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 The important comparison: - 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 4–6 months on IUI cycles that have little chance of success can mean a critical reduction in IVF success due to age. 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.