TIME INTERCOURSE (TI) & IUI: WHY WAITING ENDLESSLY.

I have seen many couples being asked to go home to relax that conception will come when they least expected, after their medical fertility work-up. Because nothing serious was found to be the problem. So they have been waiting endlessly. Some of these couples should have been benefited from non invasive and inexpensive ART fertility treatment called Time intercourse or IUI from my experience in fertility diagnosis.

There are couples whose their fertility problem is minor but the advice received that sexual intercourse should be everyday or every other day made the male partner to have moderate oligospermia or low sperm count. Then their waiting period will start endlessly. Don’t forget women don’t ovulate every day, why sexual intercourse every day. Though sexual abstinence, should not be too long when trying to achieve conception, because this can lead to weak motile sperm ejaculate.

Some couple waiting period starts when only treatment for moderate oligospermia identified is being done without paying attention to the age of the female partner. Fertility decline with the age in women, so instead of paying attention to the fertility status of the wife, only oligozospermia will be the only treatment. Sooner than later when she attains 35 years of age the fertility problem becomes double. Imagine a man that is going about treating moderate oligospermia as at the time the wife is of 26 years, instead of other treatment options like IUI/TI should have been employed to achieve pregnancy, this is continue until the wife developed age related infertility at 35 years of age. I have seen a moderate low sperm count with good motility and morphology which have no significant to the cause of fertility challenges facing by couples.

Some couples are waiting endlessly but unnecessary because of misdiagnosis, misinterpretation of laboratory results and inadequate/poor treatment management. Age has a major role to play in female infertility, that’s why when you are interpreting their hormonal result, their age should be considered. Fertility of a woman declines as they attained 35 years of age. The rate at which it’s declining is depended on standard of living and fertility medication being taken.

Time intercourse (TI) is a simple treatment option for infertility which involves monitoring ovarian cycle for accurate time ovulation with the help of reproductive hormone and ultrasound, then having sexual intercourse around the time predicted to be most fertile or ovulation. This could be achieved by timing the release of egg to a particular time which is usually between 36-40hours after taking a trigger dose of HCG injection when the follicles measure between 18-22mm. At the expiration of 36/40 hours sperm is already in the fallopian tube waiting for egg. Couple are advice to have sexual intercourse around this time to achieve pregnancy. Fertility challenges are different from one couples to the other, when some need serious treatment to solve their fertility challenge, others just need fertility guidance. Time intercourse, depending on the protocol use, intercourse may be once and for all or every other day.

TI and IUI share the same protocol of determine the exact time the release of egg will take place. These treatments can be performed on Natural menstrual and ovulation stimulation cycle. In natural cycle, no medication is given except ovulation trigger HCG injection. In ovulation stimulation cycle, fertility drugs and injections are used to increase chances of conception, which in turn can lead to multiple pregnancies to the disadvantage of the couples. Couples need not to wait endlessly since TI or IUI could be used to treat them, but many of these couples are not adequately inform about this.

Intrauterine insemination (IUI) is a simple procedure that puts sperm directly inside your uterus after it has been prepared or washed, which helps healthy sperm get closer to your egg.

How does IUI work?

IUI stands for in intrauterine insemination. IUI works by putting sperm cells directly into your uterus around the time you’re ovulating, helping the sperm get closer to your egg. This cuts down on the time and distance sperm has to travel, making it easier to fertilize your egg.

Read my previous article here on IUI click on this link

https://m.facebook.com/story.php?story_fbid=10216727595835204&id=1021104546

INDICATION FOR TI/IUI

1. If you have moderate oligospermia (low sperm count) and your wife is below 30 years of age with no tubal blockage, good hormonal result, don’t try to waste your time treating low sperm count endlessly, go for IUI.

2. If a male factor has very good sperm count, motility and morphology and the female factor is 30/35 years of age with no tubal blockage, try IUI.

3. No tubal blockage, good hormonal but sexual intercourse schedule is a problem go for iui.

4. If you have had ectopic pregnancy before, don’t wait endlessly go for IUI. You should know that the affected tube has been removed, so you need fertility treatment that will ensure that the ovary that has tube produced eggs and monitor.

5. If you have moderate oligospermia (low sperm count) and your wife is less below 30 years of age with no tubal blockage, good hormonal result, don’t try to waste your time treating low sperm count endlessly, go for IUI.

6. If a male factor has very good sperm count, motility and morphology and the female factor is 30/35 years of age with no tubal blockage, try IUI.

7. No tubal blockage, good hormonal but sexual intercourse schedule is a problem go for iui.

8. If you have had ectopic pregnancy before, don’t wait endlessly go for IUI. You should know that the affected tube has been removed, so you need fertility treatment that will ensure that the ovary that has tube produced eggs and ovulate for conception.

9. A male factor who is sexually weak at ovulation time but with good semen analysis should try TI/IUI

10. If your husband is weak sexually and copulation times are scanty, try IUI.

11. Azospermia ( Non obstructive, no sperm count ) patient can try sperm surgical retrival with IUI to achieve pregnancy.

12. If you have fibroid but not the type that can affect pregnancy, try IUI if you do not have tube blockage,

13. If you have fibroid very close to your cervix, this can affect sperm movement. Try IUI

14. Cervical hostility, try IUI

15. Serodiscordant couple can try IUI to achieve conception.

16. Cervical sars can affects can affect the facilitation of sperm capacitation, try IUI.

17. Unexplained infertility.

Kehinde Samuel WOJUADE(andrologist/CEO Abims Unique MLS) is a medical laboratory scientist with special interest in andrology. I have my experience in fertility diagnosis and evaluation, advance diagnostic andrology tests and procedures. He’s associate member of medical laboratory science council of Nigeria with current practice licence, and my fellowship programme in view.

He obtained certificates in basic course in semenology and IUI (2017), advance course in andrology (2019) at Embryology Academy for Research and Training (EART), Mumbai India and Basic Fertility Course (2019) at International Institute for Research and training in Reproductive Health (IIRRH), Bangalore, India. With attendance of over 100 of seminars, symposia and conferences for capacity building and skill acquisitions in medical laboratory practice in Nigeria.

For fertility Counselling/second opinion on your result : +2348023026235, +2348077047724 (both for whatapp&call)

ABIMS UNIQUE MED. LABS SERVICE, 37 AKINREMI STREET, ANIFOWOSE IKEJA. CLOSE TO IKEJA LOCAL GOVERNMENT SEC.

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