Most IUI procedures will be scheduled 24 -36 hours after you receive the HCG trigger shot. Depending on the fertility doctor and what you have chosen to do for your financial plan, you can schedule 2 inseminations, one (1) 24 hours after the HCG trigger shot and the next one 36 hours after HCG shot.  That can be a very expensive tasks doing two of these every month, since sperm samples can run you from $550 – $800 each.  Using both samples at the same time does not guarantee you any more success for pregnancy than just using one sample.  So for us, we choose to use one sample, 36 hours after HCG trigger shot.

Your appointments are usually scheduled early in the morning around 8-930am.  Once you arrive in the office of the fertility specialist, you sign in and wait, because it’s not until you arrive that they begin to thaw your sample, which can take up to an hour.  So you will usually sit in the waiting room for ½ hour to 45 minutes until you are called back to one of the examination rooms.

Once in the exam room, you are told to undress from the waist down and then you will usually wait another 15-20 minutes before the sample is ready for insemination.   Once the sample is ready the doctor or a nurse practitioner will enter the room with your sample in hand.  They will verify with you that the sample is the correct one that you have ordered from whatever sperm bank you have chosen to use; in our case it was California Cryobank.  Once they verify the sample is correct then they prepare you for insemination.

You are told to lie back on the exam table and place your legs in stirrups, similar to if you were going through your regular pelvic exam that you have yearly with your OB GYN.  The same tools are used such as a speculum and some type of oil.  In our case we used natural oil that would not interfere in the motility of the sperm sample once it is inserted into the uterus.

Once the speculum is inserted and the doctor can see the cervix, the sample, which is in a syringe with an attached catheter which is about 4 inches in length, is inserted into the vagina, through the cervix, past the cervical fluid directly into the uterus.  This method puts the sperm sample closer to the fallopian tubes so that they do not have as far to travel and this can increase the probability of pregnancy.

After the syringe and catheter are removed, the speculum is closed and also removed.  The doctor will ask you to at least remain lying down for 15-20 minutes.  After that time you are free to leave, and free to resume normal activities.  But in our case, my partner usually just takes it easy that day by going home and resting for the next 24 hours.

That’s it.  Intrauterine Insemination or IUI is usually a very simple procedure and takes very little time.


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