IUI – Patient Instructions & Timeline

Intrauterine Insemination (IUI) – Patient Instructions & Timeline

Cycle Start

Cycle Day 1

  • First day of full menstrual flow.

Ovulation Induction (If Prescribed)

Cycle Days 3–7

  • Take letrozole or clomiphene (Clomid) as directed.

LH Tracking

When to Start

  • Begin LH testing twice daily (morning and evening).
  • The day after your menstrual flow stops, OR
  • Cycle Day 8 if using letrozole or Clomid.

Important

  • Use the same brand of LH tests throughout the cycle.
  • Test morning and evening for best accuracy.

Positive LH Surge

  • Notify Dr. Wong immediately at 360-972-0316.
  • Ovulation usually occurs 24–36 hours after the surge.

IUI Scheduling

  • Your IUI will be scheduled for the evening of your LH surge, OR
  • The following day.

Partner / Donor Instructions

Before Collection

  • Abstain from ejaculation for 2–4 days before the IUI.

Sample Collection Options

  • At home using a sterile collection cup.
  • Sample must arrive at the office within 30 minutes.
  • Keep the sample at body temperature.
  • Do not use seat warmers.
  • Carry the sample under your armpit or between your thighs.
  • In-office collection is available if you cannot arrive within 30 minutes.

Day of IUI

Sperm Preparation

  • Takes approximately 30–60 minutes.
  • You may take a walk or get coffee or tea.
  • Dr. Wong will notify you when to return.

The Procedure

  • Similar to a Pap smear.
  • A speculum is placed.
  • A thin, sterile catheter passes through the cervix.
  • Sperm is placed into the uterus near the fallopian tubes.
  • Procedure time is approximately 10 minutes.

After the Procedure

  • Rest on the table for 20 minutes.
  • Acupuncture is available during this time if desired.
  • You may then leave the office.

Aftercare

Day of IUI

  • Rest and take it easy.
  • You may work if needed.
  • Avoid heavy lifting or vigorous exercise.

What’s Normal

  • Mild cramping (intermittent, up to 4 days).
  • Mild spotting (up to 1–2 days).

Next Day

  • Resume normal activities.

Risks & When to Seek Care

Risks are rare but may include infection or uterine perforation.

Go to the Emergency Room if you experience:

  • Fever
  • Severe abdominal pain
  • Heavy bleeding
  • Nausea or vomiting

Questions

Please call Dr. Wong at any time with questions or concerns before or after the procedure.

Phone: 360-972-0316