If a woman does not become pregnant after treatment with medical and surgical techniques, she may choose to undergo more complex procedures, called ART, after consulting with her health care provider.
These include:
Intrauterine Insemination (IUI)
In Vitro Fertilization
Third Party Assisted ART
Sperm Donation
Egg Donation
Surrogates and Gestational Carriers
The Centers for Disease Control and Prevention compiles annual reports on the success rates of ART. These reports can be accessed at http://www.cdc.gov/art/ARTReports.htm.
Intrauterine Insemination (IUI)
Intrauterine insemination (pronounced IN-truh-YOO-ter-in in-sem-uh-NEY-shuhn) (IUI) is the placement of a man's sperm into a woman's uterus using a long, narrow tube.1
More information on IUI includes the following1:
IUI is most effective for treating: women who have scarring or defects of the cervix men who have low sperm counts men who have sperm with low mobility men who cannot get erections men who have retrograde ejaculation, a condition in which sperm are ejaculated into the bladder instead of out of the penis
IUI can be used in combination with medications that stimulate ovulation; this combination can increase the chance of pregnancy in some cases.
The success of IUI depends on the cause of the couple's infertility. If inseminations are performed monthly with fresh or frozen sperm, success rates can be as high as 20% per cycle depending on whether fertility medications are used, the age of the female partner, and the infertility diagnosis, as well as on other factors that could affect the success of the cycle.
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In Vitro Fertilization
During in vitro fertilization (IVF), eggs and sperm are taken from the couple and are incubated together in a dish in a laboratory to produce an embryo. A health care provider places the embryo into the woman's uterus, where it may implant and result in a successful pregnancy.
The steps of IVF are2: