IUI vs. IVF: Which One Do You Actually Need?

"Do I need IVF?" This is the big scary question. Many patients assume fertility treatment equals expensive, invasive IVF immediately. But that’s rarely the case.

IUI: Giving Nature a Nudge

I describe IUI (Intrauterine Insemination) as "shortening the journey" for the sperm. A sperm sample is prepared in a lab and placed inside the uterus around the time of ovulation.

• Is it painful? No, it feels like a pap smear.
• Cost: Much lower than IVF.
• Who is it for? I may discuss IUI if your tubes are open and the sperm test results are suitable.

When I May Discuss IVF

With IVF (In Vitro Fertilization), eggs are collected and fertilized in a lab, and an embryo is transferred into the uterus. I will explain these steps and discuss whether IVF is suitable for you.

• Outcomes: IVF success varies with age, diagnosis, egg and sperm factors, embryo development, and the treating center.
• Who may be assessed for it? People with blocked tubes, significant sperm-factor concerns, or unsuccessful previous treatment may be advised to discuss IVF.

My Approach

I am conservative. I won't push you to IVF if I think IUI has a good shot. But I will also be honest—if IUI is wasting your time and money, I will tell you to move on. It's about finding the fastest, safest path to your baby.