आईयुआई क्या है ? | What is Intrauterine Insemination?

1. Intrauterine insemination(IUI) Presented By: Zealthy

2. What is IUI? Intrauterine insemination also called artificial insemination is one of the most cost-efficient and effective infertility treatments of modern times. It is an artificial reproductive technique where the women's uterus is artificially introduced to the male sperms with the help of a flexible tube. Once the male sperm is separated and washed from the semen ejaculation, it is injected deep inside the uterus, close to the ovum to facilitate fertilization. This process of IUI is painless and only takes a few minutes. Circumstances in which IUI is needed Although IUI is commonly used to treat male infertility, it can also be used for certain conditions affecting females. IUI is an effective mode of treatment for the following conditions: 1. Unexplained Infertility Unexplained fertility is the condition where the exact cause of infertility can not be determined even after a thorough examination by the fertility expert. Couples suffering from this condition can opt for IUI treatment for a successful pregnancy.

3. 2. Endometriosis Endometriosis is a condition where the inner lining of the uterus, known as endometrium, starts to abnormally grow outside of the uterus. IUI is an effective mode of fertility treatment for women suffering from mild cases of endometriosis (stage1 or stage 2 endometriosis). 3. Cervical Factor Infertility A woman's cervix produces a mucus-like substance known as cervical mucus to provide nourishment and an ideal environment for the sperm to travel from the vagina to the eggs and facilitate fertilization. An abnormal cervical mucus such as thick consistency mucus prevents the sperm from travelling towards the eggs, making the pregnancy unsuccessful. Pregnancy through IUI treatment in India is highly successful in such cases as the artificial insemination process bypasses the cervical mucus and sperm is injected straight into the uterus, helping fertilization. 4. Ovulatory Factor Infertility As the IUI procedure is done only after stimulating ovulation, artificial insemination is also recommended for women suffering from some ovulatory abnormalities like irregular menstruation and PCOS (polycystic ovarian syndrome). It is important to note that IUI is not recommended for conditions like severe tubal blockage, diminishing ovarian reserve and ovarian failure.

4. 5. Mild Male Factor Infertility IUI can be used in cases where the semen analysis report suggests normal sperm evaluation but the couples are unable to conceive. Artificial insemination requires separation of highly motile sperm from the semen during the sperm wash process. These motile sperm are then directly injected into the womans uterus. 6. Azoospermia or absence of sperm in male Azoospermia or complete absence of sperm can cause male infertility making it difficult for the couple to conceive. Under such conditions, donor sperm IUI is performed. The sperm from the male donor is injected into the woman's uterus during IUI treatment. 7. Semen allergy Some women are allergic to the protein present in their partner’s semen. Hence, contact with semen can cause redness, rashes and swelling in their vagina. IUI can be an effective mode of treatment for women allergic to semen protein as many proteins are removed from the sperm before it is injected into the uterus.

5. When is the IUI procedure not recommended? • The IUI treatment is not recommended for women or men suffering from below-mentioned issues:- • Women whose fallopian tube is severely blocked or damaged • Women with a severe case of endometriosis • If there is a history of pelvic infection • Cases of diminishing ovarian reserve (high FSH) or menopause. • If the woman is older than 40 years - in case of older women IVF treatment is preferred • Severe male factor infertility: The possibility of effective IUI is close to zero if the sperm count and motility are abnormal or very low. For example, the probability of successful IUI is significantly reduced if the motile sperm count is below 10 million at the time of insemination. In these cases, In-Vitro Fertilization (IVF) along with ICSI is the best course of treatment available to the couple.

6. Different types of IUI Treatment in India While choosing the fertility treatment options, you might feel lost with all the medical jargon and terminology. It is important to be fully aware and understand all the options available for treatment. There are mainly four types of IUI treatment available, your Best doctor in India will recommend any of the below options of IUI treatment after your thorough examination. The four types of IUI treatment are: 1. Intracervical Insemination Intracervical insemination is the most common and least costly method of artificial insemination. The semen is directly introduced to the female cervix by the fertility expert with the help of a long needleless syringe. The woman might have to wear a conception cap for some time, after the insemination to hold the semen. 2. Intrauterine Insemination Intrauterine insemination is the most effective artificial insemination technique. Under this procedure, washed sperms are directly injected into the female uterus, increasing the chances of successful fertilization and implantation.

7. 3. Intrauterine Tuboperitoneal Insemination This procedure is similar to intrauterine insemination but it includes the injection of sperms in the fallopian tube also along with the womans uterus. 4. Intratubal Insemination In this process, prewashed sperm is straightaway injected into the woman’s fallopian tubes only. The fertility expert will use a long flexible catheter to introduce washed sperm directly into the womans fallopian tube. As every individual is different, hence it is tough to have one size fit all approach while treating infertility. Your fertility expert will be able to decide the best course of action for you after you and your partners thorough examination.

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