Intrauterine Insemination in Kathmandu — IUI Explained ~15–20% Per Cycle — with the Candidacy Assessment That Determines Who It Helps

IUI — What It Is and Who It Helps

Intrauterine insemination — washed, concentrated sperm placed directly into uterus at moment of ovulation — is first-line fertility treatment for a defined set of candidates: unexplained infertility, mild male-factor, cervical-factor, and some anovulation.

The ~15–20% per-cycle success rate is honest — treatment helps a specific subgroup; it does not fix everything. The candidacy assessment is service — tubes open (IUI cannot bypass a blockage), sperm adequate (severe male-factor is IVF), ovarian reserve justifying approach rather than jumping to IVF, and diagnosis being one IUI addresses.

At Thamel Clinic work-up precedes treatment — semen analysis, tubal assessment (HSG), hormonal picture — before any cycle is run, because an IUI on a poor candidate is commonest fertility waste.

This page covers Intrauterine Insemination in Kathmandu in Kathmandu — confidential, non-judgmental care. Correct evaluation comes first: the actual condition or need determines which approach is appropriate, and the plan is matched to the real cause rather than generic advice. Intrauterine insemination (IUI) is a fertility treatment where washed sperm is placed directly into the uterus at ovulation. It is less invasive than IVF and appropriate for unexplained infertility, mild male factor, and cervical factors.

Who IUI Suits

The candidates: unexplained infertility ( diagnosis after a normal work-up), mild male-factor (adequate post-wash motile count — severe is IVF), cervical-factor infertility, anovulation treatable with ovulation induction, and mild endometriosis in some cases.

The poor candidates: blocked fallopian tubes (the HSG confirms patency first — IUI cannot bypass them), severe male-factor, diminished ovarian reserve where IVF is better approach, and advanced maternal age where the IUI time-cost is not justified.

The Procedure

The cycle is monitored — ultrasound tracking of follicle development, ovulation-induction medication where used, precise timing at the LH surge or hCG trigger — and insemination is brief procedure at moment of ovulation.

The sample is washed first — motile sperm concentrated, seminal fluid removed (essential — unwashed semen in uterus causes severe cramping) — then placed via a thin catheter directly into uterus, a minutes-long procedure usually without anaesthesia.

The ~15–20% Per-Cycle Rate

The honest number: ~15–20% per cycle — most couples need more than one attempt, and cumulative success builds over ~3–4 cycles before benefit of more IUI drops off. The ~15–20% is not a failure rate to despair over — it is biology of fertilization even when everything is done correctly.

The factors that push it higher or lower: age (younger patients do better), diagnosis (unexplained does better than harder indications), stimulation used, and sperm quality on day.

The Escalation Point

The honest escalation: where ~3–4 IUI cycles have not produced a pregnancy, benefit of additional IUI drops — escalation to IVF is discussed honestly rather than repeating an approach that has not worked.

The plan from start includes this — IUI is a step in pathway, not an endpoint — so a failed cycle is a step toward next decision, not a surprise.

Intrauterine Insemination in Kathmandu

IUI & Costs

Transparent pricing; confirm when booking.

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