Information on IUI treatment.
The IUI treatment cycle starts in the beginning of your cycle. When the menstruation starts you should call the clinic, tel. 515 8100, and report your 1st day of menstruation. You will come for an ultrasound examination 1-3 days later and start on fertility medication. This medication consists of subcutanenous injections. The doctor or nurse will teach you the injection technique. A few more ultrasound scans will be required to evaluate the development of the ovarian follicles ( usually between the 6th and 12th days ). When the ovarian follicle is mature you will administer an hCG ( Ovitrelle ) injection to induce ovulation. Insemination will take place 32-36 hours later. The insemination is usually done in the morning and your partner will need to produce and bring in a semen sample and 1-2 hours later insemination will be performed. The insemination is a simple procedure where the prepared sperm is injected into the uterine cavity using a small catheter. The procedure takes 5-10 min. and is not painful. You can leave the clinic right after the procedure and proceed with normal activity. Please call the clinic two weeks after the insemination to let us know if menstruation has begun.
Doseage of FSH in an IUI cycle
A low dose of FSH is used in order to avoid multiple pregnancy . The response is assessed by ultrasound. Occasionally hyper stimulation occurs. If this happens we might have to cancel the IUI cycle and advise contraceptive measures.
When to administer the FSH injections
We suggest that the injections are done in the morning between 7-11 am.
Can the stimulation go wrong?
The purpose of the stimulation is to mature between one and three follicles. If more follicles mature we cancel further stimulation in that cycle to avoid multiple pregnancy.
Pregnancy rate in IUI
16-18 % of women become pregnant after each attempt and 30% after 3 attempts.
When is the pregnancy test done?
A pregnancy test is done if the menstruation has not started 2 weeks after the insemination. This is either done by blood test or via a urine sample test. If the pregnancy test is positive an ultrasound examination is performed, two weeks later to confirm the pregnancy. This is followed by standard anti-natal care.
What if the IUI cycle is not sucessful?
Usually we recommend up to 4 IUI attempts. If this is not successful we recommend further treatment in IVF.