Center for Reproductive and Fetal Medicine

INTRODUCTIONAL INSTRUMENT (IUI) - THE ADVANTAGES AND DISADVANTAGES

Sperm Meets Egg

INTRODUCTIONAL INSTRUMENT (IUI) - THE ADVANTAGES AND DISADVANTAGES

Intrauterine insemination (IUI) is the direct injection of sperm into the inner cavity of the uterus (endometrium) and aims to increase the number of sperm introduced into the fallopian tubes, thus helping to fertilize the eggs.

This fertility treatment come true using one very thin and flexible catheter that aids in insertion properly processed sperm in the uterus. 

Its advantages Intrauterine Insemination (IUI)

The advantages of this method of treatment include things like significantly less intervention than in vitro fertilization, comfort and convenience. It is performed by one Specialist in Reproductive Medicine, the whole process is relatively quick and is also characterized by a slight hassle. 

The average success rate with the insemination method is 20% for each new attempt. Most women under 35 have better results than others over 35. Various aspects play a role in the success rate of this method of treatment, such as the age and state of health of the woman, the health and motility of the sperm.

Disadvantages of Intrauterine Insemination (IUI)

An obvious disadvantage of insemination when it occurs after hormonal stimulation of the ovaries is the possibility of multiple pregnancies and the associated risks that may follow, such as ovarian hyperstimulation, premature birth and increased miscarriage rates.

Other disadvantages of this method are the short reaction time, ie the doctor has to start insemination as soon as the woman releases an egg and that is not an option for women over 40 or with serious fertility problems.

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FREQUENT QUESTIONS

The association of IVF drugs with cancer risk is a major concern for women enrolled in these programs. But the plethora of bibliographic reports collected from credible scientific studies and published in reputable medical journals worldwide are reassuring and do not confirm this concern.

Of course not. In about a third of cases, infertility is due to the woman (female factor), while in a third of cases, it is due to the man (male factor). The remaining one-third is due to both (both men and women) or even to unknown factors.

The quantity and quality of a man's sperm can be affected by his health and lifestyle. Some factors that can reduce the quantity and / or quality of sperm are:

  • the alcohol
  • drugs
  • environmental toxins, including pesticides and lead
  • smoking
  • health problems
  • medicines
  • radiotherapy and chemotherapy
  • the age

Success rates vary at each IVF Center. Very important factors are also the age of the woman, the levels of her hormones and of course the sperm of the husband. Rates generally range from 45% or slightly higher for women up to 35 years old.

Infertility is defined as the failure to conceive after one year (or 6 months, if it is a woman over 35) with normal, regular sexual intercourse. In other words, when a year passes without the woman becoming pregnant, the couple should consult their doctor to determine the cause of the pregnancy and then treat it. We must all, however, be aware and not forget that the age factor is the most critical for female fertility and that the individualized approach of each couple is the "golden key" that solves the problem.

The number of treatment cycles a woman can undergo is not specified. It is certain that in our country there are high level obstetricians-gynecologists and organized infertility treatment centers, which offer impeccable medical services at this level. If there are correct indications (eg ovaries that respond to stimulation therapy, good quality endometrium, etc.) the success rate -especially with the use of newer techniques and biotechnological drugs, which show increased bioactivity compared to conventional drugs from urine- totals approximately 65%-70% after 4 cycles of treatment.

At the Center for Reproductive Medicine of Dr. Traianos we offer egg / sperm cryopreservation services for those who have a personal or medical reason and need this service. We use the most modern vitrification technique in the freezing of sperm and eggs.

The collection of eggs takes 10-15 minutes, it is not painful, it is done under intoxication and after the end of the process you return to your activities.

In general, experts agree that the fact that a couple has already had a child can be considered evidence that there is no infertility problem in the first place. It is like a small test that has been done and proves that they "succeeded" at least once. On the other hand, we need to know that in the meantime things may have changed and a problem may have arisen (eg the man may have had some inflammation that affects the quality of his sperm or has mediated something that affects female fertility: an inflammation, a gynecological surgery, an abortion, etc.). In any case, if a reasonable period of time (one year) passes and a couple can not achieve a pregnancy, then he should with the help of his doctor investigate if there has been a problem that causes infertility.