Step-by-Step
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Intrauterine insemination (IUI) is a fertility treatment that places prepared sperm directly into the uterus at the right time in your cycle—so sperm is closer to the egg when ovulation occurs. At Hanabusa, IUI is never “one-size-fits-all.” We focus on precise timing, thoughtful medication use when appropriate, and clear next steps—so you feel supported and confident throughout your care.
We personalize your cycle strategy to reduce guesswork and protect your next step if IUI isn’t the right long-term solution.
Ovulation tracking + trigger planning (when appropriate) to optimize insemination timing
You’re early in your fertility journey and want a lower-intervention option
You have ovulation challenges (or irregular timing) that can be supported
You’re using donor sperm (single parent by choice or LGBTQ+ family building)
You have mild male factor or cervical factor concerns (case dependent)
You want a guided step before IVF (based on your evaluation)
You have significant tubal blockage or severe endometriosis (case dependent)
Your ovarian reserve is very low and timing is critical (we’ll advise clearly)
You’ve had multiple unsuccessful IUIs and need a new strategy
Your evaluation suggests IVF would be more effective based on age/diagnosis
Natural vs. medicated cycle
Monitoring frequency (ultrasounds + labs)
Trigger shot usage
Sperm source (partner vs. donor) + sperm processing needs
Number of cycles planned
Often included: IUI procedure, sperm wash/processing
Often separate: medications, labs, ultrasounds, donor sperm costs, additional testing
IUI success rates vary widely. The most important factor is matching the right treatment to the right patient at the right time.
Age
Ovarian reserve and ovulation quality
Diagnosis (unexplained, ovulatory dysfunction, mild male factor, etc.)
Tubal patency (open tubes)
Sperm parameters and preparation
Number of follicles (when medicated) and safety limits
Cycle starts with baseline check (if needed)
Monitoring visits occur around mid-cycle
IUI is a quick, in-office procedure (typically minutes)
Pregnancy test timing is usually ~2 weeks after ovulation/IUI (clinic-specific)
We handle: monitoring plan, timing guidance, lab prep, procedure, next-step recommendations
You do: medications (if prescribed), attend monitoring visits, follow timing instructions, communicate symptoms/questions
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You’re a fit for Traditional Fertility Care if any of these statements resonate with you:
You’re just getting started
You want clear first steps
You’ve explored clinics, but still feel at the beginning
You need fertility testing
Your labs look reassuring
Your situation feels straightforward
You have fewer complicating factors
You’re considering IUI
You’re new to IVF
You’re planning an FET
You’re considering PGT
If anything, complex becomes evident, we smoothly upgrade your pathway.
You’re a fit for Complex Care if any of these statements resonate with you:
Low AMH/AFC or DOR concerns
You have Diminished Ovarian Reserve (DOR)
You have POI or high FSH concerns
You’re considering Ovarian Rejuvenation (PRP)
Age 40+ or time feels limited
Prior IVF didn’t respond as hoped
Low egg numbers / embryo growth issues
Unsuccessful embryo transfers
Recurrent pregnancy loss (2+ losses)
Male factor needs ICSI or TESE
You’ve been told your case is complex
If your case is complex from the start, we build the right strategy from day one.
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