Author : Vandna Narula,

MBBS, MD (Obstetrics and Gynecology),  IVF Specialist in Sector 43, Chandigarh, Mohali


Embarking on the journey to parenthood can be filled with both excitement and uncertainties. For couples facing fertility challenges, medical advancements present viable paths to overcome these hurdles. Two common initial steps in fertility treatment are Ovulation Induction (OI) and Intrauterine Insemination (IUI). These procedures, often considered first-line treatments, are less invasive and more cost-effective compared to other assisted reproductive technologies like In Vitro Fertilization (IVF).

Ovulation Induction (OI) 

Procedure and Purpose:

Ovulation Induction is a process that stimulates the ovaries to release one or more eggs to enhance the chances of conception. It’s typically recommended for women who have irregular or absent ovulation. The procedure involves administering fertility either orally or injected able trigger ovulation.

Effectiveness and Success Rates:

The general success rate of Ovulation Induction ranges around 18 percent per cycle, with a common practice being to try this for a maximum of 6 cycles. The effectiveness is often gauged by the subsequent ability to conceive naturally or to proceed with further assisted reproductive technologies like IUI or IVF.

Costs and Accessibility in India:

In India, Ovulation Induction is relatively accessible and affordable, making it a preferred choice for many couples initiating their fertility journey.

Pros of Ovulation:

  • Cost-effective compared to other fertility treatments.
  • Less invasive with minimal side effects.
  • Can be combined with other fertility treatments for enhanced success.

Cons of Ovulation:

  • Success rates might be lower compared to more advanced fertility treatments.
  • Risk of multiple pregnancies.
  • May require repeated cycles, which can be emotionally and financially draining.

Intrauterine Insemination (IUI)

Procedure and Purpose:

IUI involves the direct placement of sperm into a woman’s uterus to facilitate fertilization. It’s a procedure often recommended for couples with unexplained infertility, mild male factor infertility, or women who have cervical mucus issues.

Effectiveness when combined with Ovulation Induction:

The effectiveness of IUI is often enhanced when paired with Ovulation Induction, ensuring that the eggs are ready and available for fertilization. Combining these procedures can significantly increase the chances of pregnancy.

Costs and Accessibility in India:

Like Ovulation Induction, IUI is relatively accessible and affordable in India, making it a viable option for many couples.


  • Less invasive and less expensive than IVF.
  • Higher success rates when combined with Ovulation Induction.
  • Can be conducted in a natural cycle without the need for fertility drugs.


  • Lower success rates compared to more advanced treatments.
  • Risk of multiple pregnancies.
  • May require multiple attempts before success is achieved.


Both Ovulation Induction and IUI offer distinct advantages and can be effective depending on individual circumstances. The synergy of combining both procedures, often termed OI-IUI, presents a compelling approach to enhancing fertility and increasing the chances of pregnancy.


The decision between Ovulation Induction, IUI, or a combination of both hinges on individual medical conditions, financial considerations, and the expert advice of fertility specialists. Engaging with healthcare professionals can provide personalized insights and treatment plans, guiding couples on the most effective path toward achieving the dream of parenthood. The journey may have its share of challenges, yet with the right support and medical guidance, the hope of expanding the family becomes a tangible reality.

If you wish to get in touch with  Dr. Vandna Narula, please book your appointment here.

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