{"href":"http://player.captivate.fm/services/oembed?url=http%3A%2F%2Fplayer.captivate.fm%2Fepisode%2F6d5440df-4f79-4c02-953b-5425b0886eb8","version":"1.0","provider_name":"Captivate.FM","provider_url":"https://www.captivate.fm","width":600,"height":200,"type":"rich","html":"","title":"Is IUI Worth it?","description":"In this week\u2019s episode, we talk to fertility consultant Rami Wakim. Rami, among other areas of expertise, specializes in Intrauterine Insemination (IUI).\r\nWe wanted to chat with Rami to find out if these days IUI is really worth it or should you go straight to IVF. Kate mentioned that, in her opinion, she has seen fewer and fewer IUI procedures performed over recent years. Is IUI on the decline?\r\n\r\n\r\nRami starts off by giving us a really interesting insight into the history of IUI. Did you know that the first successful IUI took place in 1953? It then became more popular as a fertility treatment in the \u201970s and \u201980s. However, only 35 countries consider IUI as a method of Assisted Reproductive Technology (ART) and only 30 consider it an appropriate treatment for single women.\r\n \r\nSo, is it worth it or is it just sex in a clinical room?\r\nRami spoke about how there isn\u2019t any data about the success of IUI in the Middle East, Canada, and Australia and how\r\nEurope only started offering data in 2002. There is currently not enough studies of IUI\r\nDid you know that only 35 countries consider IUI as an ART technique?\r\nWhen it comes to the NICE Guidelines, the suggestion for people who have not conceived after 6 cycles of donor sperm, should be offered a further 6 cycles ( 2013). You can read more here \r\n\r\n\r\nIn 2016 patients with unexplained or mild endometriosis or mild male factor should NOT be offered routine IUI, but should be advised to try naturally for 2 years before IVF considered\r\nRami highlighted the parameters for success with IUI are: \r\n 1. Good sperm quality\r\n 2. Treatment has to be well-timed with the cycle, either using ovulation induction or based on the LH surge.\r\n 3. Double insemination seems more effective for the malefactor\r\nAs some people are very scared of IVF, IUI is more accessible especially in communities where there is a lot of stigma around ART. People have the conviction to go for IVF after they have tried IUI, if they have been scared about the idea of it, at least they tried it.\r\nYou may be offered IUI if:\r\n1. you're unable to have vaginal sex \u2013 for example, because of a physical disability or psychosexual problem\r\n2. you have a condition that means you need specific help to conceive. For example, if 1 of you has HIV and it's not safe to have unprotected sex\r\n3. you're in a same-sex relationship and have not become pregnant after up to 6 cycles of IUI using donor sperm from a licensed fertility unit (the Stonewall website has more information about IUI for same-sex couples)\r\nBear in mind that the waiting list for IUI treatment on the NHS can be very long in some areas.\r\nCosts range from about \u00a3700 to \u00a31,600 for each cycle of IUI treatment.\r\nSource NHS\r\n \r\n \r\n Socials:\r\nFertility Poddy \r\nKate - Your Fertility Journey \r\n \r\nRami Wakim - https://www.ramiwakim.com\r\n \r\n \r\n \r\n See acast.com/privacy for privacy and opt-out information.","thumbnail_width":300,"thumbnail_height":300,"thumbnail_url":"https://artwork.captivate.fm/bbb60b23-7cd1-4e94-bd61-91130ef6a245/cover-image-kqxu0cqt-thefertpod.png"}