IUI at VCRM

A focused treatment when sperm placement and timing are the main barriers.

IUI places prepared sperm directly into the uterus around ovulation. It may be considered when the fallopian tubes are open and the clinical picture supports a reasonable chance of fertilization inside the body.

Personalized Care

Every cycle is managed directly by Dr. Sharara with dedicated one-on-one monitoring.

Schedule Visit (703) 437-7722
Clinical Overview

Intrauterine Insemination (IUI) at VCRM

Intrauterine insemination with washed semen, abbreviated IUI, is a technique that places prepared sperm directly into the uterus using a catheter. During intercourse, sperm are placed in the vagina, travel through the cervical mucus into the uterus, and then into the fallopian tubes where conception occurs. IUI bypasses the vagina and cervix where many sperm are otherwise lost, significantly increasing the number of motile sperm available to fertilize an egg.

To prepare sperm for IUI, a semen sample is obtained and expertly processed in our state-of-the-art laboratory. The liquid semen is separated from the sperm, and the sperm are "washed" and re-suspended in a specially prepared solution. This process concentrates the motile sperm and removes uterine irritants contained in semen, making intrauterine insemination safer, more effective, and comfortable.

3D Animation: How Intrauterine Insemination (IUI) Works
Procedure Time 10–15 minutes, non-invasive in-office
Anesthesia Required None needed; similar to a routine pelvic exam
Physician Continuity 1:1 care directly monitored by Dr. Fady Sharara
Candidacy & Indications

Who can intrauterine insemination benefit?

IUI is a beneficial, minimally invasive fertility treatment if you or your partner experience:

Low Sperm Count Concentrating motile sperm maximizes fertilization potential.
Decreased Sperm Motility Shortens sperm travel distance directly into the uterine cavity.
Unexplained Infertility Proven first-line treatment combined with ovulation induction.
Hostile Cervical Condition Bypasses thick or problematic cervical mucus.
Ejaculation Dysfunction Allows successful insemination when natural ejaculation is impaired.
Success Rates & Medications

Expected success rates & medication protocols

Success rates vary depending on the couple’s original diagnosis, age, and number of IUI cycles. The pregnancy rate per cycle of insemination is 15–20%. The cumulative pregnancy rate may reach 30–50% in couples undergoing three cycles.

The use of fertility medications increases the chance of pregnancy:

  • Oral Medications (Clomid / Tamoxifen / Letrozole): Pregnancy rate is approximately 10–15% per cycle, with a multiple pregnancy rate of about 5% (mostly twins).
  • Injectable Gonadotropins: Pregnancy rate is approximately 15–18% per cycle, with a multiple pregnancy rate of 20–25% (some higher-order multiples such as triplets).

Note: These success rates are age-dependent and are significantly lower in women over age 35.

For injectable medication guides and instructions, patients can review the Ferring Fertility Menopur Training Guide.

ASRM Patient Information Video: Multiple Pregnancy and Infertility Risk Factors
Common Questions

Frequently Asked Questions About IUI

Does IUI hurt?

Most patients describe IUI as similar to a routine Pap test or mild pelvic exam. Mild cramping can occur, but no anesthesia is required.

How many IUI cycles should we try?

Most successful pregnancies occur within 3 cycles (achieving 30–50% cumulative success). Dr. Sharara reassesses your progress after each cycle rather than repeating treatment automatically.

When should we move from IUI to IVF?

If 3 well-timed IUI cycles have not resulted in pregnancy, or if age (>35), tubal factors, or severe male factor indicate a need for higher intervention, Dr. Sharara will discuss transitioning to IVF.

Next Step

Schedule Your IUI Consultation

Speak directly with Dr. Sharara to evaluate your tubal health, sperm parameters, and determine if IUI is the right course for your family.

Personalized Care

Every cycle is managed directly by Dr. Sharara with dedicated one-on-one monitoring.

Schedule Visit (703) 437-7722