IUI – Intrauterine Insemination
Intrauterine insemination (IUI) may have a therapeutic effect in moderately low fertility in men or in the cases of immunological or idiopathic infertility, etc. It is the method of choice in using sperm from a donor.
The success of this method is relatively low (10-15%) – but it can be carried out repeatedly, in each cycle. The success rate then accumulates, and thus the total number of children born after IUI is certainly not negligible.
The basic condition for the use of this procedure is the maintained patency of at least one of the fallopian tubes. We therefore recommend tubal patency testing before performing IUI. Likewise, semen analysis (spermiogram) should be done. In case of serious disorders on the part of male, intrauterine insemination does not have the expected effect. When ovulation is present, IUI may be at first carried out in the cycles without hormonal treatment (native cycles). In case of failure or if there is no evidence of ovulation, the ovulation is induced by hormonal drugs.
How does it work? The date for IUI is arranged after using ultrasound folliculometry. That day the man comes about 2 hours before the woman for his own performance. He obtains sperm in the same way as for the semen analysis, thus by masturbation. Then the sperm is treated in the laboratory. There is virtually no risk for the women when using the IUI method and the performance itself is completely painless.
Actually, it is not anything else than ordinary gynaecological examination in mirrors. During ovulation, prepared sperm is injected by a thin catheter through the vagina and cervix directly into the uterus. The woman leaves a few minutes after the performance. There are not any restrictions after intrauterine insemination, thus full physical and sexual activity is allowed.
IUI is covered by health insurance 6 times per year.