Intra-Uterine Insemination

Prepared sperm from the male partner is placed directly into the uterus with a fine catheter in a simple office procedure. This treatment is most effective when there is no male factor involved and the woman's fallopian tubes are opened. Patient will monitor her Basal Body Temperature (BBT) from day 1 of her menstrual period. Beginning on or about the 12th day of the patient's menstrual cycle, she will begin using home ovulation testing. She will empty her urinary bladder upon rising in the morning and half hour later she collects her urine. She will test her urine daily for any evidence of a color change. As soon as the very first sign of a color change is noted, the couple should have intercourse, and 6 to 18 hours after intercourse, an ultrasound will be performed in the office to evaluate the development of any follicle in the ovary and to evaluate her uterine lining. The cervical mucus will also be evaluated and a post-coital test will be done to determine the number of sperm surviving within the mucus. Approximately two days after the color change, another ultrasound will be performed to see if ovulation has occurred and 7 days later, patient's blood will be drawn to measure her progesterone and estradiol levels. Approximately 12 days after the color change in the urine, an eudiometrical biopsy will then be performed in the office to determine the ability of the uterine lining to respond appropriately to the ovarian hormones being produced.