An IUI or Intrauterine Insemination, sometimes commonly referred to as artificial insemination is a simple procedure in which sperm is collected, prepared, and then injected past the woman’s cervix and into her uterus thereby giving the sperm a better chance of fertilizing the female’s egg.
An IUI is a fairly simple procedure that can be split into a few key components or steps.
Follicular & Egg Development
An IUI can be conducted during a natural cycle or with fertility medications depending on your preferences, history, and fertility diagnostic testing. Most often, you will be treated with medications that will stimulate egg growth and help time your ovulation with the insemination.
If given medications, you will likely be given Letrozole or Clomiphene Citrate (Clomid) which stimulate the release of folicle-stimulating hormone (FSH) and luteinizing hormone (LH). FSH and LH further orchestrate follicular and egg development. Understand that any time medications are taken to stimulate the ovaries, there is an increased chance of multiples unless you are doing a single embryo transfer IVF. Although unlikely, it is possible that we advise you forgo a particular cycle’s insemination or convert your cycle to an IVF if we determine you are developing too many eggs to safely perform an IUI.
An IUI is performed as close to the day of ovulation as possible which is usually determined by using Ultrasound as well as blood tests to measure luteinizing hormone (LH). Ovulation may also be artificially induced if needed due to anovulation or to increase chances of successfully timing the insemination by using one of many trigger medications (HCG, Ovidrel, Lupron). Your IUI procedure will be scheduled the day after your trigger injection or positive LH test.
After collecting the male’s sperm, either by masturbation into a sterile cup or by sourcing through available donors, our team of dedicated andrologists prepares the sperm inside our andrology laboratory. To prepare the sperm, also known as washing the sperm, the andrology team first “spins,” the sample in a centrifuge. This results in a concentrated pellet of sperm at the bottom of the tube. The andrologist will then remove the seminal fluid “floating,” above the sperm. The seminal fluid contains proteins and hormones that can cause painful uterine contractions and allergic reactions in the woman thus interfering with potential fertilization. After removing the seminal fluid, the andrologist will add a special media into the vial. After some time, the most active sperm (the fast swimmers) will move up into the media. These sperm, now concentrated in the media, are ready for the insemination.
One of our registered nurses or nurse practitioners/physician assistants will perform the IUI. After washing and concentrating the sperm, it will be transferred to a catheter for the IUI procedure. During the procedure itself, the registered nurse, NP/PA will slide the catheter past the cervix and into the uterus. The sperm is then injected into the uterine cavity and the catheter is removed. This simple procedure only takes a few minutes and does not require any type of anesthesia. Usually, the procedure does not result in much discomfort, however, some mild cramping can be expected.
Following the Insemination
After the IUI procedure, you will be instructed to lay down for approximately 10 to 15 minutes. Afterward, you may resume your normal daily activity. Often, you will be instructed to take supplemental progesterone to help encourage implantation of the embryo by supporting the endometrial lining of the uterus.
An IUI costs $450.
- includes sperm wash and prep
The monitoring associated with the cycle costs $950.
This pricing does not include the cost of medication. The cost of medications varies widely based on your plan of treatment. If paying out of pocket, your medications will likely remain under $1200.
IUI cycles can be financed with our in-house payment plans for up to 6 months. We require at least the 1st month’s payment prior to insemination. Our in-house financing is interest-free, but we do add an account management fee of $250 for every 6 months. This equates to roughly $40 a month.
*prices listed above are for self-pay clients only.