At HFI, our doctors believe that there is not a once size fits all treatment for all patients. We understand that every patient at HFI is on their individual journey and deserves a plan that incorporates their specific health concerns. Whether that plan is basic or advanced treatment, we want patients to understand the rationale and science behind our evidence based approach to helping you achieve for goal of parenthood.
Ovulation induction and timed intercourse
Timed intercourse is the most basic type of fertility treatment we offer. Many of our patients have already tried this approach by using Clomid (clomiphene citrate) or Femara (letrozole) with their referring physician prior to seeing us for their consultation. Typically, this type of treatment cycle will begin with a woman taking medicines (either oral or injections) to grow anywhere from 1 to 4 eggs. Once these eggs are mature, our doctors will generally recommend that the patient take a “trigger” medicine to help her ovulate. Then, patients are instructed to have intercourse at a specific time to maximize the likelihood for sperm to fertilize an egg and implant a pregnancy. While some women who pursue this option will get pregnant, success rates are typically higher with other types of treatment beyond timed intercourse.
Ovulation induction and intrauterine insemination (IUI)
Ovulation induction can also be paired with intrauterine insemination, or IUI. Typically, ovulation induction begins with ovarian stimulation using either pills or injections. Ultrasounds are then performed during this phase to monitor the growth of somewhere between 1-4 eggs, on average. Once this is confirmed, a trigger shot is given to induce ovulation and one or two IUI procedures are done to place sperm into a woman’s uterus and tubes to increase the likelihood that sperm will fertilize a woman’s eggs. IUI is most commonly used in cases where male sperm counts are slightly abnormal, a female has irregular ovulation, there is a blockage in the cervix or when there is unexplained infertility.
In order to perform an IUI, a semen sample needs to be washed before it is placed into the uterus. Once the sample is ready, a physician will place a speculum to visualize the cervix similar to what is done during a pap smear. On average, the procedure takes anywhere from 1-2 minutes and patients can return to their normal activity within 10 minutes of the procedure. Following the IUI, your physician may recommend progesterone supplementation in the form of pills, cream or possibly even injections.
At HFI, only doctors will perform your IUI.
If you have more questions about IUI and want to know if this may be a good fit for you, contact us for a consultation today.