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Who Needs Intrauterine Insemination (IUI)? – A Comprehensive Guide

What is Intrauterine Insemination (IUI)?

Intrauterine insemination is a procedure where sperm, after special processing, is directly placed into the uterus. The aim is to increase the chance of sperm meeting the egg.

In Which Cases is IUI Performed?

IUI is a preferred treatment method for mild infertility causes, applied before in vitro fertilization (IVF).

1. Unexplained Infertility

It is one of the first options for couples who cannot achieve pregnancy despite all tests being normal.

2. Mild Male Factor

IUI can be effective in cases of a slight decrease in sperm count or motility.

3. Ovulation Problems

The chance of pregnancy can be increased by performing IUI in conjunction with ovulation induction.

4. Cervical Factor

In situations where cervical mucus obstructs sperm passage, sperm is directly delivered to the uterus via IUI.

5. Sexual Dysfunction Problems

IUI can be an alternative for couples experiencing vaginismus or erection problems.

6. Endometriosis (Mild Stage)

IUI may be attempted in patients with minimal or mild endometriosis.

For Whom is IUI Not Suitable?

In cases of severe male factor, blocked fallopian tubes, and low ovarian reserve at advanced age, IVF is preferred over IUI.

Success Rates

Generally around 10-20% per cycle. It varies according to age and the underlying cause.

How Many Times Should it Be Attempted?

Generally, 2-3 attempts are recommended. In case of failure, IVF is pursued.

Conclusion

IUI is an effective treatment method with correct patient selection. However, it is not suitable for every patient and requires individual evaluation.