Does IUI Require Anaesthesia? Here’s What You Need to Know

A fertility journey can be filled with anticipation and plenty of questions, especially when it comes to the treatments involved.

If you are considering intrauterine insemination (IUI), you might be wondering what it actually feels like and have questions like, "Is it painful? Do you need anaesthesia? Or is it more like a routine visit to the gynaecologist?"

This article will break down what to expect during an IUI and how discomfort is managed.

What to expect during IUI procedure

Intrauterine insemination (IUI) is quite a straightforward fertility treatment that involves careful preparation in determining the ovulation time, preparing the sperm sample, and the insemination itself.

Ovulation

Your healthcare provider will determine when you're ovulating either by blood tests or transvaginal ultrasounds. Ovulation usually occurs around 10 to 16 days after the first day of your menstrual cycle.

The timing of ovulation is critical to ensuring sperm is injected at the right time.

To support ovulation and ensure that one or more eggs are released, your doctor may give you human chorionic gonadotropin (hCG) injections or other fertility medications, such as Clomid.

Insemination (inserting the sperm into your uterus) usually occurs within 24 to 36 hours after the luteinizing hormone (LH) is detected (either in your blood or urine) or after the hCG injection.

Semen sample preparation

Your partner will need to provide a fresh sperm sample on the day of the IUI procedure. However, in certain situations, your partner may be able to provide the sample in advance, which your doctor will preserve in a frozen state until it is needed.

Once the sperm sample has been collected, it is prepared for insemination by a process called "sperm washing", which extracts a concentrated amount of healthy sperm.

Insemination

During the insemination procedure, your doctor will ask you to lie down on the exam table. Then they’ll insert a speculum into your vagina, similar to what happens during a Pap smear test.

Next, a catheter is inserted through your cervix into your uterus. Finally, your healthcare provider injects the washed sperm sample into your uterus.

Once the sperm has been injected, you will be asked to lie down for 10–30 minutes. Your doctor may also prescribe progesterone after the procedure to help maintain the lining of your uterus, which can improve the chances of implantation.

To find out if the IUI procedure has been successful, you can take a pregnancy test approximately two weeks afterwards.

Does IUI require anaesthesia?

During the IUI procedure, you’ll usually be awake and do not require any anaesthesia. Most women will report feeling some mild discomfort similar to what one might experience during a Pap smear.

The insertion of the speculum, which opens the cervix, is usually the most uncomfortable part of the procedure. The actual insemination of sperm usually causes minimal to no pain.

Is IUI painful?

The IUI procedure shouldn't be painful. However, you may experience some cramping or a pinching sensation when the catheter is inserted or have mild cramping and discomfort during and right after insemination.

You may feel some anxiety over the procedure, and it can sometimes heighten your sensitivity to pain, but most describe IUI as uncomfortable rather than painful.

Experiencing severe pain during the IUI process is uncommon.

How does the discomfort of IUI compare to that of a Pap smear or menstrual cramps?

• Pap Smear: Many women expressed that the discomfort felt during the IUI procedure is similar to that of a Pap smear.

• Period Cramps: Some women report mild cramping during or after their IUI procedure, similar to light menstrual cramps, for a short time after the procedure.

However, it is important to note that everyone's experience is different. So, you may have a different experience from this, but experiencing severe pain is rare.

If you’re experiencing any severe pain, please consult a fertility specialist. Our fertility specialists can help by providing a consultation to discuss your treatment options and offer personalised care tailored to your needs. Request an appointment with Thomson Medical.

How to manage discomfort after IUI

Any discomfort after IUI is usually mild and fades quickly. However, there are simple ways to ease any lingering cramping or soreness.

Some pain relief options include:

• Over-the-counter pain relief medications:

  • Paracetamol or ibuprofen can be taken if needed.

  • Please remember to consult with your fertility specialist to ensure that they are safe to consume depending on your situation.

• Gentle heat:

  • A warm water bottle over your abdomen can help relax muscles.

• Rest:

  • Give your body the time it needs to recuperate.

  • Avoid strenuous activities or heavy lifting for at least 24 hours after the procedure.

• Hydration:

  • Drinking plenty of water can help flush out any residual discomfort and ensure your body remains well-hydrated during this crucial time.

If you are unsure how to mitigate the discomfort after IUI, you can consult your fertility specialist directly. It's crucial to follow any specific aftercare instructions provided by your doctor to ensure optimal recovery and increase the chances of success.

When to seek medical help

If you're taking fertility medications for IUI, you should contact your fertility specialist if any of the following happens:

• Severe or persistent pelvic or abdominal pain

• Heavy vaginal bleeding

• Fever or signs of infection

• Nausea and vomiting

• Shortness of breath

• Sudden weight gain

• Dizziness or lightheadedness

How to support conception after IUI

Several factors can determine the success of IUI. These factors include:

• Age

• If you use fertility drugs

• Health conditions

• Your cause of infertility

However, you can still boost your chances of a successful pregnancy after the procedure if you follow some simple “do's and dont's” after your procedure.

What to do

To increase your chances of a successful pregnancy, remember to:

• Follow your doctor's instruction

• Maintain a healthy diet

• Get at least 7 hours of quality sleep

• Drink plenty of water to stay hydrated

• Stay relax and manage your stress to keep it minimal

• Get some light exercise, such as walking or yoga

What not to do

• Avoid doing any strenuous exercise

• Abstain from substances such as alcohol and tobacco

• Don’t use hot tubs or saunas to avoid overheating

• Skip vaginal douching or inserting anything into the vagina unless prescribed.

FAQ

Is IUI a painful procedure?

Most people find IUI only mildly uncomfortable, comparable to a smear test.

What are the requirements for IUI?

A clear diagnosis of infertility, at least one open fallopian tube, and healthy sperm are usually needed. Your doctor will review your individual situation.

How many days of rest are required after IUI?

No prolonged bed rest is required. Many return to normal activities the same day. Light rest for an hour or so is common.

Does IUI feel like a Pap smear?

Yes, the sensation is very similar to a cervical smear, with possible mild cramping.

Can IUI be successful on the first try?

It’s possible but varies based on age, fertility history, and other factors. Your fertility specialist can provide personalised statistics for your situation.

How to sleep after IUI?

There’s no special position needed. Sleep however you feel comfortable.

The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice based on your unique situations, please consult a specialist at Thomson Medical. Request an appointment with Thomson Medical today.