Intrauterine Insemination (IUI)

Intrauterine Insemination (IUI)

Intrauterine Insemination (IUI) is the process of inserting a sample of washed/concentrated sperm (partner or donor) directly into the uterus.  IUI can be done with or without medication and involves accurately identifying the timing of ovulation to improve the chances of success.  In Ontario, IUI fertility treatment is partially funded by the government.

Am I a good candidate for IUI?

A physician can prescribe an IUI treatment only if the female patient has at least one open, healthy fallopian tube. Indications for IUI include, but are not limited to, individuals/couples who:

  • Have a diagnosis of unexplained infertility
  • Are using a sperm donor
  • Have a partner with low sperm count, motility or shape
  • Have sexual dysfunction issues

IUI Process

Preparing for your IUI

Before your insemination, you will undergo cycle monitoring for around 2-10 days to monitor the growth of your follicle(s) and identify the timing of ovulation. Your cycle may involve ovulation induction with oral tablets or subcutaneous injections (Gonadotropins). Based on your hormones, follicle size and endometrial lining thickness, the physician will determine the optimal time for insemination. If natural ovulation is not observed, the physician can also prescribe an injectable medication to induce ovulation. Insemination and in vitro treatment can also be discussed.

Semen Washing

Inseminations can be done with fresh or frozen sperm. If the sample is frozen, it is thawed on the morning of the scheduled insemination.

Semen washing is a procedure in the Andrology Lab in which the semen sample is placed in a tube and spun in a centrifuge. It is then placed in fluid that allows the separation and collection of the most active, healthy sperm to be used for insemination.

The Insemination

The entire procedure takes around 5-10 minutes to complete. It is quick and painless. You will need a full bladder for the insemination.

The physician will insert a speculum to view the cervix. The prepared specimen is then inserted into the uterus via a soft, thin, flexible catheter.

Post Insemination

You can resume normal activities immediately following the insemination.

You will be asked to take supplemental progesterone (usually in the form of intravaginal suppositories) to support your natural progesterone production and prepare the endometrial lining for implantation.


Read our blog about the "Dos and Don'ts after IUI Procedures"

How to get started 

Fill out our form and we will be in touch to schedule an appointment for you with one of our Tripod Fertility physicians.  


Standard Fertility Assessment Standard Fertility Assessment Gaining awareness of your fertility health gives you and your physician an indication if future testing is needed. Your physician will start by taking a thorough medical history. Learn More Cycle Monitoring Cycle Monitoring Cycle Monitoring involves blood work and ultrasounds during the first half of your menstrual cycle to follow hormone levels and the growth of follicle(s). Learn More Ovulation induction and  (COH) Ovulation induction and (COH) Ovulation induction is the action of bringing about ovulation through oral (Letrozole, Clomiphene Citrate, Tamoxifen) or injectable hormonal medication. Learn More In Vitro Fertilitization (IVF) In Vitro Fertilitization (IVF) In vitro fertilization (IVF) is a method of assisted reproduction that involves the removal of eggs from the body, and the combining of eggs and sperm in the embryology laboratory to form embryos. Learn More Natural IVF Natural cycles, Natural IVF, and Minimal stimulation IVF
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Intrauterine Insemination (IUI) Intrauterine Insemination (IUI) Intrauterine Insemination (IUI) is the process of inserting a sample of washed/concentrated sperm (partner or donor) directly into the uterus. Learn More Hormonal Blood Work Hormonal blood work Blood work can tell us a lot about what is going inside your body, and can give us clues as to what may be causing infertility. These results can help us create the best treatment plan for you. Learn More Semen Analysis Semen Analysis Semen analysis is often recommended when couples are having problems getting pregnant. The sperm test will help a physician determine if there are any issues with male's infertility. Learn More Ultrasound and Sonohysterogram Ultrasound and Sonohysterogram A pelvic ultrasound is usually performed at the beginning of the menstrual cycle to appreciate the ovarian antral follicle count, the uterus anatomy and any other pelvic organ findings. Learn More Immuno-Fertility Immune Testing
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I met Dr. Dzineku and Dr. Roumain at a time when I had given up almost all hope of becoming a mother.  They played a pivotal role in helping me fulfill my dream.