Etorix নিবেদিত মেডিলাইভের ১৯৯৫ তম পর্বের বিষয় "আই ইউ আই (IUI) কি এবং কাদের জন্য?" সাথে থাকছেন
বন্ধ্যাত্ব বিশেষজ্ঞ ও গাইনোকোলজিস্ট ডা. শারমিন আব্বাসি
এডভান্সড ডিপ্লোমা ইন এআরটি এন্ড রিপ্রোডাক্টিভ মেডিসিন (জার্মানি)
ফেলো ইন ইনফারটিলিটি এন্ড এআরটি (দিল্লী)
সহযোগী অধ্যাপক
আনোয়ার খান মডার্ন মেডিকেল কলেজ হাসপাতাল
চেম্বারঃ ইনফার্টিলিটি কেয়ার, আনোয়ার খান মডার্ন মেডিকেল কলেজ হাসপাতাল, ধানমন্ডি, ঢাকা ১২০৫, সিরিয়ালঃ 01796674096
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Why it's done
A couple's ability to become pregnant depends on many different factors. Intrauterine insemination is used most often in couples who have:
Donor sperm. For women who need to use donor sperm to get pregnant, IUI is most commonly used to achieve pregnancy. Frozen donor sperm specimens are obtained from certified labs and thawed before the IUI procedure.
Unexplained infertility. IUI is often performed as a first treatment for unexplained infertility along with ovulation-inducing medications.
Endometriosis-related infertility. For infertility related to endometriosis, using medications to obtain a good-quality egg along with performing IUI is often the first treatment approach.
Mild male factor infertility (subfertility). Your partner's semen analysis, one of the first steps in the medical assessment of infertility, may show below-average sperm concentration, weak movement (motility) of sperm, or abnormalities in sperm size and shape (morphology). IUI can overcome some of these problems because preparing sperm for the procedure helps separate highly motile, normal sperm from those of lower quality.
Cervical factor infertility. Your cervix, at the lower end of the uterus, provides the opening between your vagina and uterus. Mucus produced by the cervix around the time of ovulation provides an ideal environment for sperm to travel from your vagina to the fallopian tubes. But, if your cervical mucus is too thick, it may impede the sperm's journey. The cervix itself may also prevent sperm from reaching the egg. Scarring, such as that caused by a biopsy or other procedures, can cause the cervix to thicken. IUI bypasses your cervix, depositing sperm directly into your uterus and
Intrauterine insemination is a relatively simple and safe procedure, and the risk of serious complications is low. Risks include:
Infection. There's a slight risk of developing an infection as a result of the procedure.
Spotting. Sometimes the process of placing the catheter in the uterus causes a small amount of vaginal bleeding. This doesn't usually have an effect on the chance of pregnancy.
Multiple pregnancy. IUI itself isn't associated with an increased risk of a multiple pregnancy — twins, triplets or more. But, when coordinated with ovulation-inducing medications, the risk of a multiple pregnancy increases significantly. A multiple pregnancy has higher risks than a single pregnancy does, including early labor and low birth weight.
How you prepare
Transvaginal ultrasound
Transvaginal ultrasoundOpen pop-up dialog box
Intrauterine insemination involves careful coordination before the actual procedure:
Preparing the semen sample. Your partner provides a semen sample at the doctor's office, or a vial of frozen donor sperm can be thawed and prepared. Because nonsperm elements in semen can cause reactions in the woman's body that interfere with fertilization, the sample will be washed in a way that separates the highly active, normal sperm from lower quality sperm and other elements. The likelihood of achieving pregnancy increases by using a small, highly concentrated sample of healthy sperm.
Monitoring for ovulation. Because the timing of IUI is crucial, monitoring for signs of impending ovulation is critical. To do this, you might use an at-home urine ovulation predictor kit that detects when your body produces a surge or release of luteinizing hormone (LH). Or, an imaging method that lets your doctor visualize your ovaries and egg growth (transvaginal ultrasound) can be done. You also may be given an injection of human chorionic gonadotropin (HCG) or medications to make you ovulate one or more eggs at the right time.
Determining optimal timing. Most IUIs are done a day or two after detecting ovulation. Your doctor or other care provider will have a plan spelled out for the timing of your procedure and what to expect.
What you can expect
The visit for intrauterine insemination takes about 15 to 20 minutes and is usually done in a doctor's office or clinic. The IUI procedure itself takes just a minute or two and requires no medications or pain relievers. Your doctor or a specially trained nurse performs the procedure.
During the procedure
While lying on an exam table, you put your legs into stirrups. Your care provider inserts a speculum into the vagina — similar to what you experience during a Pap test. During the procedure,
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