IUI - Dr.Shweta Mittal Gupta

IUI

IUI is offered as the first line of treatment to couples with unexplained, immunologic, mild male factor infertility as well as to those with early stages of endometriosis. For couples with the above-mentioned problems when the woman is over 40 years of age we recommend standard IVF treatment.
IUI, or intrauterine insemination, is a relatively simple fertility treatment. It may be done with or without fertility drugs. The procedure itself involves transferring specially washed semen directly into the uterus via a thin catheter.
You may know of IUI by the more commonly used term artificial insemination (AI). IUI and AI are one and the same.

INDICATIONS

IUI TREATMENT MAY BE RECOMMENDED FOR ANY OF THE FOLLOWING SITUATIONS:

IUI IS NOT RECOMMENDED FOR THOSE WITH:

TREATMENT CYCLES

 Usually fertility drugs are given to patients undergoing IUI cycles to enhance ovulatory process.

 

  • Clomiphene or Letrozole with IUI: IUI may be added to a clomiphene or letrozole  treatment cycle.In this situation, as soon as your next period starts, you’ll have an ultrasound and a blood test. Assuming everything looks good, you’ll start taking the oral fertility drugs on the days prescribed. You will have ultrasound monitoring and may need blood work as the cycle progresses.

  • Gonadotropins with IUI: Gonadotropins are injectable fertility drugs, including FSH, LH, hMG, and hCG. When you get your period, you’ll visit your doctor to schedule a baseline ultrasound and blood work. You’ll start giving yourself injections according to your doctor’s instructions. Every few days, you’ll have transvaginal ultrasounds and/or blood work.The transvaginal ultrasounds will look for developing follicles. The ultrasound will look to see how many are there, how quickly they are growing, and whether they are nearing maturity.The blood work will measure estradiol (E2), LH, and progesterone.

 Your medications may be adjusted based on your hormone levels and the size and number of follicles growing on your ovaries.

When one or more follicles reach maturity, your doctor will schedule a trigger shot of hCG and schedule the IUI procedure.

THE PROCEDURE

The procedure is pretty simple, though it’s normal to feel nervous about it. It will be done in your fertility clinic.Your partner will come into the clinic that day with you and give a semen sample. The semen sample is achieved via masturbation. (Similar to how a semen analysis is done.)

 If your partner will be out of town—or, if he had difficulty providing a sample in the past—your partner may provide the semen sample before IUI day. In this case, if the sample is frozen, it will be thawed and prepared

 If you’re using a sperm donor, the donor sperm will be thawed and prepared which would be coming from registered semen banks.

Semen contains more than just sperm. Semen is put through a special “washing” procedure. This takes out the impurities and leaves only what’s needed for conception.

 For the procedure itself, you will lie down on a gynecological table, similar to the ones used for your exam.

 A catheter—a small, thin tube—will be placed in your cervix (mouth of uterus). You may have some mild cramping.

 The specially washed semen will then be transferred into your uterus via the catheter.

 The catheter is removed, and you’re done!

Your doctor may suggest you remain lying horizontally for a short while after the procedure, or you may be able to get up right away.

In either case, you don’t need to worry about the sperm falling out when you stand up. The sperm are transferred directly into your uterus. They aren’t going anywhere but up, to a (hopefully) waiting egg!

 

WHAT TO EXPECT POST-PROCEDURE

After the IUI procedure, you may be prescribed progesterone. This is usually taken via a vaginal suppository.

 About 14 days post IUI, you would be asked for either home urine pregnancy test or blood test beta hCG for pregnancy.

 Waiting to find out if the treatment was successful can be very stressful. Take good care of yourself!

 

RISKS

  • IUI is a relatively low risk procedure.
  • There is a very small risk of infection.
  • Some of the biggest risks come from the fertility drugs used.
  • If you’re using gonadotropins (fertility injections), you may be at risk for developing ovarian hyperstimulation syndrome (OHSS).
  • Your risk of conceiving multiples (twins, triplets, or even more) is higher when taking gonadotropins. This is why monitoring is important.
  • If there are too many potential follicles, the cycle may be cancelled and tried again another time.
  • If your doctor cancels your cycle because there are too many follicles, she will also likely tell you to abstain from sexual intercourse. It is important you take this instruction seriously.
  • Some couples are hesitant to “throw away” the cycle. However, if you have sex and conceive, you put yourself and your future babies at risk. Don’t do it.

She is not merely a brilliant doctor but she is also a genuine, honest and compassionate human being which is the differentiator between a good doctor and a great one. Strongly recommended.

Shikha Misra

Shikha Misra

4th Avenue

Thanks for Ur love,care n support throughout in my pregnancy. Even I was remembering Ur motherly care at the time of delivery also. U hv been an angel to have me my second child happily n healthily.

Khusboo Arora

Khusboo Arora

12 Main Road

Dr. Shweta Mittal Gupta, a doctor par excellence, a great orator, a wonderful human being and above all my inspiration, my mentor. May God bless her in all her endeavours.

Raman Singla

Raman Singla

23rd Street

Dr.Shweta has been a ray of light in our lives helping us to have the most beautiful gift of life in the form of our baby. Her knowledge and expertise in her field is significant. Apart from being a remarkable gynecologist, she is a wonderful human being supporting her patients with utmost care. I highly recommend Dr.Shweta and her support team.

Swati Shankdhar

Swati Shankdhar

Dr. Shweta Mittal has been really helpful throughout my pregnancy and always there a call away. My sister in law referred me here and I am really satisfied with the care and help she offers. She is really supportive and explains everything nicely whatever we asked her.

Sonam Arya

Sonam Arya

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 Amit Mutreja

 Amit Mutreja

Dr. Shweta Mittal Gupta, a doctor par excellence, a great orator, a wonderful human being and above all my inspiration, my mentor. May God bless her in all her endeavours.

Shubhi Arora

Shubhi Arora

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Ravi Aggarwal

Ravi Aggarwal

After 6 years of marriage and while we were missing the presence of a child in our life. We were referred by a close friend of us. Who herself was a patient of Dr. Shweta Mittal. Dr. Shweta turned out to be the Angel we were searching for and within 2 months the good news was there.

Balaji Kumar

Balaji Kumar

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Amit Kumar

Amit Kumar

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Ravi Kumar

Ravi Kumar

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DIGVIJAI TRIPATHI

DIGVIJAI TRIPATHI

A very wonderful and an amazing experience I have with my doctor (Dr. Shweta Mittal Gupta) who has given me the best gift of motherhood. Her positive attitude towards the condition of an IVF patient is just unexplainable. Her only word which I had heard from her mouth was (then what)always gave me the positive energy for handling my nine months of pregnancy.

Garima Chhabra

Garima Chhabra

My heartiest and biggest Thanks to Dr Dr shweta mittal ma’am. She vaid for making my journey completely of parenthood. After 7 years of marriage and struggle for parenthood Now I bless to enter motherhood. Just because of Dr shweta mittal ma’am and her advance and Hi_technology I will always be obligated to Dr shweta mittal.

Preeti Khattar

Preeti Khattar

I am very grateful to Dr Shweta Mittal that due to her IVF treatment and guidance, i am now mother of a baby girl. Earlier i was very disappointed but the type of guidance and treatment was given to me by Dr Shweta mittal..this miracle happens. Thankyou vey much doctor.

Shakeel Ahmed

Shakeel Ahmed

Dr. Shweta Mittal Maam is the number one IVF specialist in the country. She is the best most soft spoken out of the world and amazing Doctor of us. I will highly recommend Dr shweta mittal maam to everybody. Thank you so much Dr shweta mittal maam n her ivf team

Kabeer

Kabeer

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Once again Thanku very much of Dr shweta Mittal mam & Her IVF team for supporting us every time.

Jeetyendra Negi

Jeetyendra Negi

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