I. Definition
Unlike intracervical insemination, intrauterine insemination (IUI) is defined as placing the warmed prepared sperm into the woman's uterus 2 -3 days before and after ovulation with the purpose of getting the sperm closer to the egg, thereby increasing the chance of fertilization.
II. How intrauterine insemination works
a) Natural ovulation
If a woman has normal ovulation, then her doctor may suggest to place the male partner sperm into the cervix of the women, normally 2 days before and after ovulation. In order to increase the chance to conceive, your doctor may closely examine the woman menstrual cycle and predict the day of ovulation or the woman will be given instruction how to calculate and predict the coming ovulation.
b) Medication induce ovulation
After the ICI decision is made and the female partner is considered to have problem with ovulation including irregular ovulation, then she will be given medication to stimulate the production of multiple mature eggs and the process of eggs production is closely monitored by transvaginal ultrasound. After the ovulation day is predicted, her doctor will inject her male partner (already prepare) into the the women cervix. This procedure is also painless, therefore no anaesthesia is required.
3. Risk
a) Infection
b) Uterine cramps
c) Multiple pregnancy
d) Ovarian over stimulation syndrome
The chance of conceive through ICI is between 10-20 percentage, depending on the sperm count as well as healthy fallopian tube of the couple.
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