IUI As A First Step To Infertility Treatment

Infertility has benefitted from multiple treatments and strategies over the years. Couples who cannot get pregnant naturally often need support to increase the chances of success. Intrauterine insemination (IUI) is often the first step when lifestyle changes, surgery, or hormone therapy fail to produce results. With IUI, a reproductive specialist inserts a washed and prepared sperm sample directly into a woman’s uterus. The procedure occurs at the ideal point of ovulation. IUI can be effective, but the success rate lies at around 20% and is dependent on multiple health factors. At some stage, patients must decide on moving to in vitro fertilization (IVF), the next recommended stage of fertility treatment.

What is IVF?

IVF is an advanced form of fertility treatment that falls under the assisted reproductive technology (ART) umbrella. The procedure requires the extraction of follicles from the ovaries and a sperm sample. Sometimes, donor sperm or eggs are used in the process. The fertility team will combine sperm and eggs in a laboratory to create embryos, like natural conception. The embryos are closely monitored, then the best options are prepared for transfer. At the appropriate time, the fertility team implants at least 1 embryo into the uterus. After 14-21 days, a pregnancy test will determine whether the cycle was successful. IVF is a multi-step process that includes hormone therapy, testing, and delicate medical procedures.

Signs you should consider IVF

IVF is a decision that should not be taken lightly, but there are signs that this procedure is the best course of action. At the top of the list lies patients who have tried IUI multiple times without success. Repeated failures may indicate more delicate support is necessary. Age also plays a significant role. Older patients may not see success from IUI. A declining ovarian reserve, for instance, can benefit from IVF. The discovery of a severe fertility condition like endometriosis, blocked fallopian tubes, or male-factor infertility requires IVF. There are also unseen reasons, such as emotional readiness and financial considerations. Patients prepared for the emotional and financial requirements should move forward.

Transitioning from IUI to IVF

Failed or unsuccessful IUI cycles can discourage patients from trying other options. Making the switch to IVF, however, can be more helpful. Statistics show that IVF has a higher success rate than IUI, especially for patients at an advanced reproductive age. IVF is not only more controllable than IUI, but options like preimplantation genetic testing (PGT) increase success rates. Transitioning to IVF may mean selecting a fertility clinic that specializes in IVF treatment. More testing and consultations may be necessary. Patients will need to set aside extensive time for doctor's visits, hormone therapy, and medical procedures. Weigh the pros and cons, dissecting all factors before making an informed decision.

With IVF, there is hope

Infertility does not have to be a permanent predictor of parenthood. IUI is often the go-to treatment for an initial fertility diagnosis. There are times when this option is not enough. Moving to the more advanced yet more complex IVF can significantly increase the chances of pregnancy. However, choosing IVF is a difficult decision. Knowing the best time to move forward is challenging. Consider the success of other treatments or current reproductive health. Look at all the medical, emotional, social, and financial factors that affect moving to IVF. From there, make the best decision with trust and confidence that starting or growing a family is possible.