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Will We Need IVF ? Surprisingly, the majority of couples who seek care from a reproductive endocrinologist do not need IVF. Most will become pregnant using first line therapies such as intrauterine insemination, IUI. Women over thirty five are more likely to need IVF. Those with damage to their fallopian tubes (at any age) ,some cases of PCOS (Polycystic ovarian syndrome, and cases needing preimplantation genetic diagnosis will require IVF. (Read More)
     
   
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Central Park West
New York, Fertility Clinic
55 Central Park West
New York, NY 10023
Phone 212.721.4545

 

Intrauterine Insemination, IUI

Intrauterine insemination (IUI) is a common fertility treatment used when patients fail Clomid therapy. It is also employed in couples with cervical factor infertility caused by poor mucus or antisperm antibodies. IUI is sometimes used to treat mild male infertility or severe male factor using a sperm donor. Dr. Goldstein offers IUI at both of our New York fertility clinic locations.

Success rates using IUI are lower than IVF but IUI is less expensive.

For IUI to be successful, an adequate quantity of good quality sperm must reach the egg. One sperm must penetrate the eggs outer shell (zona pellucida) and combine with the egg causing fertilization.

The female partner will undergo ovulation induction with FSH to cause the recruitment and development of more than one egg. She will be carefully monitored by Dr. Goldstein using ultrasound and estradiol hormone level measurements and FSH dosage adjustments will be made. Only a qualified fertility specialist, like Dr. Goldstein should administer fertility drugs.

It is very important that IUI patients be carefully monitored by a reproductive endocrinologist to minimize the chances of high order (>3) multiple births. The exact number of eggs ovulated, and how many will fertilize, cannot be precisely controlled. Most cases of quintuplets, and above, which have appeared in the mass media resulted from IUI cycles monitored by non-fertility specialists. IUI

Thirty-six hours prior to the insemination the female receives an injection of hCG or LH to stimulate ovulation. The couple returns to the clinic at designated times for inseminations.

Sperm are collected, via masturbation, at our clinic on the day of the intrauterine insemination. Collection is made in a sterile container and no lubricants of any kind can be used. The sperm are specially washed, prepared, and concentrated for insertion into the uterus using a small catheter.

We sometimes hear stories of couples who attempt inseminations at home with various "self styled" catheters. This is extremely dangerous and must never be attempted. If "unprepared" sperm are inserted into the uterus they can cause a fatal allergic reaction. The adage, "Do Not Try This at Home" is very true.

Success rates for IUI vary according to variables such as the female's age, cause of her infertility, presence of male infertility and others. In general, the per cycle success rates for IUI are significantly lower than IVF. However, more cycles of IUI may be possible if treatment cost is a factor.


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