Intrauterine insemination (IUI) Treatment – Destination India.
The fertility treatments offered in India give hope to couples that wish to have children, but are unable to do so due to physiological or psychological problems. Treatments like IVF (In Vitro Fertilization) and embryo freezing are expensive in the West, so couples opt to come to India to undergo treatment for infertility In India, many super specialty hospitals offer the latest treatments for infertility. One of the pitfalls of modern lifestyle has been an increase in stress, and constant exposure to pollution. Sedentary habits and unhealthy eating practices have contributed to the many health problems seen in people today. Infertility in men and women is a rising cause for concern.
What is intrauterine insemination (IUI)?
Sometimes nature needs help to start a pregnancy – and the doctor can do this by giving the sperm a piggy back ride through a fine tube into the body. This procedure is called intrauterine insemination (IUI) or artificial insemination with husband’s sperm (AIH) – and effectively, the doctor is giving nature a helping hand by increasing the chances of the egg and sperm meeting.
Read : Frozen Embryo Transfer Program in India
When is IUI used for treating infertility?
IUI is useful when:
- The woman has a cervical mucus problem – for example, it maybe scanty or maybe hostile to the sperm. With an intrauterine insemination (IUI) the sperm bypass her cervix and enter the uterine cavity directly.
- The man has antibodies to his own sperm. The “good” sperm which have not been affected by the antibodies are separated in the laboratory and used for IUI.
- If the man cannot ejaculate into his partner’s vagina. This is usually because of psychologic problems such as impotence (inability to get and maintain an erection) and vaginismus (an involuntary spasm of the vaginal muscles so that vaginal penetration is not possible); or anatomic problems of the penis, such as uncorrected hypospadias; or if he is paraplegic.
- The man suffers from retrograde ejaculation in which the semen goes backward into the bladder instead of coming out of the penis.
- For unexplained infertility, since the technique of IUI increases the chances of the eggs and sperm meeting.
- If the husband is away from the wife for long stretches of time (for example, husbands who work on ships or work abroad), his sperm can be frozen and stored in a sperm bank and used to inseminate his wife even in his absence.
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The process of Intrauterine Insemination Treatment:
Insemination is normally carried out when one is nearing the ovulation cycle. Medication is used to stimulate a woman to produce multiple eggs. While the semen is procured from the male who has brought a specimen from home or is made to masturbate in the clinic. The semen has to be produced after 2-5 days of abstaining from ejaculation. Next the washing of the semen is carried out. Here the sperm is separated from the other fluids and kept as a concentrated component. Sperm washing takes fifteen minutes to an hour depending on the case and the technique used by the clinic.
Now with one component ready, a soft catheter is used to insert the sperm in the cervix of the woman or in the uterine cavity. The woman is required to lie down during this process although the position is not proved to better pregnancy. With the onset of ovulation, intrauterine insemination has to be conducted within 6 hours. If the male is known to be infertile IUI after ovulation is thought to be purposeful. If it is based on the HCG injection then IUI is done 24 to 48 hours later. Sometimes two IUI can also be conducted. In this case there has to be a break of 12 hours between the first and the second.
What is the Success rates Intrauterine Insemination Treatment?
The success rate depends on the age of the woman conceiving. It is critical if the lady has crossed the age of 35 and even more dangerous if it is beyond 40. It also depends on the reason of infertility and the number of washed sperms that actually made up the concentrated volume.
Success rate declines if:
a) Age of the woman is beyond 40
b) There is poor quality of egg or sperm,
c) Excessive tubal damage or any pelvic scar is present
d) If infertility has existed for over 3 years.
If the age of the lady is beyond 35 and the couple is suffering from unknown infertility and if she has been trying for more than 2 years her chances are around 5% per month with clomiphene together with intrauterine insemination for around 3 cycles. After 3 cycles the chances fall.
Intrauterine insemination’s success rate is said to range from 5% to 26% keeping in mind various factors that affect conception. Moreover this process being gentle with no Treatment or operation is said to be a painless method for conception to the woman.
Advantage of Intrauterine Insemination Treatment:
- Quick procedure can be done in the out patient clinic itself. Does not need medical admission.
- Relatively less invasive and uncomplicated than IVF.
- It is a more natural way of fertility treatment.
- Less expensive when compared to other advanced treatment options.
Cost of Intrauterine Insemination Treatment:
The cost of treatment varies between different infertility clinics. However, it is cheaper than in-vitro fertilization (IVF) and gamete intra-Fallopian transfer (GIFT) and a less invasive procedure.
Read : Embryo Freezing Program in India – Costs, Benefits and Risks
Why Go to India For Intrauterine Insemination Treatment?
Hospitals in India have state-of-the-art IVF labs backed by highly experienced doctors who have been involved in the field of infertility and assisted Reproductive Technologies (ART). A full range of diagnostic procedures are available for infertile couples. Treatment for the disorders of ovulation, controlled ovarian stimulation, controlled ovarian stimulation, Intra-Uterine Insemination (IUI), Intra-Fallopian Tubal Insemination (IFI), In Vitro Fertilization (VF) and Gamete Intra-Fallopian Transfer (GIFT), Embryo Transfer (ET), Zygote Intra-Fallopian Transfer (ZIFT), sperm donation, freezing egg/oocyte donation, replacement of frozen embryos, full range of treatment of male infertility including micro-manipulation technology – Intra Cytoplasmic Sperm Injection (ICSI) and surrogacy. The emphasis is on optimizing each couple’s chance of achieving a pregnancy by combining the best scientific and medical practice with the highest standard of care.
In the English-speaking world, India has a big advantage because of the availability of English-speaking doctors. The number of surrogate births in India has more than doubled in the past three years, fertility clinics report. And Indian clinics are performing a growing number of IVF treatments for foreigners frustrated with disappointing results and soaring costs at home. British and American couples in particular make up a big part of the recent influx of foreigners. The number of Brits and Americans coming to India has jumped dramatically in the past three years. About 15 percent of his patients are foreigners with no family connection to India. Infertile couples are drawn to India largely because of the lower cost of treatments and lighter regulations. The cost of getting pregnant through IVF treatment in Britain is also pricey and so complex, which do 70 percent of all IVF treatment; costs can run to $18,000 a cycle. Indian clinics offer the same treatment for around 25% of it—and they throw plane tickets and a hotel stay into the bargain.
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