Intrauterine Insemination (IUI)
Artificial Insemination Atlanta
With intrauterine insemination (IUI) or artificial insemination (AI), millions of sperm are placed directly into the uterus when a woman is most fertile, immediately prior to and during ovulation. Fertility Specialists at our artificial insemination clinics in Atlanta will identify people who benefit from IUI and will comprehensively review IUI success rates, donor IUI, how IUI is performed and other topics that are summarized below.
IUI Atlanta Overview
The sperm cells are placed in a special solution that supports their health and facilitates the separation of the normal sperm from the sluggish and non-motile sperm. The motile sperm are then concentrated into a small volume, and placed high into the uterine cavity with a special catheter that is passed through the cervix (so called intrauterine insemination, or IUI). This improves the chances for conception. IUI may be performed with or without the use of fertility drugs by the woman.
People who Benefit from IUI include:
- Couples with no known cause of infertility
- Couples in which the male has mild to moderate decreased semen quality
- Women with ovulatory disorders who respond well to fertility medication
- Women with mild endometriosis
- Women using donor sperm
- Couples who have infrequent intercourse
If a female patient has no male partner, or her male partner has severe sperm abnormalities, insemination using donor sperm is available. Donor sperm may be obtained from someone known to the patient (“Known Donor”) or, more commonly, from a Donor Sperm Bank. ACRM works with many donor sperm banks.
ACRM prioritizes patient safety for IUI cycles. For this reason, we recommend donors be screened for infectious diseases (including HIV) at their initial sperm deposit. The specimen is quarantined for 180 days to allow re-testing of the donor for infectious diseases (including HIV.) If testing is negative, the sperm sample is released for IUI. This ensures patient safety, in accordance with federal guidelines. Donor Sperm Banks should follow this protocol as well.
How IUI is Performed
- May or may not use fertility drugs to stimulate the ovulation of more than one oocyte
- Monitors ovulation with a combination of at-home (home ovulation predictor kits) and clinic (ultrasound, blood tests) techniques.
- Is monitored by the clinic for any adverse effects of fertility drugs
- Receives a hormone injection (human chronic gonadotropin, or hCG) to time ovulation
- May receive a hormone injection (human chronic gonadotropin, or hCG) to time ovulation
The man's role is to provide a semen sample on the morning of insemination. The semen sample is prepared and then inserted through the cervix and into the uterus by way of a thin plastic catheter. The procedure takes place in the clinic and is relatively painless.
Possible IUI Complications
Though complications of IUI are infrequent, they include infection and uterine cramping. Also, fertility medications have potential side effects, including ovarian hyperstimulation syndrome and multiple pregnancies.
If no pregnancy is achieved after three IUI's, our Reproductive Endocrinology specialists may recommend more advanced reproductive therapies such as IVF (in vitro fertilization).
IUI Success Rates
Success rates for IUI depend largely on the cause of infertility and the woman's age along with total motile sperm count. If the count is optimal and the woman's fallopian tubes healthy, conception rates for IUI and Controlled Ovarian Hyperstimulation (COH) approximate 15-20 percent per cycle.