When couples face difficulties in conceiving, modern fertility treatments offer hope and possibilities. Two of the most widely known assisted reproductive techniques are IUI and IVF. While both are designed to help overcome infertility, they differ significantly in procedures, costs, success rates, and applicability.
This comprehensive guide will explore everything you need to know about IUI and IVF, helping you understand which treatment might be the right fit for you.
What Is IUI?
IUI (Intrauterine Insemination) is a less invasive and more affordable fertility treatment. It involves placing specially washed and prepared sperm directly into the uterus during ovulation, increasing the chances of fertilization.
How Does IUI Work?
The basic process of IUI includes:
- Ovulation Monitoring: The woman’s ovulation cycle is monitored through ultrasounds and hormone tests.
- Sperm Collection and Preparation: A sperm sample is collected from the partner or a donor and is “washed” to select the most motile sperm.
- Insemination: The prepared sperm is inserted directly into the uterus using a thin catheter.
This procedure is relatively quick, painless, and can be done in a clinic without anaesthesia.
What Is IVF?
IVF (In Vitro Fertilisation) is a more complex and technologically advanced fertility treatment. In IVF, the egg is fertilized by sperm outside the body in a laboratory, and the resulting embryo is then transferred to the uterus.
How Does IVF Work?
The IVF process typically follows these steps:
- Ovarian Stimulation: Hormonal injections stimulate the ovaries to produce multiple eggs.
- Egg Retrieval: Eggs are collected from the ovaries using a minor surgical procedure.
- Fertilization in the Lab: Sperm is combined with the eggs in a lab dish to allow fertilization.
- Embryo Culture: The fertilized eggs (embryos) are monitored for a few days.
- Embryo Transfer: One or more healthy embryos are implanted into the uterus.
IVF is usually suggested when other treatments like IUI haven’t worked or when there are specific health issues that make it necessary.
Key Differences Between IUI and IVF
Procedure Location:
- IUI: Fertilization occurs inside the uterus.
- IVF: Fertilisation takes place outside the body in a lab.
Complexity:
- IUI: A simple, non-invasive procedure.
- IVF: A complex process that involves surgical steps like egg retrieval.
Cost:
- IUI: More affordable and cost-effective.
- IVF: Relatively expensive due to medications, lab work, and procedures.
Success Rate:
- IUI: Around 10–20% per cycle, depending on age and fertility factors.
- IVF: Higher success rate, approximately 40–60%, especially in women under 35.
Time Involved:
- IUI: A quick procedure, usually completed in 15–30 minutes.
- IVF: Takes several weeks due to hormonal stimulation, egg retrieval, and embryo culture.
Number of Eggs Required:
- IUI: Typically needs just one or two mature eggs.
- IVF: Requires multiple eggs to increase the chances of successful fertilization.
Best For:
- IUI: Suitable for cases of mild male infertility, cervical mucus issues, or unexplained infertility.
- IVF: Recommended for severe infertility, blocked fallopian tubes, endometriosis, or older age-related fertility decline
Success Rates of IUI and IVF
IUI Success Rates
Success with IUI depends on several factors like age, fertility issues, and timing. On average:
- Women under 35: 10–20% per cycle
- Women over 35: 5–10% per cycle
Multiple IUI cycles may be required to achieve pregnancy.
IVF Success Rates
IVF generally offers higher success rates:
- Women under 35: up to 50–60% per cycle
- Women 35–40: 35–45% per cycle
- Over 40: 20–30% per cycle
IVF is often considered the best option when time is limited or when other treatments have failed.
When to Choose IUI Over IVF
IUI may be a suitable first step if:
- The woman has open fallopian tubes
- There is mild male-factor infertility.
- There is unexplained infertility.
- The couple is younger and prefers a low-intervention method.
Since IUI is more cost-effective and less invasive, many couples try it before moving on to IVF.
When IVF Is the Better Option
You might be advised to opt for IVF if:
- Fallopian tubes are blocked or damaged
- There is severe male-factor infertility.
- You are over the age of 35, and time is critical.
- Previous IUI cycles have failed.
- You require genetic testing of embryos.
IVF gives more control over fertilization and embryo quality, increasing the chance of a healthy pregnancy.
Risks and Considerations
Risks of IUI
- Mild cramping or spotting
- Risk of multiple pregnancies if ovulation is stimulated
- Infection (sporadic)
Risks of IVF
- Ovarian hyperstimulation syndrome (OHSS)
- Risk of multiple births if multiple embryos are transferred
- Emotional and physical stress
- Higher financial cost
Discussing all potential risks with a fertility specialist is crucial to make an informed decision.
Cost Comparison of IUI and IVF in India
- IUI: ₹8,000 to ₹15,000 per cycle
- IVF: ₹1.2 to ₹2.5 lakhs per cycle (can be more with advanced procedures like ICSI or PGD)
While IUI and IVF have different price points, the long-term investment in IVF often yields better outcomes for couples with more complex fertility challenges.
Lifestyle Tips to Improve Fertility
Regardless of whether you’re choosing IUI or IVF, a healthy lifestyle plays a crucial role in fertility success. Here are some tips:
- Maintain a healthy weight.
- Avoid smoking and excessive alcohol.
- Reduce stress through yoga or meditation.
- Take fertility-friendly supplements
- Follow a balanced diet rich in antioxidants
Final Thoughts: Choosing Between IUI and IVF
Choosing between IUI and IVF is a deeply personal decision that depends on your medical history, fertility diagnosis, age and emotional and financial readiness. Both methods offer promising paths to parenthood and can be life-changing under expert care.
Consult The Boon IVF – Your Trusted Fertility Partner
At The Boon IVF, we understand how important the journey to parenthood is. Our fertility specialists are highly experienced in both IUI and IVF treatments and provide personalized guidance tailored to your unique needs.
Whether you’re just beginning your fertility journey or considering advanced options like IVF, our team is here to support you every step of the way. We provide the latest technology, clear pricing and care that truly understands and supports you.
Book Your Appointment Today
Take the first step toward your dream of parenthood. Click here to book your consultation with our fertility specialists at The Boon IVF and begin your journey with confidence.
