Risk and complications associated with . surgery includes
- Hemorrhage in the pelvic region
- Damage to adjacent organs- bladder or bowel injuries
- Anaesthesia reaction
- Unwanted scarring on the abdomen
- Complete physical examination
- Blood and urinalysis
- X-rays and USG
- Consultation 7 days prior to the procedure for medicinal D0’s and Don’ts.
- Quit unhealthy habits, like smoking, drinking, etc.
- Post-operative rehabilitation can be arranged through family, friends,and caretaker.
- 7-8 hours of fasting is advised prior to surgery.
Post operative care
- Open surgery needs hospitalization for 4-5 days, whereas laparoscopic incision is a one-day procedure.
- The medications will be given to control pain and to prevent infection
- The patient who needs to remove ovary may need to start hormone replacement therapy
Dos, Don’ts and Precautions
- Do follow the medication schedule and diet suggested by the dietician.
- Don’t indulge in heavy physical activity for 1-2 weeks after the operation
- Avoid sexual activity, use of douche, tampons for 6 weeks post-surgery.