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Frequently Asked Questions

What is IUI?

Frequently Asked Questions - CRAFT
IUI is "Intra uterine insemination". The husband’s sperm is collected and it is washed using special solutions and then it is injected directly into the uterus using a special catheter.
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What is an IUI and how is it done?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
An IUI -- intrauterine insemination -- is performed by inserting a very thin flexible catheter through the cervix (mouth of the uterus) and injecting washed sperm directly into the uterus. The whole process does not take very long — it usually only requires the insertion of a speculum and then the catheter, a process that maybe takes a couple of minutes. Sometimes when the cervix is hard to reach a tentaculum is used to hold the cervix, which makes the procedure easier.
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My ParenTime | Features-IUI FAQ
A: An IUI -- intrauterine insemination -- is when a very thin flexible catheter is threaded through the cervix and washed sperm is injected into the uterus. The whole process doesn't take very long - it usually only requires the insertion of a speculum and then the catheter, a process that maybe takes a couple of minutes. Sometimes when the cervix is hard to reach a tenaculum is also used and makes the process a bit more uncomfortable.
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Article On IUI - Baby Talk Zone
An IUI -- intrauterine insemination -- is performed by threading a very thin flexible catheter through the cervix and injecting washed sperm directly into the uterus. The whole process doesn't take very long - it usually only requires the insertion of a speculum and then the catheter, a process that maybe takes a couple of minutes (60-90 seconds to introduce the catheter, then sperm injection, and another 60 seconds or so to remove the catheter - going slowly helps reduce discomfort).
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Can IUI be done at home?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
An IUI shouldn't be done at home without medical supervision because the sperms needs to be washed to prevent infection -- i.e., separated from the semen. A vaginal insemination can be done at home, but is no more successful than intercourse. Getting semen or air into the uterus could be quite dangerous -- perhaps life-threatening.
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My ParenTime | Features-IUI FAQ
An IUI shouldn't be done at home because the sperm needs to be washed to prevent infection -- i.e., separated from the semen. A vaginal insemination can be done at home, but is no more successful than intercourse. Some doctors are willing to instruct on doing ICI (intracervical insemination) at home, but it should not be attempted without being taught proper technique. Getting semen or air into the uterus could be quite dangerous -- perhaps life-threatening.
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When is the best timing for an IUI?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
Ideally, an IUI should be performed within 6 hours before or after ovulation. Timing is based on an hCG injection (given to release the egg) and the IUIs are usually done between 24 and 36 hours later. Typical timing would be to have a single IUI at about 36 hours post-hCG. If two IUIs are scheduled, they are usually spaced at least 12 hours apart between 24 and 48 hours after the hCG. Success rates are higher with two IUIs as compared to a single IUI.
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What is the success rate for IUI?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
The results vary from centre to centre and may be as low as 6% to a maximum of about 20% per cycle. The low statistics are with one follicle, while multiple follicles resulted in as high 20 percent success. Another influencing factor is sperm count. Higher sperm counts increase the odds of success; however, there was little difference between success with good-average counts and those with high counts. The overall success rate seems to be between 15-20 percent per cycle.
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How soon after an IUI can I have intercourse?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
Usually you can have intercourse anytime after an IUI. We suggest waiting 48 hours to resume relations if you had any bleeding during the IUI or if a tentaculum is used.
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Is bleeding common after an IUI?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
It doesn't usually happen, but it isn't uncommon. Some women also have light bleeding with ovulation.
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What are the risks involved in IUI?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
The main risks are some discomfort such as cramping, minor injury to the cervix that leads to bleeding or spotting. There are also risks of hyperstimulation associated with the use of ovulation induction medications such as clomiphene citrate (low risk) and gonadotropin therapy (higher risk). Proper technique and adequate monitoring reduce risks.
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How soon after an IUI can I go swimming?

My ParenTime | Features-IUI FAQ
Since the vagina doesn't open unless something pushes it, it is OK to swim shortly after your IUI...but because of how much one has invested in getting pregnant, it probably makes sense to wait 48 hours after your IUIs to go swimming.
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What is Intra Uterine Insemination (IUI)?

Frequently Asked Questions with Dr. Charles MPL on IVF
Culture medium is layered on top. The specimen is left in the incubator at 37 degrees Celsius for one to two hours. The highly motile sperms will swim up into the culture medium. The enriched upper layer is then removed and sent to the clinic where it is flushed into the uterus using a flexible catheter. This procedure is performed during the time of ovulation in order to increase the chance of conception.
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Do I have to lay down after an IUI?

Article On IUI - Baby Talk Zone
You don't have to lay down because the cervix doesn't remain open, but most doctors let patients lay down on the table for 15-30 minutes after the procedure.
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What tests should I have after my IUI?

FAQ's about infertility
You should at least have a 7-dpo-progesterone test. Your RE may also check the pattern and thickness of the uterine lining via ultrasound at the same time.
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Where is the sperm collected? How long before the IUI?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
Usually the sample is collected through ejaculation by masturbation into a sterile semen collection container in a private room at the clinic. From the time the sample is received, it takes about 1 hour 30 minutes to make the sample ready for insemination. The amount of time may vary depending on the sperm quality, as special techniques may be required.
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What does an IUI feel like?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
Most women consider IUI to be fairly painless -- along the same lines as having a pap smear. There can be some cramping afterward, but often what is felt is the pain of the egg being released (ovulation) rather than from the IUI. The catheter usually does not cause pain as it is very thin and flexible and the cervix is already slightly open for ovulation.
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How is the IUI Performed?

The Alta Bates IVF Program - Frequently Asked Questions
The IUI is an office procedure. A small tube or catheter with the sperm is passed through the cervix into the uterus, and the sperm are deposited in the uterine cavity. Most of the time, this is a simple procedure that causes minimal, if any, discomfort. Occasionally, it can be technically difficult and uncomfortable. IUIs are very safe, but they do carry a small risk of introducing infection into the uterus and tubes.
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How Do I Schedule an IUI?

The Alta Bates IVF Program - Frequently Asked Questions
Please call us on the first business day after your period begins to let us know that you will be testing for an IUI. On Sunday through Friday you should test between 10 am and 2 pm so that you can call us no later than 2 pm when your test is positive. Arrangements will be made for the IUI the following day.
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I am a working woman. Do I need to take leave after IUI?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
Most people don't need to, but if you had cramping or don't feel well afterward it makes sense to take rest for a day or two. We advise against any heavy work or traveling by buses, rickshaws or scooters as the bumpy ride may reduce chances of conception.
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How high a sperm count is needed for IUI?

Infertility,ICSI, IUI (INTRAUTERINE INSEMINATION ).... at Ca...
A count above one million (after sperm preparation) appears necessary for success, with a significant reduction in pregnancy rates when the inseminated is count is lower than 5-10 million (in other words, in most cases one should consider 5 million a lower limit for success, 10 million for cost-effective). Higher success rates are with washed counts over 20-30 million, while increasing counts over 50 million did not appear to offer advantage.
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What is good IUI Technique?

Questions & Answers with Dr. E
After ejaculation, sperm have to be able to swim through the cervix to reach the Fallopian Tube where fertilization of the egg occurs. The sperm that can fertilize the egg begin leaving the ejaculate within 1 min after deposition, and no sperm that get to the Fallopian Tube have ever been proven to do so after 30 min of ejaculation. The "cervical reservoir" of sperm is not an actual pool of fertilizing sperm.
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