IUI, Intrauterine Insemination



IUI , intrauterine insemination, is one of the oldest fertility treatments known to man. IUI employs the sperm collected from the husband, or donor, that has been specially prepared by our andrology lab staff. Our success rates are exceptionally high and IUI is used to treat many conditions that cause infertility. One major advantage of IUI is its cost effectiveness.

IUI usually requires the use of ovulation induction, or enhancement, drugs, such as Clomid (clomiphene citrate), Femara (letrozole), and/or FSH injections to improve the chances of pregnancy. These fertility drugs help insure follicular (egg) development. IUI has been offered at our Salt Lake City, UT fertility clinic since we opened in 1996.

The IUI Procedure

IUI is usually performed each month that ovulation can be reliably predicted. This has been shown to be the most cost effective approach. Two procedures 24- 48 hours apart may be considered in certain circumstances if ovulation timing has been unpredictable.

The insemination involves the painless insertion of a small catheter through the cervix and into the uterus where the concentrated sperm are placed.

IUI combined with Clomid is offered by several general OB/GYN physicians in the intermountain region. Better outcomes are usually achieved by using FSH injections. With the availability of specialized fertility clinics, most general OB/GYN's don't provide IUI in conjunction with FSH. One reason for this is that the risk of multiple births is higher in FSH stimulated IUI cycles. At RCC's fertility clinic we carefully monitor cycles and have the capability to convert an IUI cycle to an IVF cycle if too many follicles develop. In an IVF cycle, the appropriate number of embryos are placed into the uterus.

Most fertility specialists agree that if IUI has not worked in 4-6 treatment cycles other therapies, such as IVF, should be tried. IVF success rates are usually significantly higher. However, the cost to achieve success with IUI is much less.