IUI Fertility Services in Nepal — Intrauterine Insemination ~15–20% Per-Cycle Success — with the Candidacy Assessment First

IUI — the First-Line Fertility Treatment

Intrauterine insemination — washed sperm placed directly into uterus at ovulation — is first-line fertility treatment for a defined set of candidates: unexplained infertility, mild male-factor, cervical-factor, and some anovulation. Its ~15–20% per-cycle success rate is honest — treatment helps a specific subgroup; it does not fix everything.

The candidacy assessment is service — fallopian tubes must be open (IUI cannot bypass a blocked tube), sperm parameters must meet a minimum threshold, ovarian reserve must justify approach rather than jumping to IVF, and diagnosis must be one IUI addresses. An IUI performed on a poor candidate is commonest fertility waste.

At Thamel Clinic work-up precedes treatment — semen analysis, tubal assessment (HSG or similar), hormonal picture (AMH, cycle-day hormones) and ovarian reserve — before any cycle is run.

Who IUI Suits

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

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

The Work-Up Before the Cycle

The male factor — a semen analysis establishes whether post-wash motile sperm count meets threshold for a reasonable IUI attempt; severe male-factor moves directly to IVF rather than wasting cycles. The female factor — tubal assessment (HSG or sonohysterography) confirms patency, hormonal panel (AMH, cycle-day-3 hormones) assesses ovarian reserve.

The diagnostic clarity before treatment is what makes an IUI worthwhile: an IUI on a poor candidate is not just ineffective — it costs months that a correctly-matched treatment would have used better.

The Cycle — Monitoring to Insemination

An IUI cycle is monitored — ultrasound tracking of follicle development (and where used, ovulation-induction medication monitored for response) — with insemination timed at the LH surge or trigger shot.

On insemination day washed sample is prepared ( sperm concentrated and seminal fluid removed) and placed directly into uterus — a brief procedure, usually without anaesthesia, done in minutes.

Success Rate & the Escalation

The honest number: ~15–20% per cycle — most couples need more than one cycle, and cumulative success builds over ~3–4 cycles before benefit of more IUI drops off. Where IUI has not produced a pregnancy after ~3–4 attempts, escalation to IVF is discussed honestly rather than repeating an approach that has not worked.

The escalation conversation is part of plan from start: IUI is a step, not an endpoint — cumulative chance is explained upfront so a failed cycle is a step in pathway, not a surprise.

IUI Services & Costs

Transparent pricing; confirm when booking.

Related Services & Guides