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very strenuous exercise during the two-week wait, which varies."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Pregnancy test about 14 days after a single insemination; several cycles are often needed for conception."},"fly_home_after_days":{"min":0,"max":1,"unit":"days","qualifier":"No flight restriction after IUI; pregnancy test can be done at home around 14 days."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":16,"unit":"days","qualifier":"Pregnancy test (blood or urine) about 2 weeks after insemination."}}],"indications":["Unexplained infertility","Mild male factor infertility","Cervical factor infertility","Ovulatory dysfunction","Sexual dysfunction preventing intercourse","Mild endometriosis"],"main_risks":["Multiple pregnancy (especially with ovarian stimulation)","Ovarian hyperstimulation syndrome (with stimulation, uncommon)","Pelvic infection (rare)","Ectopic pregnancy","Allergic reaction to semen or latex (rare)"],"pain":"Minimal; mild cramping or discomfort similar to a Pap smear during catheter placement, with occasional light spotting afterwards.","preparation":["Fertility evaluation including tubal patency, ovulation and semen analysis","Infectious disease screening as required","Cycle monitoring and ovulation timing, natural or stimulated","Semen sample after clinic-advised abstinence, or donor sperm preparation","Review of medications and supplements with the physician"],"recovery_timeline":[{"phase":"Immediately after","description":"Brief rest of 10-15 minutes is often advised, then normal activity resumes.","restrictions":[]},{"phase":"First 1-2 days","description":"Possible mild cramping or light spotting.","restrictions":["Avoid inserting anything vaginally if spotting, per clinic advice"]},{"phase":"Two-week wait","description":"Await implantation; hormonal luteal support may be prescribed by physician.","restrictions":["Avoid very strenuous exercise as advised by 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A resulting pregnancy proceeds normally, while failed cycles are repeated, commonly up to 3-6 times.","revision_rate_pct":{"min":70,"max":90,"unit":"percent","qualifier":"Cycles not resulting in pregnancy, needing repeat IUI or escalation to IVF per cycle"},"scars":"None. No incision; the catheter passes through the cervix, leaving no visible scarring.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One insemination visit per cycle (sometimes two); several cycles are commonly attempted if unsuccessful."},"stages":[{"code":"insemination","label":"Intrauterine insemination of prepared sperm around ovulation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the timed ovulation point of the cycle, which is day 0 for this schedule."}}],"qualifier":"Counts insemination procedures; cycle monitoring and the pregnancy test are not counted."},"success":{"metric":"Clinical pregnancy rate per IUI cycle","value":12,"unit":"percent per cycle","horizon":"About 2-4 weeks after insemination (ultrasound confirmation)","population":"Women under 40 with unexplained or mild male factor infertility, often with stimulation","evidence_status":"limited"},"techniques":[{"name":"Intrauterine insemination (IUI)","suits_whom":"Mild male factor or unexplained infertility; most common form.","recovery":"Immediate return to normal activity."},{"name":"Intracervical insemination (ICI)","suits_whom":"Donor sperm or low-resource settings; lower success than IUI.","recovery":"Immediate return to normal activity."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Per single intrauterine insemination visit, including brief rest afterwards; the procedure itself takes about 5-10 minutes."},"initial_assessment_documents":["Semen analysis report","Hysterosalpingography (HSG) or tubal patency report","Pelvic ultrasound report with antral follicle count","AMH and day-3 FSH hormone results","Previous fertility treatment records (if available)","Partner infectious disease screening results"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"One cycle fits one trip; stay about 2-10 days for monitoring and insemination. Repeat cycles need extra trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Whether the facility and the health professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check whether donor sperm is screened for infections and inherited conditions","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/artificial-insemination/","host":"nhs.uk","quote":"Donor sperm is frozen and checked for infections and inherited conditions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the partner's fertility is tested when partner sperm is used","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/artificial-insemination/","host":"nhs.uk","quote":"If you’re using your partner’s sperm, they will also need tests to check their fertility.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The facility or its staff cannot show accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","text":"Donor sperm offered with no mention of infection or inherited-condition screening","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/artificial-insemination/","host":"nhs.uk","quote":"Donor sperm is frozen and checked for infections and inherited conditions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home doctor the overseas team's follow-up recommendations in writing","document":"discharge summary in english","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up 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well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You are having difficulty getting pregnant","name":"In vitro fertilization (IVF)","source":{"url":"https://www.nhs.uk/conditions/intrauterine-insemination-iui/","host":"nhs.uk","quote":"In vitro fertilisation (IVF) treatment is usually recommended for people who are having difficulty getting pregnant.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":158},{"id":"A2","text":"You do not ovulate regularly","name":"Clomifene tablets","source":{"url":"https://www.nhs.uk/conditions/infertility/treatment/","host":"nhs.uk","quote":"clomifene – encourages the monthly release of an egg (ovulation) in women who do not ovulate regularly","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"intrauterine-insemination","name":"Intrauterine insemination (IUI)","how_it_works":{"text":"Sperm are placed directly into the womb during ovulation","source":{"url":"https://www.nhs.uk/conditions/intrauterine-insemination-iui/","host":"nhs.uk","quote":"Sperm are put directly into your womb (uterus) when you're ovulating.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/22456-iui-intrauterine-insemination","host":"my.clevelandclinic.org","quote":"Most people will return to normal activities right away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"intracervical-insemination","name":"Intracervical insemination (ICI)","how_it_works":{"text":"Sperm are inserted into the cervix","source":{"url":"https://www.healthline.com/health/artificial-insemination","host":"healthline.com","quote":"ICI is a type of artificial insemination that involves inserting sperm into the 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