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Are you also struggling to conceive after months of unprotected sex? If you are planning to look for fertility treatments, let us tell you two most common treatments which leave people confused. These are In vitro fertilization (IVF) and Intrauterine insemination (IUI). So, how to decide whether to go for IUI or IVF? What are the risks involved with both processes? Come, let’s get answers.
IUI is a fairly simple treatment usually carried out in combination with fertility drugs. The procedure begins with monitoring a woman’s menstrual cycle under ultrasound to rule out the presence of ovarian cysts that could interfere with ovulation. When you are ready to ovulate, highly motile sperm from your partner or donor is washed and concentrated, and placed into your uterus. You might be the right candidate for IUI if you are suffering from unexplained fertility – when no cause can be found for your infertility or in the case of male infertility wherein your partner either has a low sperm count or low motility.
IUI being less invasive and less expensive could be your first reasonable option if you have time on your side and are free of any factors that prevent you from trying it. Besides, it requires fewer medications and even none at all in some cases.
It may be useful for people who have ejaculation disorder and are unable to have intercourse either due to stress or psychological issues around the time of formulation.
The IVF process has higher chances of success when doctors can attempt fertilization on a larger number of eggs, for which, a female patient is typically placed on ovary-stimulating medications to make her body produce multiple eggs in one cycle. The eggs are retrieved from the patient’s ovaries when they are sufficiently mature and combined with the sperm from the semen sample followed by careful observation by an embryologist for about five days.
Also, read: Keep your calm during fertility treatment with these 5 tips
The embryos formed by using this procedure can either be transferred back to the uterus in hopes of conception or frozen for use in a later pregnancy attempt.
IVF may be a good option if you have blocked fallopian tubes, are suffering from endometriosis, unexplained infertility, decreased ovarian reserve, or have male infertility issues. On the other hand, it might not be a viable option for women suffering from ovarian dysfunction, uterine abnormalities, fibroid tumors, or abnormal hormone levels.
Some of the risks associated with IVF include multiple births, especially if more than one embryo is placed into your uterus, premature delivery and low birth weight, ovarian hyperstimulation syndrome, ectopic pregnancy, etc.
Intracytoplasmic sperm injection (ICSI) is one major reason that makes IVF more successful for those with severe male factor disease in comparison to IUI-IntraUterine Insemination. The process makes use of a single sperm injected directly into an egg (as opposed to a normal IVF cycle without ICSI that allows normal mixing in a laboratory dish followed by natural fertilization).
Also, read: You must focus on self-care while undergoing fertility treatment. An expert explains why
IVF in combination with ICSI offers hope to those with very low sperm count, sperm with difficulty moving or penetrating the egg due to its shape or structure or sperm extracted directly from the testicles.
Genetic testing of embryos that are created in the lab is another major benefit of IVF vs IUI. This allows testing of general genetic health of embryos like specific single-gene disorders, such as cystic fibrosis, ensuring they have the proper number of chromosomes and more.
The chance of having multiples such as twins, triplets, and more is considered to be the result of IVF, contrary to the belief, it is more common with a medicated IUI cycle (especially that makes use of injectables), because doctors have less control over how many eggs are released and fertilized.
The chances of success vary for every patient depending on their diagnosis, age, medical history, etc. However, IVF has significantly higher success rates and though it is more expensive, it may be worthwhile for some patients.
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