IUI vs IVF — How to Decide Which to Try First

IUI is appropriate when: - Both fallopian tubes are open - Sperm count and motility are mild-to-moderately reduced (count >5 million motile) - Ovulation can be stimulated or timed effectively - The woman is under 35 with good ovarian reserve - The diagnosis is unexplained infertility and you have time to try this gentler step - Cost is a significant consideration (IUI costs ₹8,000–₹20,000 vs ₹1.2L–₹2.5L for IVF) IVF is recommended directly when: - Both fallopian tubes are blocked - Severe male factor infertility (requires ICSI) - Female age is 38 or older - Failed 3–4 IUI cycles - Advanced endometriosis (Stage III–IV) - Very low AMH or poor ovarian reserve - PGT (genetic testing of embryos) is needed Indicative figures from published data (general figures, not this clinic's results; they vary widely with age and diagnosis): - IUI success rate: 15–22% per cycle - IVF success rate: 55–70% per cycle (under 35) Skipping IUI to go straight to IVF is sometimes the right decision — especially for older women where time is critical. Spending several months on IUI cycles with a low chance of success may reduce later IVF chances because of age-related decline. Dr. Ankita discusses this framework openly with every couple. She considers your specific diagnosis, age, ovarian reserve, sperm quality, budget, and emotional readiness before recommending a path.