IUI (Intra Uterine Insemination) treatment

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Common Questions and Answers

1.     I’m having PCOS. Can I do IUI treatment?

Ans:

Ø IUI (Intrauterine Insemination) can be very successful for women suffering from PCOS.

IUI can be effective treatment with:

Ø Infertility due to ovulation problems.

Ø Unexplained infertility.

Ø Mild male factor infertility.

Ø Infertility caused by mild endometriosis.

IUI is not effective with:

Ø Blockage of both fallopian tubes.

Ø Severe male factor infertility.

Ø Severe endometriosis.

Ø Severe pelvic scarring.

Ø For these conditions’ IVF, in vitro fertilization is the treatment of choice.

How is IUI done?

Ø A semen specimen from the male is processed in the laboratory.

Ø The processed sperm sample is drawn into a sterile catheter.

Ø The catheter is inserted through the cervix and into the uterus.

Ø The sperm is injected into the uterine cavity.

Ø Clomiphene is the current first-line infertility treatment in women with the polycystic ovary syndrome, but aromatase inhibitors, including letrozole, might result in better pregnancy outcomes.

Ø Clomiphene is usually taken for 5 days. Starting on the 5th day of the menstrual period. You should follow your doctor’s instructions.

Contraindications for the use of clomiphene citrate:

Ø Hypersensitivity to clomiphene citrate or components of the formulation.

Ø Breastfeeding.

Ø Hepatic disease.

Ø Uncontrolled adrenal dysfunction.

Ø Pregnancy.

Ø History of hepatic impairment.

Ø Abnormal uterine bleeding.

Ø Non-PCOS related ovarian cyst.

Ø A tumour of the pituitary gland.

Ø Untreated decreased level of thyroid hormones.

 

2.     I am having endometriosis. Can I do IUI treatment?

Ans:

Ø Superovulation and intrauterine insemination are an option for those who have normal fallopian tubes, mild endometriosis, and whose partner has sperm with no fertility issues.

Ø Endometriosis causes abnormal tissue to grow around the reproductive organs, which can affect the ability to get pregnant.

Symptoms of Endometriosis:

Ø The most common symptom of endometriosis is pelvic pain, especially during the menstrual period.

Ø pain during intercourse.

Ø Low back or abdominal pain.

Ø Excessive heavy bleeding during periods.

Ø Constipation.

Ø Fatigue.

Ø Pain with urination or bowel movements.

Ø Diarrhoea.

Ø Bloating.

1.     Ovarian cysts:

Ø Endometriosis can spread to the ovaries and produce cysts.

2. Adhesions:

Ø The overgrowth of tissues can cause adhesions. Adhesions are scarring that form between tissues inside the body and cause them to stick together.

Ø This can prevent an egg from making its way from the fallopian tube to the uterus, or sperm from reaching the egg.

3. Egg quality:

Ø Endometriosis affects the quality of eggs in the ovary.

4. Pain during sex:

Ø Pain during sex is one of the more common symptoms of endometriosis and one that can reduce the odds of getting pregnant by reducing the ability to have intercourse.

Home remedies:

1.     Heat:

Ø Heat can relax the pelvic muscles, which can reduce cramping and pain.

Ø Warm baths, hot water bottles, or heating pads to treat cramping effectively.

2. Castor oil:

Ø Castor oil can be used at the very beginning, when cramping is first felt, to help the body get rid of excess tissues. It is important that this technique is only used before the menstrual flow, and not during.

Ø Castor oil should be massaged directly into the abdomen.

3. Choose anti-inflammatory foods:

Ø This won’t offer fast symptom relief, but it could help manage the endometriosis long term.

Foods to avoid include:

Ø Dairy.

Ø Caffeine.

Ø processed foods high in refined sugars.

Ø Alcohol.

Foods to increase include:

Ø Green leafy vegetables.

Ø Celery.

Ø Broccoli.

Ø Salmon.

Ø Blueberries.

Ø Bone broth.

Ø Chia seeds.

4. Ginger tea:

Ø Some people with endometriosis experience nausea as a result of the condition. Ginger tea is one of the best home remedies for treating nausea.

 

3.     Is anaesthesia given in IUI treatment?

Ans:

Ø No anaesthesia is needed. You also may be given an injection of HCG (Human chorionic gonadotropin) or medications to make you ovulate one or more eggs at the right time. Most commonly, patients will take a fertility medication, such as clomid, to stimulate ovulation.

Ø Most IUIs are done a day or two after detecting ovulation. IUI does not require the bladder to be full. The whole process only takes a few minutes and is usually painless.

Ø During an IUI procedure, sperm is placed directly into the uterus using a small catheter. the goal of this treatment is to improve the chances of fertilization by increasing the number of healthy sperms that reach the fallopian tubes when the woman is most fertile.

Ø Diagnostic tests, such as a SIS (Saline infusion sonogram) or an HSG (Hysterosalpingogram), to make sure the fallopian tubes are open and the uterus appears normal. This information is important to know which fertility treatment will be most beneficial for conceiving.

IUI Process:

Ø The IUI treatment depends on the menstrual cycle and should start on the first day of the period. Doctor will use ultrasound and bloodwork to monitor the menstrual cycle for about 12–14 days. This is to ensure that there’s an egg maturing correctly, ready for ovulation.

Ø When an egg is mature, it breaks free from the ovary and begins its journey through the fallopian tubes for fertilization. The monitoring leads to the actual IUI, which happens on ovulation day.

Ø Sperm donor or male partner provides a semen sample that’s ‘washed’ to prepare it for IUI.

Ø Healthy sperm is picked from the seminal fluid and inserted into the uterus using a thin catheter, leaving fertilization to happen as it would in a natural cycle. It swims toward and hopefully penetrates the egg.

IUI can be helpful for:

Ø Couples experiencing infertility due to medical conditions such as endometriosis or low sperm count or quality.

Ø Decreased sperm motility.

Ø Same - sex female couples using donor sperm.

Ø Mild endometriosis

Ø Couples with unexplained infertility.

 

 

4.     Why do I get a stomach ache after eating papaya?

Ans:

Ø One reason why you might get a stomach ache after eating fruit is because the body has trouble digesting fructose. If you have malabsorption, eating lower-fructose foods and limiting the fructose intake can help curb stomach cramps after eating fruit.

Ø Eating too much fibre. Fibre plays a major role in our bowel health.

Ø Papaya is nature’s sweet treat that’s both nutritious and delicious. But if you get stomach pain when you eat it, that’s not so sweet.

Ø Diet rich in assorted veggies can help lower blood pressure and reduce the risk of heart disease, stroke and some types of cancer.

Ø On the flip side, it is also possible to experience unpleasant side effects like stomach pain after eating fruit.

Ø One reason why you might get a stomach ache after eating fruit is because the body has trouble digesting fructose.

Ø Eating too many may have a laxative effect, causing diarrhoea, stomach ache and an upset stomach.