Preparing for Intrauterine Insemination (IUI)
Preparing for IUI (Intrauterine Insemination)
Whether planning a medicated assisted insemination or an unmedicated one (known also as a “natural cycle” insemination), there are a few steps we recommend prior to this fertility procedure.
Familiarize Yourself with the Process
A former patient once commented how they expected to be sick and in immense pain following IUI; they explained that they thought the cervix was surgically dilated in order for the gametes to be placed in their uterus...and that this was all done without anesthesia! On the contrary, IUI is relatively painless; I often explain that the most uncomfortable part of the process is getting the speculum placed. In fact, it is well documented that having a contraceptive intrauterine device (IUD) placed is far more uncomfortable and likely painful for most folks.
Taking the time to understand the equipment and the steps involved in IUI should happen on a day prior to the planned procedure; when both yourself and your provider can take your time to answer questions, alleviate concerns, and discuss specific needs and preferences. Because a staggering number of people have experienced some form of pelvic trauma or abuse, a gentle and trauma-informed conversation is an affirming way to acknowledge that even in TTC, each step of the way should be handled with care and consent.
Preconception Lab Testing
While each fertility clinic is going to have its own protocols for preconception care, it is important that basic lab testing is offered at least one month ahead of IUI - though we recommend 3-6 months in advance.
Assisted insemination involves placing a sterile catheter inside the uterine cavity; consequently, it’s vital to the health of the one choosing to carry a pregnancy that there are no active infections that may jeopardize one’s health or the chances of a successful pregnancy. Additionally, certain mineral and nutrient deficiencies may affect early pregnancy and risk miscarriage or chromosomal anomalies. Finally, preconception lab testing may offer in-depth insight into hormonal rhythms, imbalances, or conditions that may affect ovulation, implantation, and early gestation.
Pack a “Hospital Bag”
We talk a lot about packing a “hospital bag” for labor and birth, whether you’re planning a hospital birth or not. We recommend bringing this concept all the way to the beginning - the day you conceive. You may be planning IUI in a large hospital-like facility, a private clinic, or at home with a midwife; wherever it may be, packing a bag of personal items is essential to planning the big day. Candles, a special playlist, aromatherapy, a heat pack, affirmation cards, snacks, and nostalgic trinkets all belong in the TTC space just as much as they belong in labor 9 months later. Make the space your own. This is where you’re hoping to make a baby after all!
The gift of IUI and a planned conception date is that you get to be as intentional with this day as you hope to be for labor, birth, and your baby’s first birthday. Take the time to familiarize yourself with the process you will be consenting to. Ensure your body is physically safe and ready to undergo IUI and to conceive. And finally, pack a bag or basket with all the essentials to make the day as magical and comforting as can be. Trying to conceive via IUI is an adventure, but it doesn’t have to feel haphazard or sterile.