IUI and IUI-D
IUI (Intra-Uterine Insemination)
IUI involves placing prepared sperm in to the womb at the time of ovulation. It is appropriate for women without a male partner (using donor sperm) or couples having difficulty with intercourse. In couples with unexplained infertility IUI has been shown to be much less effective than IVF. In these couples the NICE Infertility Guidelines 2013 recommend that it should not be used.
If you are contemplating IUI, both fallopian tubes need to be ‘healthy’ for this treatment to be effective. GCRM-BELFAST recommend that a tubal test (either a HyCosy test or hysterosalpingogram) is performed prior to starting this treatment.
SIUI - Ovulation Induction combined with Intra-Uterine Insemination
With SIUI, the woman goes through a mild degree of ovarian stimulation (either with oral tablets or the same injections as for IVF but with lower doses ) At the appropriate time prepared sperm is inseminated into the womb. SIUI is less successful than IVF.
We generally advise that patients considering SIUI should approach it as a series of treatment cycles i.e. three or four treatment cycles, before considering IVF.
GCRM-BELFAST plans to have an in-house sperm donation programme but we expect to have a limited choice of donors. We can also import sperm on behalf of patients from reputable sperm banks (details can be provided by GCRM-BELFAST). Alternatively, you may have a “known” donor (a friend or family member) who is willing to act as your sperm donor.
The sperm donor must be screened for both infectious and inherited diseases. The sperm samples are quarantined for a designated period before the donor is retested for these infectious diseases. Once the rescreening has been performed, the woman goes through IUI as above.