IUI (intrauterine insemination) is often the first fertility treatment doctors recommend. It's simpler, less invasive, and significantly cheaper than IVF — but in the US, it still costs $2,000–$4,000 per cycle including monitoring and medications. Abroad, the same procedure runs $500–$1,500.
What IUI Involves
A prepared sperm sample is placed directly into the uterus around the time of ovulation, bypassing the cervix and increasing the chances of fertilization. IUI can be done with a natural cycle or combined with ovulation-inducing medications (Clomid, letrozole, or injectable gonadotropins) to increase the number of eggs released.
What It Costs
| Country | IUI (natural cycle) | IUI + Medications |
|---|---|---|
| United States | $800–$1,500 | $2,000–$4,000 |
| Colombia | $300–$600 | $500–$1,200 |
| Mexico | $400–$800 | $800–$1,500 |
| Czech Republic | $300–$600 | $600–$1,200 |
| Spain | $400–$700 | $800–$1,500 |
| Greece | $300–$500 | $600–$1,000 |
Success Rates & Expectations
IUI success rates are lower than IVF — approximately 10–20% per cycle for women under 35 with medicated cycles, and 5–10% with natural cycles. Most doctors recommend 3–4 IUI attempts before considering IVF. Because each cycle is relatively affordable abroad, patients can attempt multiple rounds for less than a single IVF cycle at home.
Is IUI right for you?
IUI works best for unexplained infertility, mild male factor, single women using donor sperm, or same-sex couples. If you have blocked tubes, severe male factor, or diminished ovarian reserve, IVF may be a more efficient path.