Cramping After IUI: Causes, Symptoms And How To Manage It

While cramping is common, tips such as using a warm compress can help you manage it.

Medically reviewed by Dr. Tamami Chowdhury, MBBS, DGO Dr. Tamami Chowdhury Dr. Tamami ChowdhuryMBBS, DGO MomJunction on Facebook Specialty: Obstetrics and GynecologyExperience: 16 years
Written by , Medical Doctor Dr Bisny T. Joseph Medical Doctor Follow MomJunction on Linkedin Specialty: Health and Medical TreatmentsExperience: 5 years
Edited by , BSc Rebecca Malachi BSc Follow MomJunction on Linkedin Specialty: Pregnancy, Health and WellnessExperience: 12 years
Fact-checked by , MSc Reshmi Das MSc Follow MomJunction on Linkedin Specialty: Health and WellnessExperience: 4 years
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Women Suffering With Cramping After IUI

Image: Shutterstock

Intrauterine insemination (IUI) is an infertility treatment where specially prepared sperm is inserted into the uterus with the help of a catheter. It is not unusual to experience cramping after IUI, especially during ovulation and implantation following the procedure. The pain usually resolves without any medical intervention. However, consult your healthcare provider if you experience any other symptoms such as fever, excruciating ache, or heavy vaginal bleeding after the insemination.

Read this post to learn more about the causes, symptoms, and tips on managing cramps after an IUI procedure.

In This Article

What To Expect After An IUI Procedure?

Abstain from smoking after the IUI procedure

Image: Shutterstock

You may resume regular activities after IUI. In most cases, women can resume intercourse anytime after an IUI procedure. However, doctors may recommend waiting 48 hours before intercourse if a tenaculum forceps is used. As it may cause vaginal bleeding during the procedure.

After IUI, abstain from smoking, alcohol, drugs, and certain medications that could harm embryonic development. Prenatal vitamins, such as folic acid and other supplements prescribed by your doctor, should be taken.

Do a home pregnancy test (urine pregnancy test) 14 days after the procedure, as early tests may give false results due to the hormones used for the fertility treatment. Then, contact your doctor to plan further visits (1).

What Are The Causes Of Cramping After IUI?

Some women experience cramping during the IUI procedure due to catheter insertion through the cervix, which may resolve once the catheter is removed. Cramping after IUI can also be caused by the following factors (1):

  • Uterine irritation because of catheter insertion may cause mild cramping and uneasiness after IUI. However, a few women may experience severe cramping.
  • The procedure is done during the ovulation period, and ovulation can also cause cramps. Medications are administered to increase the number of ova (eggs), which may cause more pain than usual.
  • The fertilized egg’s implantation can cause cramping. It may occur after ovulation, and it can also cause mild spotting and breast tenderness in some women.

Some women may also experience menstrual cramps a few days after the IUI procedure if it is not successful.

However, not all cases of uterine cramps after IUI are due to the procedure. Hence, look for other symptoms and the onset of cramps to determine the reason.

protip_icon Point to consider
Women may experience cramping while injecting the sperm during the IUI procedure (1).

What Other Symptoms Appear With IUI Cramps?

Vaginal spotting may accompany cramping after IUI

Image: Shutterstock

Most women may not develop other symptoms with cramps after an IUI, while a few experience vaginal spotting or implantation bleeding about six to twelve days later when the ovum gets fertilized and implanted. The other symptoms of implantation are similar for normal pregnancy and pregnancy after IUI.

Waiting for the result can be stressful and emotional for many women. However, it is recommended to stay calm and avoid stress during this stage.

How To Manage Cramps After IUI?

The following remedies used for relieving regular menstrual cramps can also help alleviate cramping after IUI.

  • Get enough rest
Good rest helps manage cramping after IUI

Image: Shutterstock

  • Wear comfortable clothes
  • Use over-the-counter pain relievers in case of severe cramps. Confirm with your doctor whether the medication is safe for pregnancy.
  • Use a warm towel or hot water bottle as a warm compress on the belly. However, avoid hot baths and sitting in saunas or hot tubs since this may increase the body temperature and hinder fetal development.

Although cramps may occur after IUI, most women can do their daily activities without much discomfort. Bed rest is not required after IUI. In fact, experts recommend adequate physical activity to reduce cramps and stress while awaiting the procedure results.

protip_icon Things to know
Doctors usually prescribe Tylenol to manage pain that may follow the IUI procedure (1).

When Should You See A Doctor?

Contact your fertility doctor for any concerns and queries after the procedure. Further, seek medical care if any of the following symptoms develop after the IUI.

  • Fever
  • Abnormal vaginal discharge
  • Heavy vaginal bleeding
  • Abdominal pain

These symptoms can indicate infection; hence, seek prompt medical care to prevent further complications.

Frequently Asked Questions

1. How soon does implantation happen after IUI?

In an IUI procedure, implantation will likely happen within 6 to 12 days. Hence, the doctor suggests taking a home pregnancy test 14 days after the insemination (1).

2. How long does it take IUI sperm to reach the egg?

IUI fertilization can occur a few hours or days after the process is complete. However, the timing cannot be guessed or predicted as it depends entirely on how long the egg lasts and how fast the sperm reaches the egg.

3. Is IUI successful on the first try?

The success of an IUI procedure depends upon various factors such as the woman’s age, the thickness of the endometrium, LH concentration, size and the number of follicles, and TMF as the male factor. According to a study, the procedure’s success rate is much higher among women under the age of 25 than among women aged above 35 (3).

It is not uncommon for women to experience cramping after an IUI procedure. Mostly, it resolves without treatment, and women can soon return to doing their usual activities. During an IUI pregnancy, women may misinterpret cramping after IUI to be a symptom of implantation. However, only a blood test can confirm pregnancy. Uterine cramps a few days after IUI may indicate menstrual cramps. See your doctor if you notice any other unusual symptoms such as fever or heavy bleeding along with cramping.

Infographic: Notable Facts About Cramping After IUI

Intrauterine insemination (IUI) can cause cramping due to uterine irritation or ovulation. Cramping does not affect the procedure’s success rate since it is not an indicator of implantation. Go through the infographic to learn more about cramping after the IUI procedure.

facts about cramping after iui procedure (infographic)

Illustration: Momjunction Design Team

Key Pointers

  • Quit smoking, alcohol, drugs, and some medicines after IUI since they can damage embryonic development.
  • Cramping after IUI might be caused by uterine irritation, ovulation, or the implantation of fertilized eggs.
  • After IUI, some women may have vaginal spotting or implantation bleeding, along with cramping.
  • If you get a fever, abdominal pain, excessive vaginal bleeding, along with cramps after IUI, see a doctor.

Illustration: Cramping After IUI: Causes Symptoms And How To Manage It

Cramping After IUI: Causes, Symptoms And How To Manage It_illustration

Image: Dall·E/MomJunction Design Team


Cramping after an IUI procedure is common, however, a low sperm count can harm the success of the procedure. Learn more about the reasons for cramps by watching this video.

References

MomJunction's articles are written after analyzing the research works of expert authors and institutions. Our references consist of resources established by authorities in their respective fields. You can learn more about the authenticity of the information we present in our editorial policy.
  1. IUI Basics.
    https://health.usf.edu/-/media/Files/Care/Patient-Resources/OBGYN/IVF/IUI-Basics-Handbook-IVF.ashx?la=en&hash=4458FC3C489581EABF9A0B7E1B798C8685048D42
  2. Cramping After IUI: Is It Normal?
    https://fertility.nm.org/intrauterine-insemination.html
  3. M. Schorsch et al.; (2013); Success Rate of Inseminations Dependent on Maternal Age? An Analysis of 4246 Insemination Cycles.
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3859121/
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Dr. Tamami Chowdhury
Dr. Tamami ChowdhuryMBBS, DGO
Dr Tamami Chowdhury is a renowned gynecologist in Siliguri, West Bengal, and practices at Mitra Nursing home. During her 16 years of experience, she has helped women to have a successful pregnancy outcome without stress. She guides them in their diet, medicines and other health-related issues.

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Dr Bisny T. Joseph
Dr Bisny T. JosephMedical Doctor
Dr. Bisny T. Joseph is a Georgian Board-certified physician. She has completed her professional graduate degree as a medical doctor from Tbilisi State Medical University, Georgia. She has around 5 years of experience in various sectors of medical affairs as a physician, medical reviewer, medical writer, health coach, and Q&A expert.

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Rebecca Malachi
Rebecca MalachiBSc
Rebecca is a pregnancy writer and editor with a passion for delivering research-based and engaging content in areas of fertility, pregnancy, birth, and post-pregnancy. She did her graduation in Biotechnology and Genetics from Loyola Academy, Osmania University and obtained a certification in ‘Nutrition and Lifestyle in Pregnancy’ from Ludwig Maximilian University of Munich (LMU).

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Reshmi Das
Reshmi DasMSc
Reshmi Das has over four years of experience as a clinical coordinator, medical content writer and medical conference coordinator. Her continuous interest in medical journals and writing makes her write well-researched articles for MomJunction.

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