Treatment packages are mainly leveled based on the ranking of surgeons (according to the number of annual surgeries, years of experience, educational and experimental records, the rate of successful surgeries and the percentage of patients’ satisfaction) and the hospital/clinic where the surgery is performed.
Intrauterine Insemination (IUI) is a method of assisted reproduction that may be used alone or with drug stimulation of the ovaries to treat infertility and involves placing sperm inside a woman’s uterus to facilitate fertilization. The goal of the IUI is to increase the number of sperm that reach the fallopian tubes, which in turn increases the chance of fertilization. This option is less invasive and less expensive than assisted reproductive techniques and is the first line of infertility treatment before IVF.
IUI is mostly used in cases of low sperm count or decreased sperm motility. In this case, IUI is an ideal option because placing sperm directly in the uterus increases the chances of fertility. IUI is also used as a fertility treatment for other diseases such as: cervical mucosal problems, IUI puts sperm from the cervix where they can move freely. Also, IUI is mostly used in cases of low sperm count or decreased sperm motility. In this case, IUI is an ideal option because placing sperm directly in the uterus increases the chances of fertility. Beside, IUI is used as a fertility treatment for other diseases such as cervical mucosal problems, where IUI places sperm from the cervix where they can move freely.
After consulting a doctor, a volunteer can determine if they are eligible for treatment. This may include a hysterosalpingogram (HSG) test, which shows that there is an obstruction in the fallopian tube that may prevent the eggs from moving to the uterus during the process. Fertilization Any couple who has passed the HSG test and has a sufficient sperm sample must be eligible for IUI. Totally, IUI is recommended for the patient in case of:
Pre-Operative Care of Intrauterine Insemination (IUI) Surgery
Couples should not have intercourse 72 hours before the IUI, but if low sperm count is the cause of IUI, there should be a 48-hour interval between the last ejaculation and sperm collection, but if there is no problem with the sperm, it should be about 24 hours before There will be no problem with IUI either. After IUI, you can have intimacy at any time, and in fact many doctors recommend intimacy after IUI. Also:
This procedure is relatively simple and painless and is performed without anesthesia. In this procedure, semen is usually washed in a special way and then the washed sperms are inserted into the uterus through a vagina using a narrow tube (catheter).
In this method, in order to increase the chances of pregnancy, by using ovarian stimulant drugs, the number of eggs released in the relevant cycle is increased to two or four eggs. For this purpose, with the order of the Infertility specialist, ovarian stimulant drugs should be taken in exactly the right dose and at the specified time. After examining the condition of the ovaries with the help of ultrasound and observing the follicles and making sure that the condition is normal, the injection of fertility drug (HCG) is performed to stimulate ovulation.
IUI is usually performed about 36 to 48 hours after HCG injection. But sometimes, depending on the doctor and the circumstances, to increase the success rate, IUI is performed twice, at one-day intervals.
After determining the exact time of the IUI operation and announcing it to the couple, the man must deliver his sperm sample to the laboratory in the morning of the scheduled appointment for the operation, after two to five days of abstinence and ejaculation. Sperm samples should be collected by masturbation or using special condoms without spermicides in a sterile container provided by a laboratory. The sample should be fresh and prepared at the laboratory if possible. In the laboratory, the sperm sample is separated from the semen by washing with special materials and ready for injection.
The sperm are then injected into the uterus using a thin plastic tube called a catheter. There is no need to hospitalize the patient after the IUI, but most doctors put the patient to bed for 30 to 60 minutes. The patient does not need absolute rest and can continue his normal daily activities. Two weeks after the IUI operation, a pregnancy test is performed and the result of the operation is determined.
Success Rate of Intrauterine Insemination (IUI) Surgery
The success rate in IUI, depending on the factors mentioned, is between 6% and 24% per treatment cycle. The success of this operation depends on several factors. In cases where the number and quality of male sperm are appropriate, the success rate after using this method is much higher than people who are forced to do so due to low sperm count. On the other hand, gynecological diseases also play an important role in the success rate. The woman’s age and physiological condition play an important role in this regard. For example, if a woman is over 35 years old, the chances of getting pregnant with this method are significantly reduced.
If treatment fails after performing an IUI cycle three to six times, other infertility treatment methods such as in vitro fertilization (IVF) or sperm injection into the cytoplasm of the egg in vitro (ICSI) are used.
Vaginal discharge after IUI is very common and quite normal and has nothing to worry about. This discharge is not an IUD leak, but cervical mucus that separates during the operation and now comes out of the vagina. Many women who have had an IUI have had pain similar to a Pap smear. However, passing a catheter through the cervix can cause spotting, bleeding, and abdominal pain due to the possibility of minor injuries. Partial spotting after IUI surgery is also normal. Heartburn after IUI surgery can be relieved by taking over-the-counter painkillers. A handful of patients experience severe pain, bloating, or bleeding, in which case a physician should be contacted immediately, as these are signs of infection or other rare side effects.
With establishing Infertility Treatment Research Institutes about 35 years ago, great strides have been made in the treatment of infertility and any infertility can be treated with the latest scientific methods in Iran. In the field of infertility treatment, Iran competes with other countries and it is not an infertility problem that can be treated in the world, but it is not possible in Iran. Fortunately, thanks to the scientific and professional advances of Iranian doctors and specialists, many infertile couples can now have children.
In recent years, Iran has made great strides in the treatment of infertility, and in addition to the fact that Iranians do not travel abroad for the treatment of infertility; rather, many infertile couples in different countries of the world choose Iran as their medical destination. Currently, the newest, best and most up-to-date treatments in the world are being implemented in infertility treatment centers in the country, which have reached 75 centers. According to global research, Royan Research Institute is ranked ninth among the top 10 research institutes in the world.
Due to the high cost of equipment for these treatments, our country’s specialists in these years have succeeded in producing and localizing many advanced infertility treatment equipment, which has caused Iran to join the group of 6 countries with knowledge of manufacturing infertility products.
Nora Health Tour consulting team will introduce the most specialized clinics for gynecological surgery and infertility treatment in Iran and patients can get the best and most accurate information about the cost of treatments by contacting our experts while receiving specialized advice. Of course, the cost of treatment depends on the technique and the extent of treatment, but the cost of IUI treatment is lower than other reproductive technology treatments such as IVF. If donated sperm is used, the cost of treatment will increase.
It should be noted that individual brochures based on the patient / client plan, including pre- and post-operative instructions, as well as the necessary information and processes for further follow-up are provided to you. During your stay in Iran, the translators of Nora Health Tour fully support you 24/7 and will happily help you to resolve any concerns or ambiguities that may arise for you.
IUI is used when the patient has a small number of sperm, as well as semen volume, antisperm, antibody in semen or even a large number of sperm. Women with conditions such as vaginismus, endometriosis, cervical discharge, or even ovulation problems are some of the things that women need to have an IUI to treat infertility.
Between the ages of 20 and 25, IUI results will be more successful than those of older people, thus reducing the chances of having children as you get older.
The success of IUI depends on several factors. Depending on variables such as women’s age, the cause of infertility and the use of fertility drugs and other variables reach 20% per treatment cycle. Because this is a less invasive and cheaper option, the pregnancy rate is lower than IVF.
If you take fertility drugs while taking IUI, you are many times more likely to get pregnant, and you are less likely to get an infection after treatment.
Most women who have an IUD take a color photo of the uterus beforehand. IUI pain is by no means the same as a color photo. It can be compared to a Pap smear! Of course, before and after the IUD, mild abdominal pain is normal due to the entry of sperm and possibly medication.
Usually 3 courses of IUI surgery are prescribed, which in certain circumstances, the number of these courses may increase. But at least three periods are required to get the answer. However, many patients get results the very first time and become pregnant.
It is best to do an IUI about 6-12 hours before ovulation. Approximately 36 to 48 hours after Hcg injection. However, in cases of infertility due to male problems, some doctors believe that the best time to perform an IUI is after ovulation.
Not at all. Most doctors, however, prefer to stay in a supine position for half an hour after an IUI. But there is no need for absolute rest at home. It is just better not to do heavy activities.
No, if you feel dampness and even discharge after the IUI, it is often due to the hormonal status of your body and the arrival of a catheter, etc.
Spotting is common after an IUI. But if the amount of bleeding is more than a simple bleeding, be sure to tell your doctor.
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