1 / 17

10 secrets of success of IUI

10 secrets of success of IUI. Dr. Sharda Jain Programme Director. 1 st Secret. Right choice based on facts (Actiology). Good Result : - Unexplained I : - Cervical Factor I : - Anovulatory I : - Donar IUI .

tallis
Download Presentation

10 secrets of success of IUI

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 10 secrets of success of IUI Dr. Sharda Jain Programme Director

  2. 1st Secret Right choice based on facts (Actiology)

  3. Good Result : - Unexplained I : - Cervical Factor I : - Anovulatory I : - Donar IUI Poor Results :- severe male infertility tubal factor/ pelvic adhesions severe endometriosis

  4. 2nd secret • Age – women & men • Ovarian response (Poor /High/ Normal) • Endometrial Response • AMH Understand The Case (H & W)

  5. Good Responders :- young :- Good Crop of Preovulatory follicles :- Good ET (> 7 mm) :- Good PMS count Poor Responders :- Older self / partner, :- ↑ duration infertility (> 5 yrs) :- Poor OR :- Poor ET :- Poor Sperm Quality

  6. Male Male age - < 35 yrs > 45 yrs >10 million prewash count 5-10 million Post Wash Count Normal morphology – 14% (Krugers) DNA fragmentation - 30 % Sperm survival (24 hours) - ↑ 80%

  7. 3rd secret • Typical PR 4 / 8 / 12 / 20 • G T • Antagonist in IUI protocol Individualised Ovarian Stimulation Protocol

  8. 4th secret Poor Endometrial Thickness • CC – neg. effect on ET – EV ? • Delay trigger • GT • Scratchingof Endometrium • ↑Endo Vascularity (Aspirin/ Viagra / Sidnafil)

  9. 5th secret Modify Dose / ET / Follicle size / HCG Trigger - GT - EV Follicle MonitoringDo it your self

  10. 6th secret Do Right Thing at Right Time Trigger when GT – 17-18 mm CC -24 -25 mm Doppler – Perifollicular perfusion 50 – 70 % RI < 5 PSV > 11 S/C HCG – (BMI) Agonist trigger - OHSS

  11. Timing of IUI – 38 hours Single – No Male Factor Double IUI – Male factor, PSV > 20 1st 16 - 18 hrs 2nd 36 – 38 hrs + LH surge - Give HCG trigger immediately - IUI 24 hrs

  12. 7th secret Lab secret • Labeling • Abstinance (<3 V/S > 10 days) • Semen collection • Semen preparation One size does not fit all • High quality Consumables & media Preparation in doctor’s officemust

  13. 8th secret Success lies in looking into details of techniques • Full Bladder • Cx mucus aspiration • Targets time - 90 minutes • Load – when ready • No free space • Rest 10 mints • Emergency trey Easy IUI

  14. 9th secret • Progesterone • Vaginal progesterone (↑ PR) is the BEST Luteal support

  15. 10th secret Counseling / Knowing when to stop 3 cycles of IUI = 1 IVF

  16. Final secret All that we are • Integrity of Team • Right documentation • Analysis of Result what works

  17. Thanks

More Related