The following information is intended as an introduction to these processes.
Initial medication and first scans
Depending on the regularity of your menstrual cycle, you will be prescribed Clomiphene or Tamoxifen to stimulate the ovaries. Some women may also require injection of a follicle stimulation hormone. Your response will be monitored by ultrasound and a blood test to ensure that ovulation has occurred.
Human chorionic gonadotropin injection
When the scan shows one or two follicles greater than 17mm in diameter, you will be ready to have the HCG injection to help ripen the eggs. More information about the medication
Timed intercourse and Intra-Uterine Insemination (IUI)
Although intercourse throughout the cycle will not interfere with your treatment, it is recommended that you have a period of abstinence for 2-3 days prior to the IUI.
At your final scan, you will be advised when the IUI will take place, which is generally two days later. On the day of your IUI appointment, your partner will need to provide a sperm sample, which is then prepared for the IUI over 2-3 hours. The IUI takes place in the Gynaecology outpatients department and involves having an internal examination with a speculum (similar to having a cervical smear).
The prepared sperm is then slowly injected into the womb through a fine plastic catheter, which can feel a little uncomfortable. You are asked to remain lying down for 10 minutes after the procedure, but can then get up and continue with normal daily activities. It is recommended that intercourse also takes place as a "back-up" to the IUI.
Pregnancy test
Following the IUI you are asked to do a home pregnancy test about 16 days after you had the hCG injection. If positive, we will book you an early pregnancy scan for 2-3 weeks later.
A negative result means that the cycle has not worked, but you can start your next cycle again as already arranged. If you complete all the cycles recommended by the unit, then an appointment will be arranged with the doctor so that your treatment can be reviewed and future plans discussed.
