IUI in Nepal - What you Need to Know

2020-01-16 526

IUI in Nepal

Intrauterine Insemination (IUI) is a non-surgical fertility procedure in which processed sperm is injected into a woman’s uterus through a thin, flexible catheter. It is timed to occur at ovulation and takes a few minutes to perform. It is a painless procedure.

IUI is one of the most widely adopted infertility treatments in Nepal because of its cheap cost. The cost of IUI procedure and sperm washing generally starts from NPR 12,000 but the additional cost of medications, ultrasound, blood tests, etc. can add to the cost. The sum-total, however, is nearly 20-25 times lower than the cost of IVF so this procedure is preferred preliminarily prior to adopting ART.

Should you also consider IUI for your infertility treatment?

IUI can be beneficial in many cases but it’s not ideal in all kinds of infertility conditions. It should not be performed more than 5-6 times and there is no added benefit in cases of female causes of infertility.  In some cases, infertility doctors might directly suggest for IVF. Following are few conditions to consider to determine whether to opt for IUI treatment or IVF treatment.

Pregnancy through IUI treatment is recommended when there is:

  1. problem with the sperm quality: low sperm count, decreased sperm mobility or abnormal morphology.
  2. Ejaculatory dysfunctions in men.
  3. A hostile cervical condition, including cervical mucus problems.
  4. Cervical scar tissue from past procedure preventing sperm to enter the uterus
  5. A single woman wishing to conceive
  6. a couple wanting to avoid passing on a genetic defect from the male partner to the child (donor IUI)
  7. same sex couples wishing to conceive

Pregnancy through IUI treatment is not recommended when:

  1. woman has both fallopian tubes blocked or any other severe disease of fallopian tube
  2. Woman has history of pelvic infection
  3. Woman has moderate to severe endometriosis
  4. Both partners want their own biological child and the male partner does not have sufficient sperms for IUI

Step by Step IUI Treatment Process

Ideally the IUI should be performed at the time of ovulation. Usually IUI process is a 15-20 minutes non painful process carried out without the use of any anesthesia by fertility doctors or trained nurses. After proper discussion with the doctor:

  • You may have to make several visits to the clinic during the periods for blood tests, ultrasound and other medical instructions as required.
  • If medicines are prescribed, it should be started while you are still on your periods.
  • Several people may not need medicines and go for natural IUI. In such cases ovulation regularly occurs around 12-14 days of the menstrual cycle
  • After a week of starting the medicines, probably another round of ultrasound and blood tests might be required to predict accurate time for ovulation. It is generally 10-16 days after starting medication
  • Your husband is asked to provide semen samples on the day of procedure
  • The sperm is immediately taken to the lab for washing where seminal fluid and debris are removed to obtain concentrated sperm which is unlikely to irritate the uterus.
  • You will be asked to lie on the exam table and doctor will use a speculum to gently open the vagina and visualize the cervix.
  • The processed semen will be passed through the cervix and placed in the uterus with the help of a catheter.
  • The infertility doctor/nurse might ask you to keep lying on the table for about 20 minutes following the insemination.
  • Some practices also follow a second insemination on the following day.

Most women experience little or no discomfort during the IUI process, although some might experience mild uterine cramping or vaginal bleeding following the procedure. A pregnancy test can be taken two weeks after the insemination or intrauterine insemination procedure.

Also Watch this Video to understand IUI

What are the risks of IUI?

IUI procedure is generally considered safe. However, there might be a small risk of infection which can totally be avoided using sterile instruments. If medications are used for ovarian stimulation, chances of multiple births are very high. Some ovaries over-respond to the fertility medications which might lead to ovarian hyperstimulation syndrome. A large number of mature eggs released simultaneously might lead to enlarged ovary, fluid deposition in the abdomen, cramping and other difficulties.

If following symptoms occur while taking medication, you should immediately see a doctor

  • Dizziness
  • Sudden weight gain
  • Nausea or vomiting
  • Short of breath
  • Severe pelvic or abdominal pain
  • Sudden increase in the abdomen size

How Successful is the IUI procedure?

The success of IUI depends on several factors. If a couple has the IUI procedure performed each month, success rates may reach as high as 20% per cycle depending upon the factors like female age, the cause of infertility, precautions taken in sperm washing, medication used for ovarian stimulation, timing of iui procedure, etc.

While IUI is a less invasive and less expensive option, success rate of IUI treatment are much lower than the success rate of IVF treatment. If you still think you may be interested in IUI, talk with our infertility doctors to discuss your problems in details and choose the best option.

Vatsalya IVF Center is one of the most trusted IUI center in Nepal. Besides IUI treatment, all other infertility diagnosis and treatment facilities are also available here. Modern techniques, team of experts, energetic and well renowned doctors and visiting team of specialist from different parts of the world contribute towards a higher success rate of IUI treatment & IVF treatment at Vatsalya. Schedule an Appointment with Vatsalya experts for best IUI / IVF treatment results in Nepal.

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