IUI Treatment, IVF Procedure, IVF Treatment, ICSI Treatment - PowerPoint PPT Presentation

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IUI Treatment, IVF Procedure, IVF Treatment, ICSI Treatment

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Title: IUI Treatment, IVF Procedure, IVF Treatment, ICSI Treatment


1
IUI Treatment
Intrauterine Insemination (IUI)
  • IUI has become the first line management in
    infertility. It is a simple technique that
    involves
  • the deposition of a washed semen sample into
    the womans uterus around the time of
  • ovulation. The rationale is to increase the
    density of both eggs and sperm near the site of
  • fertilization. This increases the likelihood
    of pregnancy. Therefore, it has many benefits
  • It is done at the optimal time around the
    rupture of the egg.
  • It overrides defects in the vagina and cervix eg
    vaginal infections
  • It ensures the deposition of sperms at the
    correct place.
  • It involves the use of the best washed, motile
    sperms in a sample.
  • It can be carried out with a fresh or a frozen
    sample.

2
IUI Treatment
  • IUI with a frozen sample gives a lot of
    flexibility to couples who lead a very busy life
    and
  • cannot be together because of their careers.
    Semen samples of such husbands can be frozen
  • and used whenever the wife is wanting to
    undergo an IUI cycle in her husbands absence.
    The
  • success of an IUI cycle however, depends on
    many factors most importantly the doctors
  • understanding of the patients problem, the
    individualisation of therapy and the cycle
  • management.

3
IUI Treatment
Prerequisites For An IUI
  • You should be ovulating. If you are not, your
    doctor will give you some medication in order to
  • ovulate.
  • Your tubes should be open. This is checked by
    doing an Xray or U/S or Laparoscopy.
  • Your husbands sperm sample should be normal or
    minimally subfertile. In case of severe
  • problems some couples opt for IUI with donor
    sperms or ICSI.

4
IUI Treatment
How is an IUI Done ?
  • The man provides a semen sample on the morning
    of insemination. This sample is prepared
  • and then inserted through the womans cervix
    and into the uterus. This is done through a thin
  • plastic catheter. The procedure takes place
    in our clinic. It is relatively painless. Patient
    is kept
  • in bed for some time.
  • IUI is a relatively simple, non-invasive, cheap
    easily repeatable procedure. However, careful
  • selection of patient is important.There is
    good evidence in the literature in favor of IUI
    as a
  • cost-effective treatment for unexplained and
    mild, moderate male factor sub fertility.

5
IUI Treatment
  • Although it may take relatively more treatment
    cycles to achieve pregnancy, there are
  • considerable advantages to the patient in
    terms of risk / benefit ratio and financial cost
  • as compared with other ARTs. Failure of 3-4
    trials of IUI is an indication for IVF.
  • We monitor the womans ovulation with home
    ovulation predictor kits and clinic
  • ultrasounds and blood tests. We monitor her
    for any signs of adverse effects of fertility
  • drugs. We also give the woman a hormone
    injection of human chronic gonadotropin
  • (hCG) to regulate ovula.

6
IUI Treatment
Specialized Services
Sperm And Embro Freezing
Ovum/ Embryo Donation
MESA/ TESA
Surrogacy
PICSI
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