May 26, 2015

Advantages of IUI

High concentration of highly motile, best quality sperms are placed very close to the egg. This increases the chances of conception manifold. Very simple procedure. No need of anaesthesia. Patient can go home or to work soon after the procedure. Extremely useful for couples with sexual dysfunction like dyspareunia, vaginismus, erectile dysfunction, non consummation of marriage, mild male factor infertility, grade I & II Endometriosis, unexplained infertility etc. Usually husband is not required at all visits.   Disadvantages The pregnancy rates are lower in case of IUI, approximately 10-15%. During folliculometry we document the release of the egg from the […]
May 26, 2015

What is the Advantage of Having Semen Processing and Insemniation under One Roof?

Some centers have folliculometry (USG monitoring) facilities but may not have Semen processing facilities or IUI facilities; while a few may not have folliculometry (USG monitoring) facilities too. Thereby, the wife has to go to a radiologist or some other center for doing the follicular study (serial USGs) for 5 to 7 days depending on the growth of her follicle. Once the follicular rupture has been confirmed, the husband needs to give sample and it has to be processed (washed). If this centre does not have facility for the same, then the couple has to go to another center for […]
May 26, 2015

What is Difficult IUI ?

Sometimes there may be problem in visualizing the cervix and doing IUI. In these cases, one should use a tenaculum (long vaginal instrument) and give traction to manipulate the Utero-Cervix angle and also to stabilize the cervix. Maklers or metal catheter (standard) also help in these cases. VIDEO : Endometrial contractions seen in USG. These may be seen in cases of difficult IUI and may hamper the result. Various positions of the uterus during Difficult IUI: Empty Bladder and Acutely Anteverted Uterus In these cases it is better to have a Full Bladder and or use Allis (instrument) Traction in […]
May 26, 2015

IUI Procedure

Before the procedure, the semen processing media is removed from 2-8°C and is kept on the heating block at 37°C for atleast 20-30 mins so that the temperature of the media and the semen sample is almost the same. After collection, the sample is kept in the laminar flow over the heating block for liquefaction in sterile air with 37*C.( This generally takes 20 minutes). The count and motility is then checked under the microscope &a live image is stored where in the couple is informed about the sample (We have special video & snap system). The raw semen sample […]
May 26, 2015

IUI – How to Proceed

IUI cycle can be done in natural unstimulated cycle or in a stimulated cycle (using oral drugs/injections). Time of IUI In a natural cycle, with menses coming every 28 days, ovulation, i.e., release of the egg after follicle rupture, happens around 14 days before the next menses.IUI in a natural cycle is done after the rupture of the follicle is confirmed by ultrasonography. In women with longer cycles, the days may vary. When drugs or injections are given for follicular maturation (ovulation induction cycles), IUI is usually done 36 hours- 48hrs after HCG injection. This injection is given to facilitate […]