IUI Fertility Clinic in Kathmandu — Intrauterine Insemination The ~15–20% Per-Cycle — the Candidacy-First Assessment
IUI at Thamel Clinic — honest ~15–20% per-cycle success framing, candidacy-first assessment, and realistic pathway.
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Reviewed by: STD Specialist (MBBS, MD - Medicine)
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Last medical review: June 1, 2026
This content follows evidence-based medical guidelines and is regularly updated to reflect current medical practices.
IUI in Kathmandu
- ~15–20% per cycle — honest per-attempt success.
- Candidacy first — open tubes, adequate sperm, ovulation.
- ~3–4 cycle escalation — the IVF where the IUI has not worked.
- Less-invasive than IVF — simpler first-line where it applies.
IUI — the Intrauterine Insemination
IUI is intrauterine insemination — washed sperm placed directly into uterus at ovulation timing — less-invasive fertility treatment vs the IVF. The honest success framing: ~15–20% per cycle — per-attempt rate, not guaranteed — candidacy determining whether the IUI is right option.
The candidacy-first is honest approach: the IUI works where specific conditions apply — open tubes ( fallopian patency), adequate sperm ( post-wash count sufficient), ovulation functional ( natural or stimulated cycle) — candidacy-first determining the IUI before attempt.
The ~3–4 cycle escalation is honest framing — the IUI attempted ~3–4 times where candidacy is correct, escalation to the IVF where the IUI has not succeeded — realistic pathway rather than indefinite IUI.
The IUI — What It Is
The IUI is intrauterine insemination — washed sperm placed directly into uterus at ovulation timing — sperm prepared ( semen washed — motile sperm concentrated, debris removed) and placed past cervix into uterus where ovulation is occurring.
The IUI is less-invasive option vs the IVF — sperm placed at egg rather than egg fertilized outside — correct first-line where candidacy applies, simpler and less-costly than the IVF.
Washed Sperm
The semen prepared — motile concentrated.
Into the Uterus
Past cervix — direct placement.
At Ovulation
The timed to egg release.
Less-Invasive
The simpler first-line vs the IVF.
The Candidacy — Who the IUI Suits
The IUI candidacy: open tubes ( fallopian patency confirmed — the HSG or equivalent — sperm must reach egg through open tube), adequate sperm ( post-wash count sufficient — the IUI needs minimum motile count), ovulation functional ( natural or stimulated cycle — egg released), and shorter infertility duration or unexplained pattern.
The IUI does not apply where: tubes are blocked ( sperm cannot reach egg — the IVF instead), sperm is severely low (the ICSI — the IVF with injection — instead), or ovarian reserve is severely reduced — candidacy-first preventing wasted IUI attempts.
Open Tubes
The fallopian patency — sperm must reach egg.
Adequate Sperm
The post-wash motile count sufficient.
Ovulation Functional
The natural or stimulated cycle.
Not for Blocked/Low
The IVF or the ICSI where candidacy fails.
The ~15–20% Per-Cycle — the Honest Success
The honest success framing: ~15–20% per cycle — per-attempt rate — not cumulative-to-near-certain. The ~3–4 cycle escalation is honest framing — the IUI attempted ~3–4 times where candidacy is correct, the IVF where the IUI has not succeeded — realistic pathway.
The success depends on candidacy — correctly-selected candidacy produces the ~15–20%; wrong candidacy produces lower — candidacy-first being honest attempt.
~15–20% Per Cycle
The per-attempt — not guaranteed.
~3–4 Cycle Escalation
The IVF where the IUI has not worked.
Candidacy Determines
The correctly-selected candidacy producing rate.
Realistic Pathway
The IUI → the IVF escalation honestly framed.
The Work-Up — the Pre-IUI Assessment
The pre-IUI work-up: semen analysis ( count, motility, morphology — post-wash candidacy), ovulation assessment ( cycle tracked — natural or stimulated), tubal patency (the HSG or equivalent — open tubes confirmed), and sexual-health screen ( infections resolved before the IUI).
The work-up determines candidacy — correctly-selected IUI being honest attempt — candidacy-first preventing wasted cycles and incorrect-pathway cost.
Semen Analysis
The count, motility — candidacy determined.
Ovulation Assessed
The cycle tracked — egg release confirmed.
Tubal Patency
The HSG or equivalent — open tubes.
Screen Resolved
The infections treated before the IUI.
IUI Services & Costs
| Service | What It Includes | Cost (NPR) |
|---|---|---|
| Consultation | Assessment and candidacy determination | Rs. 450 |
| Work-up | Semen analysis, ovulation, patency | Per case |
| IUI cycle | The procedure — washed insemination | Per cycle |
| Follow-up | The outcome and escalation assessment | Included |
Transparent pricing; confirm when booking.
Why Thamel Clinic for IUI
- Candidacy first — open tubes, adequate sperm, ovulation assessed.
- ~15–20% honest — per-cycle rate, not guaranteed.
- ~3–4 cycle honest — the IVF escalation where the IUI has not worked.
- Complete work-up — pre-IUI assessment determining candidacy.
- Confidential — private consultations and results.
Frequently Asked Questions
What is IUI?
The intrauterine insemination — washed sperm placed into uterus at ovulation.
What is the IUI success rate?
~15–20% per cycle — honest per-attempt rate.
Who is the IUI for?
The open-tubes, adequate-sperm, ovulation-functional candidacy — shorter infertility or unexplained.
When does the IVF replace the IUI?
After ~3–4 unsuccessful IUI cycles, or where candidacy fails ( blocked tubes, severe male factor).
Is the IUI painful?
Minimal — catheter placement; brief procedure.
Is it confidential?
Yes — private consultations and results.
Still have questions? Contact us or book an appointment for personalized guidance.
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Last Updated: October 19, 2026 |Clinic: Thamel Clinic |Licensed: Registered