Artificial insemination 

Introduction 

Infertility

Around one couple in six in the UK is affected by infertility. If you and your partner have not conceived after one year of trying, see your GP.

It is best for both partners to see their GP because fertility problems can affect the man or woman. Sometimes, both partners are affected.

Your GP can give you advice about what to do next, and they will also carry out an initial assessment to investigate what may be causing your fertility problems.

See the Health A-Z topic on Infertility for more information.

Artificial insemination is a treatment for infertility, when a couple cannot conceive a baby. It involves directly inserting sperm into a woman’s womb.

When is artificial insemination used?

Artificial insemination can help a couple conceive if:

  • there is a problem with the man’s sperm or he has erectile dysfunction or premature ejaculation 
  • there is no obvious reason why the couple cannot conceive (unexplained infertility) 
  • the woman has ovulation problems or mild endometriosis, when cells usually found in the lining of the womb grow in other parts of the reproductive system, such as the fallopian tubes, ovaries or vagina

Women without a male partner, such as women in same-sex partnerships, have also used artificial insemination to become pregnant.

See Artificial insemination - why it is used for more information.

Intrauterine insemination (IUI)

Intrauterine insemination (IUI) is the technique used for artificial insemination, and it has a good record of success.

Figures from the Human Fertilisation and Embryology Authority (HFEA) in 2006 found that IUI has a success rate of around 15% for each cycle of treatment. However, a number of factors can affect this. See Artificial insemination - results for more information.

In IUI, a man provides a sample of sperm, which is then "washed" and filtered using special techniques. This ensures that only the highest-quality sperm is used for the procedure.

During the procedure, the concentrated sperm is passed directly into the woman’s womb through a thin tube called a catheter.

See Artificial insemination - how it is performed for more information.

Sperm donation

If the male partner cannot produce any healthy sperm, frozen sperm from a donor can be used.

Some couples obtain donated sperm from someone they know. However, in most cases, sperm is obtained from an unknown donor.

Donor anonymity

In the past, sperm donors remained anonymous from the parents and the child produced by the donated sperm. However, in 2005, the law regarding donor anonymity changed.

Anyone born from donated sperm after April 1 2005 can apply to HFEA to obtain information about the identity of the donor, once they have reached 18 years of age.

The HFEA is the independent regulator for all fertility clinics in the UK.

Artificial insemination on the NHS

The National Institute for Health and Clinical Excellence (NICE) recommends that up to six cycles of IUI treatment should be offered to couples free of charge on the NHS if:

  • the man has mild fertility problems
  • the woman has mild endometriosis 
  • the couple has unexplained fertility problems

A "cycle" refers to one course of IUI treatment.

The availability of fertility treatment on the NHS varies throughout the UK. In some areas, the waiting list for treatment can be very long. The criteria that must be met to be eligible for treatment can also vary.

IUI is also available from private fertility clinics. Costs vary from £500 to £1,000 for each cycle of treatment.

Each cycle of IUI is timed to coincide with the woman’s natural reproductive cycle, so you will only be able to receive one cycle of IUI treatment a month.

  • show glossary terms

Donor
A donor is a person (living or dead) who donates blood, an organ or other body parts to another person in need.

Fallopian tubes
Fallopian tubes (also called oviducts or uterine tubes) are the two tubes that connect the uterus to the ovaries in the female reproductive system.

Ovaries
Ovaries are the pair of reproductive organs that produce eggs and sex hormones in females.

Uterus (womb)
The uterus (also known as the womb) is a hollow, pear-shaped organ in a woman where a baby grows during pregnancy.

Vagina
The vagina is a tube of muscle that runs from the cervix (the opening of the womb) to the vulva (the external sexual organs).

Last reviewed: 21/02/2011

Next review due: 21/02/2013

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Comments are personal views. Any information they give has not been checked and may not be accurate.

sulhar29 said on 22 June 2011

One tip that I would give is start taking prenatal vitamins and eating healthy...excising would not hurt either if you feel up to it...best of luck and baby dust
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sharon22 said on 02 March 2010

me and my husband married recntly and would like to start a family of our own he had a vasectamy many years ago he had it refersed and was unsuccessful we tried to do aspiration of sperm but we can only do it private which we cannot afford so we are now looking into artificial insemination but dont no where to start what we have to do please could you help me in any way

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