Is It Safe To Have Sex After IUI?

Going through intrauterine insemination (IUI) is a process filled with hope, questions, and sometimes anxiety. Among the most common concerns is whether it's safe to have sex after the procedure. Intimacy is a natural part of life and relationships, but after IUI, many people worry that resuming sexual activity might hinder their chances of conceiving.

What is intrauterine insemination (IUI)?

IUI is an assisted reproductive technology (ART) where a doctor injects specially prepared sperm directly into a woman's womb during ovulation.

The goal of the IUI is to increase the number of motile sperm reaching the fallopian tubes, thereby improving their chances of fertilisation.

Is it safe to have sex after IUI?

Yes, it is generally safe to have sex after IUI, and many fertility specialists may actually recommend it under certain conditions.

Sexual relations after IUI may increase the chance of conception by adding naturally introduced sperm to those already placed in the uterus. However, the timing, the patient's condition, and the doctor's advice can influence whether post-IUI sexual activity is advisable. 

The role of intercourse in IUI

Sexual intercourse supports the IUI process in the following ways:

• It adds more sperm to the reproductive tract, increasing the likelihood of fertilisation.

• It facilitates uterine contractions (especially during orgasm), which may help sperm move toward the fallopian tubes.

• It stimulates the production of natural cervical fluid (in non-medicated cycles), which is the most suitable environment for sperm survival and transport.

• When sperm from sexual intercourse is combined with IUI timing, especially if done within 24–48 hours of ovulation, it can increase the likelihood that at least one healthy sperm reaches the egg and fertilises it.

What are the benefits of intercourse after the IUI procedure?

There are certain potential advantages of intercourse following an IUI treatment:

• Improved pregnancy rates:

  • According to some studies, sex during ovulation can increase the chances of conception. This is particularly true when couples are having unexplained infertility.

• Increased volume of sperm:

  • Sexual intercourse involves the production of natural sperm, which increases the number of sperm that can reach the egg.

• Improves pelvic blood flow:

  • Sex promotes better circulation in the pelvic region, which supports reproductive health and can help sperm to move around.

• Natural stimulation of the uterus:

  • Orgasm may cause uterine stimulation, assisting in sperm movement towards the egg.

• Reduced stress and enhanced emotional intimacy:

  • Spending time together as a couple during the infertility process can reduce anxiety and enhance emotional intimacy.

For more personalised information about whether intimacy is right for you after the IUI procedure and to discuss your individual circumstances, consider consulting a fertility specialist. You can contact Thomson Medical to arrange a consultation and receive expert guidance tailored to your fertility needs and treatment options.

When might you be advised to avoid sex after IUI?

Generally, intercourse is considered safe after IUI. However, in some cases, your fertility specialist may suggest temporarily avoiding intercourse to avoid discomfort or complications.

• If there was trauma to the cervix during the IUI, it could lead to cramping or spotting.

• Ovarian hyperstimulation syndrome (OHSS) can occur if the ovaries become enlarged due to fertility medications.

• The situation in which several follicles have been stimulated results in a high risk of multiple pregnancies, such as twins or more.

• The woman experiences pelvic pain or discomfort following IUI.

• In rare cases, there may be risks of infections or uterine abnormalities. 

Risks and complications of sex after IUI

Although it is rare, there are a few possible risks or discomforts associated with sex after IUI:

• If you have pain or cramping in your pelvis, especially if your ovaries are swollen due to medication, this could be a sign of ovary enlargement.

• There may be some light spotting after IUI, which can be made worse by intercourse.

• If you feel stressed or uncomfortable about having sex at certain times during your treatment, this can be a sign of emotional strain.

• The risk of infection is very low, but there is a small chance if the IUI procedure was difficult or if there is pre-existing inflammation.

• Ovarian torsion (very rare) can happen if the ovaries are very swollen and are moved a lot during exercise.

FAQ

Is intercourse after IUI recommended?

In most cases, yes. Many fertility specialists encourage having sex within 24 to 48 hours after the IUI procedure. This timing aligns with ovulation and may improve your chances of conception by adding natural sperm to those placed during IUI.

Does sex after IUI increase chances?

Yes, intercourse after the IUI increases the chances of fertilisation, especially in cases like unexplained infertility, mild male factor infertility, or natural IUI cycles. Intercourse can complement inseminated sperm and support natural fertilisation. Additionally, uterine contractions during orgasm may help sperm move toward the fallopian tubes, modestly boosting success rates for some couples.

How long does it take to abstain from sex after IUI?

Is it normal to feel cramping or discomfort during sex after IUI?

What if I don’t feel comfortable resuming sex after IUI?

Should I avoid sex on the day of the “trigger shot”?

Many doctors recommend avoiding intercourse on the day you receive the hCG trigger shot and possibly the day after to allow sperm count to replenish for the artificial insemination procedure.

The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations based on your medical conditions, request an appointment with Thomson Medical.