Intrauterine insemination (IUI) is a common treatment for infertility. It can be used in cases where the male has a low sperm count, the cause of infertility is unknown, or when the woman is not ovulating regularly. It may be used with or without medications that help the woman ovulate.

Timing of the insemination to coincide with ovulation is critical. In order to ensure this occurs, timing of ovulation is monitored by urinary hormone tracking methods or sonogram. Urinary LH ovulation predictor kits indicate that ovulation will occur within a 24 to 36 hour window. The urinary tracking method is performed at home, generally in the morning. When the test is “positive”, call us immediately, so we can schedule your insemination, since it should be done within 24-36 hours of a positive test.

Another method used to time ovulation is sonography. The development of the follicle and impending release of the egg can be timed by serial ultrasounds performed in the office. We may give you an injection of HCG to further assist in the release of the egg.

Once we schedule your Intrauterine insemination, please follow the steps below.

Insemination steps

  1. 1. Pick up sterile cup from the office 2. Collect semen into sterile cup by masturbation 3. Bring specimen to office in sterile cup. Be sure to bring in within an hour of producing and keep close to body temperature by keeping close to body. 4. Specimen is left at office. Be sure to sign the consents allowing us to use your sperm for the insemination. 5. Sperm is prepped in special media. This clears out abnormal sperm and allows the sperm to penetrate the egg. This procedure takes about an hour. 6. Woman signs consent for insemination. 7. The “washed” specimen is placed with a special catheter into the woman’s uterine cavity in order to improve the number of sperm available to reach the egg by bypassing the vagina and cervix. 8. Since IUI relies on the natural ability of sperm to fertilize an egg within the reproductive tract, the sperm function of the male must be reasonable and the fallopian tube(s) must be healthy and functional. 9. After the insemination, the woman lies for about 20 minutes and then may return to her normal function.

You should begin a prenatal vitamin with at least 800mcg of folic acid before you begin fertility treatment.

If you do not have a period following insemination and have a positive pregnancy test call to schedule your prenatal care. If you have a period following insemination, call and we will discuss your further treatment options. (509)628-8866

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