Monitoring in an IUI Cycle
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Monitoring in an IUI Cycle
Ultrasound: can tell us not only about the ovarian reserve but also helps to adequately monitor the process of follicular and endometrial development and timely administration of human chorionic hormone (HCG).
Monitoring LH, E2, and progesterone during ovulation induction can determine follicular growth and competency, predict poor and hyper-response, and diagnose premature LH surge, premature luteinization. However, these tests are not recommended routinely.
Who requires Monitoring in an IUI Cycle?
Monitoring in an IUI cycle is used for couples undergoing IUI or ovulation induction. It helps time insemination and optimize the chance of conception.
How Does Monitoring in an IUI Cycle Work?
Ultrasound monitoring tracks follicular and endometrial development and guides timely administration of human chorionic hormone (HCG). Monitoring LH, E2, and progesterone during ovulation induction can determine follicular growth and competency, predict poor and hyper-response, and diagnose premature LH surge.
Monitoring in an IUI Cycle Procedure
Key aspects of monitoring in an IUI cycle:
Baseline and follicular tracking
Ultrasound assesses ovarian reserve and monitors follicular and endometrial development.
Follicle development assessment
A follicle >10 mm in diameter typically grows at 2–3 mm per day. A mature follicle with a mature oocyte usually measures 18–24 mm, when trigger timing is decided.
Endometrium assessment
Endometrial texture and thickness are evaluated; triple-line multilayer appearance at ovulation is optimal.
Trigger and timing
HCG or other trigger is given when follicles and lining are optimal. IUI or timed intercourse is scheduled accordingly.
Benefits of Monitoring in an IUI Cycle
Improves timing of IUI or intercourse
Reduces cycle cancellation
Personalized protocol
Safe and standard practice
Monitoring in an IUI Cycle Success Rate
Optimal stimulation in the IUI cycle typically aims for fewer than 4 follicles of size 18–19 mm, endometrial thickness around 8–10 mm, and trilaminar pattern. Cycle cancellation may be considered if more than six follicles or E2 levels exceed 1500 pg/ml.
Risks and Possible Complications
Monitoring itself is low risk. Possible considerations:
Recovery After Monitoring in an IUI Cycle
No specific recovery is needed after monitoring visits. You can continue normal activities between scans.
Cost of Monitoring in an IUI Cycle
Cost depends on the number of scans and hormone tests. Our team will provide a clear breakdown during your consultation.