IUI Patient Instruction Sheet Fresh Sperm

Intrauterine Insemination (IUI) Patient Instructions

Cycle Tracking & Ovulation Prediction

  • Begin tracking luteinizing hormone (LH) twice daily (morning and evening) starting the day after your menstrual flow stops.
  • If you are using letrozole or clomiphene (Clomid):
    • Take medication on cycle days 3–7.
    • Begin LH testing on cycle day 8.
  • Notify Dr. Wong immediately when you have a positive LH surge.
  • Ovulation typically occurs 24–36 hours after the LH surge.
  • Your IUI will be scheduled for the evening of your surge or the following day.

Sperm Collection Instructions

  • Partners or donors should abstain from ejaculation for 2–4 days prior to providing the sperm sample.
  • Samples may be collected at home using a sterile collection cup (provided by the office or purchased online), only if the sample can arrive at the office within 30 minutes of collection.
  • Keep the specimen at body temperature:
    • Do not place it on a seat warmer.
    • Carry it under your armpit or between your thighs during transport.
  • If you are unable to deliver the sample within 30 minutes, collection can be done in the office.

Day of the Procedure

  • Sperm preparation (“washing”) takes 30–60 minutes.
    • During this time, you may take a walk or get coffee/tea.
    • Dr. Wong will notify you when to return for the procedure.
  • The IUI procedure is similar to a Pap smear:
    • A speculum is placed.
    • A long, sterile catheter is passed through the cervix into the uterus.
    • The sperm is injected as close to the fallopian tubes as possible.
  • The procedure takes approximately 10 minutes.
  • You will then rest on the table for 20 minutes.
    • Acupuncture may be provided during this time if desired.
  • You are free to leave after the rest period.

After the Procedure

  • Rest and take it easy for the remainder of the day.
    • You may work if needed.
    • Avoid heavy lifting or vigorous exercise.
  • Mild cramping is common and normal.
    • It may be intermittent and can last up to 4 days after the procedure.
  • Mild spotting is also common and may last 1–2 days.
  • You may return to normal activities the day after the procedure.

Risks & When to Seek Care

  • The main risks include uterine perforation and infection, though these are rare.
  • Go to the emergency room immediately if you experience:
    • Fever
    • Severe abdominal pain
    • Heavy bleeding
    • Nausea or vomiting

Questions

  • Please call Dr. Wong with any questions or concerns at any point before or after the procedure.  360-972-0316