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Uterine Fibroids Treatment Ahmedabad
Uterine Fibroids Treatment in Ahmedabad
Uterine Fibroids Treatment in Ahmedabad | Myomectomy | Wellspring IVF
Not all fibroids need surgery. Dr. Pranay Shah explains how fibroid location — not size — determines fertility impact. Expert laparoscopic myomectomy & fibroid management in Ahmedabad. Book a consultation.
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The Simple First Step
Why IUI Is Often the Right Place to Start
If you have been trying to conceive for some time and your doctor has suggested fertility treatment, IUI — Intrauterine Insemination — is very often the recommended first step. And for good reason. It is simple, it is gentle, it is effective for the right patients, and it gives your body the best possible assisted chance to achieve what it is designed to do naturally.
IUI works by placing a carefully prepared, highly concentrated sample of the partner’s (or donor’s) sperm directly inside the uterus — right at the time of ovulation — using a soft, thin catheter. No surgery. No anaesthesia. No needles inside the body. The sperm is placed in the optimal location at the optimal moment, giving it a significant head start on the natural journey to fertilisation — which still occurs naturally inside the fallopian tube.
At Wellspring IVF & Women’s Hospital, IUI is performed under the direct supervision of Dr. Pranay Shah with precise ovulation monitoring via serial transvaginal ultrasound scans and timed HCG trigger injection. The difference between a well-monitored IUI and a poorly timed one is significant. Precision is everything.
5–10 Min
Procedure Duration
₹10,000
IUI Procedure Charge
10–20%
Success Rate per Cycle
3–4
Recommended Cycles
15+ Yrs
Dr. Shah's Experience
What is IUI?
IUI places a prepared sperm sample directly into the uterus at ovulation time. No surgery, no anaesthesia — fertilisation happens naturally.
Complete Cycle Guide
How IUI Works - The Complete Step-by-Step Cycle
Many patients are surprised by how straightforward an IUI cycle is. There is no egg retrieval. No embryo culture. No laboratory fertilisation. The entire cycle follows your natural menstrual calendar, gently guided by monitoring and mild medication.
Day 1–2
BASELINE
Consultation & Baseline Scan
Your IUI cycle begins on Day 1 of your menstrual period. A baseline transvaginal ultrasound is performed to assess uterine lining thickness, resting antral follicles in both ovaries, and to confirm no residual cysts from the previous cycle.
Day 2–3
STIMULATION
Mild Ovarian Stimulation
Mild stimulation medications encourage the growth of 1–3 dominant follicles. Options include oral Clomiphene Citrate or Letrozole (tablet form), or low-dose injectable Gonadotrophins. The goal is controlled development of 1–2 dominant follicles.
Day 8–12
MONITORING
Serial Ultrasound Monitoring
Follicle growth is tracked via 2–3 transvaginal ultrasound scans. When the lead follicle reaches 18–22 mm in diameter — the mature, ovulation-ready size — the trigger injection is given. Precise follicle monitoring is what separates a well-timed IUI from a poorly timed one.
Day 12–14
TRIGGER
HCG Trigger Injection
When follicle maturity is confirmed, a single HCG trigger injection is administered. This injection precisely triggers the final maturation of the egg and initiates ovulation approximately 36–40 hours later. The IUI procedure is then scheduled 36–38 hours after the trigger.
Day 14–16
SPERM WASH
Sperm Preparation
On the morning of the IUI procedure, the semen sample undergoes the sperm washing process. The wash typically takes 60–90 minutes. The result: a small volume of highly concentrated, highly motile, sterile sperm in culture medium — ready for direct uterine placement.
Day 14–16
IUI
The IUI Procedure
A thin, flexible catheter is gently passed through the cervix — no dilation required in most cases. The washed sperm sample is slowly injected into the uterine cavity. Mild cramping may be felt briefly. You rest for 10–15 minutes post-procedure. No bed rest. No anaesthesia.
Day 14–28
LUTEAL
Progesterone Support
Vaginal progesterone pessaries are prescribed after IUI to support the uterine lining and create a receptive environment for implantation. These are continued for 14 days. The two-week wait can be emotionally challenging — Dr. Shah’s team is available by WhatsApp.
Day 28+
RESULT
Pregnancy Blood Test
A positive result is confirmed by a rising hCG level and then a confirmatory ultrasound at 6–7 weeks to see the fetal heartbeat. A negative result triggers a dedicated consultation with Dr. Shah — to review the cycle data and plan the next step.
Fresh vs. Frozen Embryo Transfer: Which Has Higher Success?
Fresh vs. Frozen Embryo Transfer: Which Has Higher Success?
Fresh vs. Frozen Embryo Transfer: Which Has Higher Success?
Fresh vs. Frozen Embryo Transfer: Which Has Higher Success?
Advanced Fertility Treatment
The Sperm Wash — Why You Cannot Simply Try This at Home
This is one of the most common questions we receive: 'If the sperm just needs to reach the uterus, why can't we do this at home?' The answer lies in the sperm wash — and why placing unwashed semen directly inside the uterus is not only ineffective, it is medically dangerous.
What Raw Semen Actually Contains
A raw semen sample is not simply 'sperm in fluid.' It is a complex biological mixture containing sperm cells of vastly varying quality and viability, seminal plasma, dead and dying sperm, white blood cells, bacteria, prostaglandins (hormone-like compounds that cause severe uterine cramping), and cellular debris. If this raw mixture were placed directly into the uterus, the prostaglandins alone would cause severe, dangerous uterine cramping and potentially anaphylactic-type reactions. It is not a safe procedure without processing.
What the Sperm Wash Achieves
The sperm washing process — performed in our embryology laboratory — takes 60–90 minutes and uses density gradient centrifugation and swim-up technique to produce a precisely prepared sample of the highest-quality, most motile sperm, concentrated into a tiny sterile volume that is safe for direct uterine placement.
- IUI Recommended: Post-wash TMC ≥ 5 million progressively motile sperm
- IUI Possible but Guarded: Post-wash TMC 2–5 million — discuss realistic expectations with Dr. Shah
- IVF / ICSI Recommended: Post-wash TMC < 2 million — IUI success rate too low to justify
Clinical Indications
Who Is IUI For?
IUI is effective for a specific group of patients — those where the barriers to natural conception are relatively small and addressable by bringing a better sperm sample closer to the egg at the right time.
When investigations have found no specific cause for difficulty conceiving — normal semen analysis, open tubes, regular ovulation, adequate ovarian reserve — IUI with mild stimulation is the logical, minimally invasive first-line treatment.
When the semen analysis shows borderline parameters — mild oligospermia (low count), mild asthenospermia (reduced motility), or mildly reduced morphology — but the post-wash TMC is above 5 million, IUI significantly improves the number of high-quality sperm reaching the fallopian tube.
Women with PCOD/PCOS who do not ovulate regularly — or who do not ovulate at all — benefit significantly from IUI cycles with mild stimulation and a timed HCG trigger. The combination of inducing ovulation precisely and placing optimised sperm at the right moment addresses both disorders simultaneously.
IUI with anonymous or known donor sperm is a straightforward, minimally invasive path to conception for single women and female same-sex couples. At Wellspring IVF, donor IUI is performed in full compliance with the ART (Regulation) Act 2021.
When the cervical mucus is hostile to sperm — due to infection, previous cervical procedures, or antibodies — IUI bypasses the cervical barrier entirely by placing sperm directly inside the uterine cavity. Cervical factor is a direct and logical indication for IUI.
When physical, psychological, or medical factors prevent natural intercourse — including vaginismus, psychogenic erectile dysfunction, or retrograde ejaculation — IUI using a processed sperm sample provides a medically supported pathway to conception.
What Our Patients Say
Real stories from real families who trusted us with their fertility journey
After 5 years of marriage and visiting many places, when we came here, we decided on the right guidance here that we will get the ivf procedure done from here, today we have 10 days of treatment. Due to the convenience, arrangement and facility o...
My experience with wellspring hospital is very good .their staff is very supportive. Dr. Pranay is very good and professional.100% transparency at every stage. No last minute surprises.Once again thank you so much to the all team. Highlly recomme...
Wellspring IVF & women hospital is one of the best IVF center in India where me like other infertile Indian and foreigner couples fulfill their dreams of having a healthy baby.Dr Pranay Shah has deep knowledge and skill in his work with positive ...
Such a nice experience at well spring. And we get A childhope from this well spring hospital. Thanks a lot all members of hospital and specially to Dr. Pranay Shah sir
This is one of the best ivf clinic in Ahemdabad, Dr.Pranay shah and his team are highly professional and knowledgeable, and his staff members are too good and supportive. Dr. Pranay shah is result oriented and confident, and gives right instructi...
We were facing some difficulties related pregnancy and we got reference of Wellspring Hospital. We thank God that we found such a talented and knowledgeable Dr. Pranay Sir. The most thing we like about him is the way of treatment he follows. I str...
I've been blessed with two daughters by the treatment given by Dr. Pranay Shah the services given to me were comforting and caring.
This is one of the best hospital in ivf treatment with highest possibility of success, best supportive doctor and staff, thanks and recommended all to visit once
No words are enough to express my gratitude . Thank you for making our dream comes true. You are extraordinary doctor as well as extraordinary human being also.Again thank you so much Dr.Pranay Shah and your team. Best ever doctor I have meet in ...
Great experience with great doctor and very supportive after care facilities. Dr. Shah was not only helpful with numerous questions that we asked for around 6 months before we started the treatment but is also helping us now. He has been very help...
We were looking for a good fertility center we came across some good reviews of Wellspring Spring Ivf Hospital. We decided and visited the hospital and with in no time the process was completed and in first attempt only the result was positive?. ...
It has been one of the best choices that I could have made. Since researching Wellspring on Google till now the end of complete IVF cycle it has been a wonderful experience. I could have gone to biggies referential IVF Centres but I am sure experi...
We had been very desperate to have a child. Visited many IVF centers in India for treatment. But did not get any positive result. Visited the Best IVF Center in Ahmedabad Wellspring IVF and Women's hospital after seeing good reviews. Happy to sa...
Wellspring IVF & Women's Hospital is best IVF Center in Ahmedabad. Best thing, we got positive result in Fist IVF Cycle. Second best thing, Doctor has told us exact amount of Cost of each IVF Cycle before start of treatment so there would be no en...
Me and my husband are very glad we chose to come here for treatment. I would highly recommend Dr. Shah and his team at the Wellspring IVF and Women's hospital to anyone wanting to reach their dream of becoming parents. His medical knowledge and p...
No words are enough to express my gratitude . Thank you for making our dream comes true. You are extraordinary doctor as well as extraordinary human being also.Again thank you so much Dr.Pranay Shah and your team.
Excellent IVF Center. Friendly nature all staff & Doctor. Excellent Treatment for the Doctor. Thanks Wellspring IVF Fullfil our Dreams.
What to say about dr pranay sir Very good human being along with very good doctor Always showers positivity on us Solves every small small queries with open heart and big smile Approachable 24*7 I will suggest everyone to consult at least once if ...
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When IUI Is NOT Appropriate - Be Honest About Limitations
IUI has clear contraindications — situations where it is unlikely to succeed and where proceeding with it would delay more appropriate treatment. Dr. Pranay Shah will always advise when IUI is not the right path and why.
| Condition | Why IUI Is Not Indicated — and What Is Recommended Instead |
|---|---|
| Bilateral blocked fallopian tubes | Sperm cannot reach the egg even if placed in the uterus — IVF is required |
| Severe male factor (post-wash TMC < 2M) | Too few sperm for IUI to reliably succeed — ICSI is the appropriate treatment |
| Severe diminished ovarian reserve / very low AMH | IVF with controlled stimulation is more appropriate to maximise the chance from limited egg supply |
| Age > 38 + history of failed IUI cycles | IVF should be prioritised — time is a critical factor, and IUI delays the more effective option |
| Hydrosalpinx (fluid-filled blocked tube) | The fluid can impair implantation — laparoscopic treatment before IUI or direct IVF is recommended |
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09099946050IUI vs IVF — Understanding the Decision Framework
The most common question Dr. Shah receives from couples considering treatment is: 'Should we start with IUI or go straight to IVF?' The honest answer depends on your specific diagnosis — not a default protocol. This table makes the clinical decision framework transparent:
| Decision Factor | IUI | IVF/ICSI |
|---|---|---|
| Fallopian Tubes | At least one open, functional tube required | Tubes not required — fertilisation in laboratory |
| Sperm Quality | Post-wash TMC ≥ 5 million — mild male factor only | Any sperm quality including azoospermia with TESE |
| Egg Retrieval | No — ovulation occurs naturally | Yes — eggs retrieved under sedation |
| Fertilisation | Natural — inside fallopian tube | In laboratory — ICSI if sperm quality is poor |
| Success Rate per Cycle | 10–20% (diagnosis dependent) | 40–65% (age and diagnosis dependent) |
| Procedure Invasiveness | Minimal — 5 minutes, no anaesthesia | Moderate — OPU under sedation, embryo transfer |
| Cost per Cycle | Low — ₹10,000 procedure + medications | Higher — full cycle package at Wellspring IVF |
| Recommended First If | Unexplained infertility, mild male factor, PCOS, normal tubes | Failed IUI, blocked tubes, severe male factor, low AMH, age > 38 |
When IUI has been attempted for 3–4 cycles without success, or when the clinical picture makes IUI unlikely to succeed, transitioning to IVF at Wellspring is the evidence-based next step. This transition is not a failure — it is a rational escalation of treatment to match the clinical reality.
Evidence-Based Data
IUI Success Rates — Honest, Evidence-Based Expectations
At Wellspring IVF, Dr. Pranay Shah provides honest, personalised probability estimates based on your specific clinical profile. The following benchmarks reflect published international ART literature.
10–20%
Per-Cycle Success Rate
Varies by diagnosis and age
35–50%
Cumulative Success
Across 3 monitored cycles
| Patient Profile | Per–Cycle Success Rate |
|---|---|
| Age < 35, unexplained infertility, good post-wash TMC Best-case IUI profile | 15–20% per cycle |
| Age < 35, PCOS with good ovulatory response With monitored cycles | 15–18% per cycle |
| Mild male factor, post-wash TMC 5–10 million | 10–15% per cycle |
| Age 35–38, any indication Declining egg quality is the primary variable | 8–12% per cycle |
| Age > 38, any indication IVF should be seriously considered | < 8% per cycle |
Natural IUI vs Stimulated IUI — Which Is Right for You?
Natural IUI
Stimulated IUI
Evidence-Based Data
IUI Cost in Ahmedabad - Transparent Pricing
Wellspring IVF operates a strict no-hidden-costs philosophy. Every component of an IUI cycle is itemised and communicated clearly before you begin.
₹10,000
IUI Procedure Charge
Fixed charge — includes sperm processing, catheter, and procedure room
Frequently Asked Questions
Find answers to common questions about IVF and fertility treatments. Have a specific question not covered here?
Ask a QuestionIs IUI painful?
IUI is generally well tolerated — similar to a cervical smear test. Most women describe mild cramping when the catheter passes through the cervix, which settles within a few minutes. No anaesthesia or sedation is required. You can drive yourself home and return to normal activity the same day.
How many IUI cycles should I try before considering IVF?
The standard recommendation is 3-4 monitored, stimulated IUI cycles in good-prognosis patients (age under 35, open tubes, post-wash TMC above 5 million) before transitioning to IVF. Each failed cycle provides clinical data that informs both cycle optimisation and the decision to transition.
Can I do IUI if I have one blocked tube?
Potentially yes — if the other tube is confirmed open and functional, and the blocked tube is not causing additional problems such as a hydrosalpinx. A unilateral blocked tube reduces the number of ovulation events that can lead to IUI success. Dr. Shah will discuss the implications of your specific tubal finding at consultation.
What is the IUI success rate at Wellspring IVF?
Per-cycle IUI success rates at Wellspring align with international benchmarks: 10-20% per cycle depending on diagnosis and age. The most important number is your personalised expected rate calculated by Dr. Shah. Cumulative rates across 3 monitored cycles in good-prognosis patients: 35-50%.
Can I use donor sperm for IUI at Wellspring?
Yes. IUI with donor sperm is performed at Wellspring IVF in full compliance with the ART (Regulation) Act 2021. Donor sperm from a licensed ART bank is used for single women, same-sex female couples, and couples where the male partner has no retrievable sperm.
What happens if IUI fails?
A failed IUI cycle is reviewed by Dr. Pranay Shah at a dedicated follow-up consultation covering follicle response, endometrial lining, post-wash sperm quality, and timing precision. Dr. Shah then advises whether to proceed with another IUI cycle with protocol adjustment or transition to IVF. A failed IUI is never simply try again — it is a data point.
Is there anything I should avoid after IUI?
There are no strict restrictions after IUI. You can return to normal daily activities the same day. Avoid strenuous exercise and swimming for 48 hours. Avoid NSAIDs (ibuprofen, naproxen) during the luteal phase as they may interfere with implantation. Continue progesterone pessaries as prescribed
Clinical Indications
Related Conditions & Treatments
Not sure which treatment path is right for you? Book a free consultation with Dr. Pranay Shah to discuss your specific diagnosis, test results, and personalised treatment options — whether IUI, IVF, or further investigation.
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