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What To Do If You Have No Pregnancy Symptoms After IUI

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Here’s what to do if you experience no pregnancy symptoms after IUI, plus other helpful pregnancy and fertility tips for hopeful moms.

If you’re hoping to become a first time mom and considering IUI (intrauterine insemination), you’ll likely have lots of questions about the process.

One common concern is what to do if you have no pregnancy symptoms after IUI.

Below, we’ll walk you through what IUI is, the typical timeline, common early pregnancy symptoms, when to test for pregnancy, and what to do if no symptoms occur.

What is IUI?

Woman sits on the table at a gynecologist office with blue paper cover over waist.

IUI is a non-invasive fertility treatment for women struggling to conceive or for those using donor sperm.

This quick and relatively painless artificial insemination method uses a thin catheter to deliver “washed” sperm directly into the uterus.

As a result, the sperm has a much shorter travel distance to the egg. And the washing process ensures the use of only high-quality sperm.

Each of these advantages increases the odds of conception.

The Process

The IUI procedure typically takes place in a fertility clinic or gynecologist’s office, and the process goes as follows:

  1. A male partner or donor provides a sperm sample.
  2. The sperm is washed and prepared for insemination.
  3. The hopeful mother will undress from the waist down and lie down with her knees apart.
  4. The fertility doctor or OBGYN will then insert a speculum (“duck bill” device), followed by a thin catheter with the sperm. (It takes about 60-90 seconds to insert the catheter and inject the washed sperm. And another 60 seconds to remove the catheter.)
  5. Afterward, the doctor may recommend additional fertility medications to increase the odds of implantation. Progesterone, for example, is a common hormone medication used to improve the uterine lining. This provides the fertilized egg with a better environment to burrow into the uterine wall.

There are two IUI methods. One follows the natural menstrual cycle, and the other uses a hormone shot to speed up the process.

For the first method, insemination is timed around ovulation. And the woman may be given an ovulation test to pinpoint when to start the procedure. The doctor may also use bloodwork or an ultrasound to determine the timing of the procedure.

For the second method, the woman receives a hormone shot (or “trigger” shot) which triggers the body to release its mature eggs.

RELATED: 26 Foods That Increase Sperm Count Naturally

Success Rates

IUI, with the use of fertility drugs, improves the chances for conception up to the normal pregnancy rate which is about 20%.

What To Do If You Have No Pregnancy Symptoms After IUI

Woman in tan sweater cradles her head in her hands in frustration.

The Implantation Timeline

After insemination, the process continues along the normal reproductive course.

The fertilized egg travels down one of the fallopian tubes to burrow into the uterine wall which triggers the release of pregnancy hormones.

The body then prepares itself to carry the baby to term.

The timeline from insemination to conception (fertilization) takes 6-12 days.

Common Early Pregnancy Symptoms

Once conception occurs, hormonal changes in the body may cause early pregnancy symptoms. How pregnancy makes you feel can vary from woman to woman and even from pregnancy to pregnancy.

But, there are some typical early signs of pregnancy you can look out for.

You may experience:

But, even if you don’t experience any of these common symptoms, that doesn’t mean you’re not pregnant.

It is possible to have no pregnancy symptoms after IUI even though the procedure was successful.

If you don’t experience any symptoms of pregnancy, don’t panic. Instead, try to stay calm and wait until it’s the right time to take a pregnancy test.

After all, the most common pregnancy symptom is a missed period. This is the ideal time to take the test.

When to Take a Pregnancy Test

The out-stretched hands of a couple holding a positive home pregnancy test.

Waiting to take the test can be difficult for hopeful mothers. But, this two-week wait is necessary to avoid false negative results.

It’s very hard to receive an accurate result using a urine test or home pregnancy test before this time because hCG levels (the pregnancy hormone) are still too low.

hCG, or human chorionic gonadotropin, is the hormone responsible for switching the body into “pregnancy mode”. And the amount of hCG in the body will continue to rise as the pregnancy progresses.

So exactly how long after implantation can you test for pregnancy?

The earliest positive pregnancy test after IUI can occur as soon as 7-12 days. However, it’s better to wait at least 2 weeks.

If you receive a negative test result, try again in a few more days to see if anything changes.

It’s also possible to receive a false positive test result, though this is rare. Progesterone supplements can cause a false positive result.

Or, some women may experience a chemical pregnancy. This happens when implantation fails, but the body still thinks it’s pregnant.

How to Confirm Pregnancy after IUI

The best way to know for sure whether you’re pregnant or not is to confirm your results with a blood test.

Your doctor’s office or fertility center will provide a pregnancy confirmation test and/or exam so you know exactly what’s going on with your body.

If the confirmation test comes back negative, your doctor may suggest another IUI cycle, or, it might be time to explore other options.

Alternatives to IUI

An enlarged microscopic image of a successful embryo transfer on blue background.

If you’ve never experienced pregnancy symptoms after IUI and consistently receive negative test results, it might be time to try something new!

IUI treatment is helpful for many women, but a more invasive method may be required.

If this is the case, your fertility specialist may suggest embryo transfer through in vitro fertilization.

This process involves extracting mature eggs from the woman’s body, fertilizing them outside of the womb, and reinserting them into the uterus.

Some women may also consider using a surrogate or donor eggs, depending on their unique circumstances.


When do you start feeling pregnancy symptoms after IUI?

It’s possible to experience early pregnancy symptoms as soon as 7 days post ovulation. However, many women don’t experience any noticeable pregnancy symptoms until after their first missed period.

Is it possible to have no symptoms of implantation?

Yes. It is very possible to experience no pregnancy symptoms after implantation. Many women don’t experience any symptoms until later on in the first trimester.

You should also note that early pregnancy symptoms vary from woman to woman and may even vary from pregnancy to pregnancy.

How should I feel 10 days after IUI?

10 days after IUI, you may begin to feel some early pregnancy symptoms like nausea, headaches, breast tenderness, mild cramping, or implantation bleeding. However, many women don’t feel any early signs of pregnancy.

If this is the case, don’t panic. The best indication of successful IUI is a missed period. Once you miss your period, this is the ideal time to take a pregnancy test.

The Bottom Line

Ultrasound picture of a positive pregnancy test with a sprig of baby's breath.

Here’s the bottom line:

  • If you don’t experience pregnancy symptoms after IUI, don’t panic.
  • Conception (implantation) happens 6-12 days after fertilization. And it’s possible to start feeling early pregnancy symptoms as soon as 7 days after ovulation. However, many women don’t notice any changes until further into the first trimester.
  • You can take a pregnancy test as soon as 7 days after IUI. However, you should try to wait at least 2 weeks or after your first missed period for the most accurate results.
  • The most telling pregnancy symptom is a missed period.

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Your Turn

Did I answer all your questions about pregnancy symptoms after IUI? Let me know in the comments!

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