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Difference Between IUI and IVF: Which One Is Right for You?

Trying to have a baby and seeing one negative test after another hurts. You’re left with questions and stress. Each passing month makes you feel like time is against you. You want answers, not more confusion. You hear about IUI and IVF, but no one tells you which one fits your life. What’s the cost? What’s the process? Most of all, will it work for you? These are the questions that matter when all you want is to hold your baby. Let’s help you make sense of it all.

What is IUI?

IUI is short for intrauterine insemination. It’s a simple process where sperm is placed inside your womb to help with fertilisation. It can help when the sperm can’t reach the egg easily on its own. This might happen if the sperm count is low or the sperm moves slowly.
You may also try IUI if no reason for infertility has been found (Unexplained Infertility). Some women take medicine to help release eggs on time. The doctor then tracks ovulation and picks the right day for the insemination(IUI).
The actual process takes just a few minutes and doesn’t require anaesthesia or surgery. You can go home the same day. It’s a good first step for couples looking for help without too much medical treatment. But it may take more than one cycle to succeed. Still, many people feel it’s worth trying before moving on to bigger steps like IVF.

What is IVF?

IVF stands for in vitro fertilisation. This process takes eggs from your ovaries and mixes them with sperm outside your body. If they form an embryo, the doctor puts it back inside your womb. IVF is used when other treatments don’t work or when there are more serious problems. You may need IVF if your fallopian tubes are blocked, sperm quality is poor, or your age lowers your chances.
IVF starts with hormone shots to help grow more eggs. Then, the doctor collects those eggs in a quick medical procedure. After that, sperm is added to the eggs in a lab. If an embryo forms, it is placed inside your body. IVF needs more clinic visits, more planning and more money. But it gives better results for some couples. It’s often the next step when IUI fails or isn’t the right option from the start.

Differentiating Factors between IUI & IVF

IUI and IVF are both used to help with pregnancy. But they are different in how they work and who they suit.

Success Rates

IUI offers lower chances per cycle compared to IVF but better than natural intercourse. IVF gives better success, especially for people over 35 or with known issues.

Time Commitment

IUI is quick and needs fewer steps. IVF takes more time and includes egg collection, lab work and embryo transfer.

Cost

IUI is cheaper and easier to try again. IVF costs more because of injections, procedures and lab help.

Treatment Process

IUI places sperm in your womb with no surgery. IVF takes eggs from the body and mixes them in a lab.

Medication Use

You may need mild drugs with IUI. IVF always involves hormone shots that make your body produce more eggs.

Who It’s For

IUI helps with mild issues and younger age. IVF is better if there are clear problems like blocked tubes or failed IUI.

Risk and Side Effects

IUI has very few side effects. IVF can cause discomfort, mood swings and other effects from hormone treatment.

Emotional Stress

IUI is easier on your body and your mind. IVF can feel heavy with injections, waiting and higher cost.

Multiple Births

Both can lead to twins or more, but IVF gives you more control by choosing how many embryos to transfer.

Control Over Timing

With IVF, you can freeze embryos and time transfer later. IUI depends more on natural ovulation and less planning.

Chances After 35

IUI works less well if you’re over 35. IVF is used more often for older people as it improves their chances.

Need for Surgery

IUI doesn’t need surgery or sedation. IVF includes a small surgery to take out the eggs from your ovaries.

Using Donor Eggs or Sperm

IVF works better for those using donors. IUI can use donor sperm but has lower chances if more help is needed.

Tubal Conditions

IUI needs healthy tubes to work. IVF is better if your tubes are blocked or damaged since it skips them.

Trying Again

IUI is easy to repeat in a new cycle. IVF takes more time between rounds and more cost to try again.
Factor IUI (Intrauterine Insemination) IVF (In Vitro Fertilisation)
Success Rate
Lower (10–20% per cycle)
Higher (30–60% per cycle, based on age)
Time Required
Short, few clinic visits
Long, multiple steps and visits
Cost
More affordable
More costly due to lab and medication needs
Procedure
Simple, non-surgical
Complex, includes egg collection and embryo transfer
Medication
Light or none
Heavy hormone injections
Ideal For
Unexplained infertility, mild male issues
Blocked tubes, older age, failed IUI
Risks
Low
Moderate, due to medication and procedures
Stress Level
Lower
Higher due to physical and emotional demands
Control Over Timing
Limited
High, can freeze embryos and plan transfers
Multiple Birth Risk
Moderate
Controlled through embryo selection
Use of Donors
Possible but less effective
Effective with donor sperm or eggs
Fallopian Tube Health
Needed to be open
Not needed
Repeat Cycles
Easier and cheaper to repeat
Takes longer and costs more per attempt