Evaluation: The IUI process typically begins with a thorough evaluation of both partners' medical histories and fertility profiles. This may include hormone testing, semen analysis, and imaging studies to assess reproductive health.
Counseling: During the initial consultation, fertility specialists discuss the underlying causes of infertility, treatment options, and the potential benefits and risks of IUI.
Ovarian Stimulation (Optional):
Medication: In some cases, ovarian stimulation may be recommended to increase the chances of successful ovulation and pregnancy. This involves the administration of fertility medications, such as clomiphene citrate or gonadotropins, to stimulate follicle development and egg production.
Monitoring: Throughout the ovarian stimulation phase, hormonal levels and follicle growth are closely monitored through blood tests and ultrasound examinations to ensure optimal timing for insemination.
Semen Preparation:
Semen Collection: On the day of insemination, the male partner provides a semen sample through masturbation. Alternatively, donor sperm may be used for individuals or couples facing male infertility or same-sex couples.
Semen Processing: The collected semen sample undergoes laboratory processing to isolate highly motile and morphologically normal sperm, enhancing their concentration and viability for insemination.
Insemination Procedure:
Timing: Insemination is typically performed around the time of ovulation, which may be determined through natural ovulation monitoring or triggered with medication.
Catheter Placement: A thin, flexible catheter is used to carefully introduce the prepared sperm into the uterine cavity through the cervix. The procedure is quick and minimally invasive, resembling a standard pelvic examination.
Post-Insemination Rest: Following the insemination procedure, patients are usually advised to rest for a brief period before resuming normal activities. While bed rest is not mandatory, avoiding strenuous exercise and heavy lifting is recommended.
Post-Treatment Care:
Monitoring: After the insemination, patients may undergo regular monitoring through blood tests and ultrasound examinations to track hormone levels, follicle development, and early signs of pregnancy.
Pregnancy Testing: Approximately two weeks after the insemination, a pregnancy test may be conducted to detect the presence of pregnancy hormones (hCG) in the blood or urine. Positive results indicate a successful conception, while negative results may necessitate further evaluation or treatment adjustments.