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IUI A to Z

IUI A to Z. TYPICAL PREGNANCY RATE PER CYCLE WITH VARIOUS TREATMENT OPTIONS In Infertility. Effect of Etiology on Success Rate with IUI. Endometriosis,Tubal factor, severe male factor and combined factor should proceed earlier to higher level ART.

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IUI A to Z

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  1. IUIA to Z

  2. TYPICAL PREGNANCY RATEPER CYCLE WITH VARIOUS TREATMENT OPTIONS In Infertility

  3. Effect of Etiology on Success Rate with IUI

  4. Endometriosis,Tubal factor, severe male factor and combined factor should proceed earlier to higher level ART

  5. Our IUI Experience(2009- 2011) N = 369 = 23.57% (two cycles) (world over success rate 10 to 15% only) • Idiopathic - 30% - (2 cycles) • PCOD – 30% - (r FSH) (2 cycles) • Cervical Factor 20% • Endometriosis – 15% • After treatment for TB 15% • Immunological cause TNF ↑ (treated ) 5 %

  6. Male Infertility • 5 - 20 millions 15% • Less then 5 million Nil • AID – 46% (2 cycles)

  7. Success rates according to AGE (Success rate in 1st 2 cycles) • Less then 30 – 28 % • Less then 35 – 22% • 35- 39 years - 8 % • 40 + Nil

  8. PREREQUISITES • Age < 40 yrs • Spont. / Induced ovulation • One patent FT • >10 million pre wash semen count • >5 million post wash semen count • Easy access to uterine cavity

  9. INTRAUTERINE INSEMINATION (IUI):Steps 1. Patients selection & workup 2. Ovarian stimulation 3. Semen wash 4. Insemination technique 5. Luteal support

  10. What is the difference betweenIUI& Artificial Insemination

  11. EJACULATORY FAILURE • Severe hypospadias • Retro grade ejaculation • Paraplegics • Impotence & erectile dysfunction

  12. Super ovulationV/sControl Ovarian Hyperstimulation • Stimulation • Monitoring • Follicle growth & release of multiple eggs

  13. How Many Eggs ?

  14. Office visits 4 - 6

  15. Complication of IUIStimulation , Technique & others - Infection -Rare - Multiple Pregnancy- OHSS

  16. Can we have sex in Rx cycle ?

  17. IUI is a simple procedureEasy Nurses

  18. IUI Preparation in Doctor’s office

  19. ↑ 37 yrs – married to 10 yrswhat should be done ?

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