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Fertility & IVF

IUI or IVF: how the choice is made

A patient discussing healthcare with a clinician
Illustrative image

IUI and IVF are different treatments, not consecutive steps that everyone must follow. The useful question is which approach fits the cause of difficulty conceiving, the time available and the expected benefit for the individual couple.

How they differ

IUI places prepared sperm into the uterus and relies on fertilisation happening within the body. IVF involves collecting eggs, fertilising them in a laboratory and transferring an embryo. This difference affects which conditions each treatment can address, how much monitoring is needed and the procedures involved.

Factors that change the discussion

The clinician may consider age, ovulation, tubal assessment, semen findings, previous treatment and how long pregnancy has been attempted. A recommendation should explain those factors. A simpler procedure is not always the most suitable option, and a more complex procedure is not automatically necessary.

Compare the whole course of care

Ask about the likely number of visits, injections, procedures, time off work and costs that are excluded from the headline price. Discuss the chance of needing to change approach. Consider the emotional load as well as the clinical steps. Ask for success figures relevant to your circumstances and for an explanation of whether they refer to pregnancy or live birth.

Decide what would trigger a review

Agree in advance when to reassess: after a particular response, a test result or a number of unsuccessful cycles. Bring a written list of the reasons given for each option. This makes a second opinion easier to interpret if you want one. The right consultation should help you understand the trade-offs and uncertainty, rather than pressure you into a package before your assessment is complete.

Sources & further reading

International resources provide background information. Your clinician can explain the approach, screening schedule and requirements relevant to you in India.

General information cannot diagnose a condition or replace personal medical advice. For severe or rapidly worsening symptoms, seek urgent medical care.

The archive date organises this collection. This guide was first published on 29 October 2026.

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