IUI Treatment Process in Kathmandu — Step by Step From Work-Up Through the Cycle — What Actually Happens

What an IUI Cycle Actually Involves

The IUI process is sequence: candidacy work-up first ( semen analysis, tubal patency test, hormonal picture — determining IUI is right treatment), then cycle (monitoring or induction, ovulation timing, insemination), then post-cycle ( two-week wait, test, next-step decision).

The ~15–20% per-cycle success rate is honest — most couples need more than one cycle — and pathway includes escalation point (~3–4 unsuccessful cycles → IVF discussed honestly rather than repeated indefinitely).

Each step is done correctly rather than reflexively: work-up before cycle (an IUI on a poor candidate is waste), timing at precise ovulation window (insemination too early or late produces nothing), and escalation assessed rather than indefinite repetition.

This page covers IUI Treatment Process 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. The IUI treatment process involves fertility evaluation, ovulation monitoring or induction, sperm preparation, insemination at ovulation, and follow-up pregnancy testing. The process takes about two weeks per cycle.

Step 1 — the Candidacy Work-Up

Before any cycle, work-up establishes IUI is right treatment: semen analysis (post-wash motile count meets threshold — severe male-factor is an IVF indication), tubal assessment (HSG or sonohysterography confirms tubes are open — IUI cannot bypass a blocked tube), and hormonal panel (AMH, cycle-day hormones) assesses ovarian reserve.

The work-up is candidacy assessment — determining whether IUI helps this specific couple rather than reflexively proceeding — because an IUI on a poor candidate is commonest fertility waste.

Step 2 — the Cycle & Monitoring

The cycle is monitored — ultrasound tracking of follicle development from early in cycle. Where ovulation induction is used (clomiphene, letrozole, or gonadotropins), response is monitored — medication dose adjusted to produce right number of follicles without overstimulation (multiple follicles = multiple pregnancy risk).

The monitoring determines timing — follicle size and the LH surge or trigger shot (hCG) set insemination window precisely.

Step 3 — the Insemination

On insemination day: semen sample is collected and washed — motile sperm concentrated and seminal fluid removed (unwashed semen cannot be placed in uterus — prostaglandins cause severe cramping) — producing processed sample for insemination.

The insemination itself is a brief procedure — washed sample placed into uterus by a thin catheter — usually without anaesthesia, done in minutes, with brief rest after.

Step 4 — the Two-Week Wait & the Escalation

After insemination: luteal phase (sometimes supported with progesterone), the ~2-week wait, and pregnancy test — a negative means cycle did not work; next-cycle decision follows.

The honest escalation is part of plan: ~15–20% per cycle means most couples need multiple attempts — cumulative over ~3–4 cycles before benefit drops off — and where IUI has not produced a pregnancy after ~3–4 attempts, the IVF escalation is discussed honestly rather than repeating indefinitely.

IUI Treatment Process in Kathmandu

IUI Process & Costs

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