For infertile couples, intrauterine insemination (IUI) is frequently regarded as the first line of treatment. Although it has the potential to be a very successful strategy, some things may make it less successful. Renowned fertility specialist and gynecologist Dr. Archana Salve discusses the most typical causes of IUI failure and how to deal with them.
1. Women’s Advanced Age
Age plays a crucial role in fertility. As women age, the quality and quantity of eggs tend to decline. For women above the age of 35, the chances of IUI success can significantly decrease due to diminished ovarian reserve and a higher risk of chromosomal abnormalities in eggs. Timely consultation and advanced fertility treatments may be required in such cases.
2. Poor Sperm Quality
IUI involves placing washed and concentrated sperm directly into the uterus. However, if the sperm quality is poor—including low sperm count, poor motility, or abnormal morphology—it can reduce the likelihood of successful fertilization. A detailed semen analysis and, if necessary, advanced techniques like IVF may be recommended.
3. Low Ovarian Reserve
Low ovarian reserve, characterized by a reduced number of viable eggs, is another common cause of IUI failure. This condition can be diagnosed using tests such as Anti-Müllerian Hormone (AMH) levels and antral follicle count (AFC). For women with low ovarian reserve, combining fertility medications with IUI or opting for IVF might increase the chances of success.
4. Timing of Conception
The timing of IUI is critical for success. If the procedure is not aligned with the ovulation window, the chances of sperm meeting the egg are minimal. Accurate monitoring of ovulation through ultrasound and hormonal tests is essential to ensure proper timing.
5. Unexplained Infertility
Sometimes, despite all tests being normal, couples may still face infertility issues, which is termed unexplained infertility. In such cases, IUI may not always yield successful results. Advanced treatments like IVF, which offer better control over the fertilization process, might be more suitable.
How to Improve Your Chances of IUI Success
1.Early Consultation:
Seek timely advice from a fertility specialist to address any underlying issues.
2.Lifestyle Changes:
Maintaining a healthy weight, avoiding smoking, and reducing stress can significantly improve fertility outcomes.
3.Advanced Techniques:
Consider combining IUI with ovulation induction or switching to IVF if IUI has failed multiple times.
Final Thoughts
IUI can be a stepping stone to parenthood for many couples, but it is important to understand that its success depends on several factors. Consulting an experienced fertility specialist like Dr. Archana Salve can help identify and address these challenges, paving the way for a successful outcome.
If you have questions about IUI or other fertility treatments, don’t hesitate to book a consultation with Dr. Archana Salve at Fertiprotect & Superspeciality Clinic in Kalyani Nagar & Viman Nagar