An IUI — Intrauterine Insemination — is performed by threading a very thin flexible catheter through the cervix and injecting washed sperm directly into the uterus. The whole process doesn’t take very long.
Most women consider IUI to be fairly painless due the thin flexible catheter — along the same lines as having a pap smear. There can be some cramping afterward, but often what is felt is ovulation-related rather than from the IUI.
Yes, sperm can be washed or spun to increase the odds of having a male or female offspring. For those patients who desire a specific gender, much higher results are generated with using PGD and IVF.
You don't have to lay down because the cervix doesn't remain open, but most doctors let patients lay down on the table for 15-30 minutes after the procedure.
Once the sperm is injected into the uterus, it does not fall out. There can, however, be increased wetness after the procedure because of the catheter loosening mucus in the cervix and allowing it to flow out. Some doctors will insert a cup around the cervix to prevent leakage, but most do not.
It depends on what you can afford and what meds you are doing. One might do 3-4 IUIs on Clomid before moving on to injectables, then do 3-4 cycles on injectables. If one doesn't have success after four good ovulatory cycles on injectables with well-timed IUI, it would be time to consider IVF (In Vitro Fertilization ).
An IUI shouldn't be done at home without medical supervision because the sperm needs to be washed to prevent infection
It doesn't usually happen, but it isn't uncommon. It is most common to have some bleeding if the doctor had trouble reaching the cervix. Some women also have light bleeding with ovulation.
We sometimes recommend patients take progesterone starting two days after insemination. This will likely be prescribed as a 50 mg vaginal suppository and should be used at night for 14 days. If you do not experience a period, do a home pregnancy test 2 weeks after your insemination date. If negative, stop the progesterone and wait for your period. If positive, please continue progesterone and call us to obtain a blood pregnancy test confirming HCG (pregnancy hormone) level.