If not, your partner will come into the clinic that day to give a semen sample. The semen sample is achieved via masturbation, similar to how a semen analysis is done. If your partner cannot produce a semen sample at the clinic, they may have the option of using a sterile home collection kit. Keep in mind that for this method, they will need to get the sample to the office within an hour of collection, and it must be kept at body temperature until they get there.
If your partner is unable to masturbate for physical, cultural, or religious reasons, there are collection kits that align with these needs. If your partner will be out of town, or if they had difficulty providing a sample in the past , they might be able to provide the semen sample before IUI day. In this case, the sample is frozen until it's time to thaw it out and be prepared.
Semen contains more than just sperm. For the procedure itself, you will lie down on a gynecological table, similar to the ones used for your yearly exam.
A catheter—a small, thin tube—will be placed in your cervix. You may have some mild cramping, similar to what you might feel during a Pap test. The specially washed semen will then be transferred into your uterus via the catheter. Your doctor may suggest you remain lying horizontally for a short while after the procedure, or you may be able to get up right away.
In either case, you don't need to worry about the sperm falling out when you stand up. The sperm are transferred directly into your uterus.
They aren't going anywhere but up to a hopefully waiting egg in your fallopian tubes. After the IUI procedure, you may be prescribed progesterone. This is usually taken via a vaginal suppository. About a week after the IUI, your doctor may order blood work.
They will check your progesterone levels, estrogen, and maybe hCG levels. Your doctor may order a pregnancy blood test ten to 14 days post-IUI, or they might have you take an at-home test. Waiting to find out if the treatment was successful can be very stressful. Take good care of yourself. IUI is a relatively low-risk procedure.
There is a very small risk of infection. Your risk of conceiving multiples twins, triplets, or even more is higher when taking gonadotropins. If there are too many potential follicles, the cycle may be canceled and tried again at another time. If your doctor cancels your cycle because there are too many follicles more than 20 , they will also likely tell you to abstain from sexual intercourse.
It is important to take this instruction seriously because the risk of OHSS is high. OHSS causes the ovaries to become painful and swollen. In severe cases, this condition can be life-threatening. Some couples are hesitant to "throw away" the cycle due to having too many follicles. However, if you have sex and conceive, you put yourself and your future babies at risk. Don't do it. IUI has helped many women become pregnant, but it doesn't always work.
Often, it is recommended to commit to trying IUI for a minimum of three cycles. Your personal success rate will vary depending on the cause of your infertility, the quality of the sperm you are using, and your age. In a study of about 1, IUI cycles, researchers found that the success rate per couple over one or more cycles was in large part dependent on the woman's age, medical history, and specific fertility issues.
Success rates per couple over more than one cycle in this study were:. Deciding whether or not to pursue IUI is a personal choice. The procedure is also easier and less invasive. If IVF is out of your price range, multiple IUI cycles might be the better choice, depending on the cause of your infertility. If a man has retrograde ejaculation, the sperm can be retrieved in the laboratory from urine he has collected.
Men who have a difficult time with erection or ejaculation despite using medications, as well as men with a spinal cord injury, may be able to produce a sperm sample with the help of vibratory stimulation or electroejaculation.
Vibratory stimulation commonly takes place in an office and uses a handheld vibratory device. Electroejaculation uses electrical stimulation in order to produce a sperm specimen.
For men with a complete spinal cord injury, electroejaculation is commonly performed in the office, while patients with an incomplete spinal cord injury may have an electroejaculation procedure performed under anesthesia in the operating room. This process can take up to 2 hours to complete. IUI is performed near the time that the woman is ovulating. The IUI procedure is relatively simple and only takes a few minutes once the semen sample is ready.
The woman lies on an examining table and the clinician inserts a speculum into her vagina to see her cervix. A catheter narrow tube is inserted through the cervix into the uterus and the washed semen sample is slowly injected. Usually this procedure is painless, but some women have mild cramps. Some women may experience spotting for a day or two after the IUI.
The success will vary depending on the underlying cause of the infertility. IUI works best in patients with unexplained infertility, women with a cervix that limits the passage of sperm, and men who are unable to ejaculate effectively. For example, for unexplained infertilty, the pregnancy rate with IUI is double that over no treatment. To increase your chances of success, a cycle of IUI should be done just after ovulation. Ovulation usually happens 12 to 16 days before your next period.
This can vary if you have an irregular menstrual cycle. You may be given an ovulation prediction kit OPK to help you work out the date of ovulation. An OPK device detects hormones released during ovulation in urine or saliva.
Sometimes, fertility medicines are used to stimulate ovulation before IUI. In this case, vaginal ultrasound scans are used to track the development of your eggs. As soon as an egg is mature, you'll be given a hormone injection to stimulate its release. If a couple decides to have IUI using their own sperm, the man will be asked to provide a sperm sample at the fertility clinic by masturbating into a specimen cup. This usually happens on the same day that IUI takes place.
The sperm sample will be "washed" and filtered to produce a concentrated sample of healthy sperm. An instrument called a speculum is inserted into the woman's vagina to keep it open. A thin, flexible tube called a catheter is then placed inside the vagina and guided into the womb. The sperm sample is then passed through the catheter and into the womb. The process usually takes no more than 10 minutes.
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