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we recommend our patients try intrauterine insemination (iui) when our assessment has shown timed intercourse along with fertility medication has a low likelihood of success or has failed. iui is particularly useful when we find the presence of physical barriers like cervical scarring, poor cervical mucus, or chronic cervical inflammation. erectile dysfunction or moderate sperm abnormalities also make iui an ideal treatment option. for couples who have tried timed intercourse without success, or have unexplained infertility, iui is the next treatment option. pregnancy success via iui may range from 10-15% per cycle.

iui is not for every couple though. during the fertility assessment we can determine if ivf would be recommended as the next step.

before iui, we do a fertility assessment of the couple. for men, we perform a semen analysis. for women, hormone levels such as anti-mullerian hormone (amh) and follicle stimulating hormone (fsh) are checked, which tells us about egg supply and ovarian function. a physical evaluation and vaginal ultrasound are also performed, and any relevant medical history is discussed. often we will look at the uterine cavity and fallopian tubes through a sonohysterogram (ultrasound) or hysterosalpingogram (x-ray).

undergoing intrauterine insemination usually includes taking medication to stimulate the ovaries to produce eggs, then directly injecting sperm into the uterus at the time of ovulation.

we’ve outlined a step-by-step process of iui: