Artificial insemination procedure

Intravaginal insemination

This is very rarely performed, but still has a place for couples in whom the female’s partner ovulates regularly. The male partner is unable to ejaculate into his wife’s vagina but can ejaculate by other means such as by masturbation or by using a penile vibrator and the sperm count and quality are good.

Timing of intravaginal insemination

The precise timing of insemination is important. Inseminations should be timed to occur around ovulation. Ovulation predictors such as 'clear plan' to predict urine LH surge are more accurate than measurement of basal body temperature or evaluating your cervical mucus. Insemination is performed about 24 hours after the surge.

The intravaginal insemination procedure

The male partner collects his semen into a sterile pot and then withdraws the whole specimen into a sterile syringe. Thereafter, the female partner or wife places the semen into her vagina using the syringe 'self insemination'. Care should be taken not to inject air into the vagina. The biggest advantages of this procedure are convenience and privacy of being performed at home and it only cost the price of a 'clear plan', a sterile pot and a syringe.

Success rates of intravaginal insemination

Success rates are in the region of 5-10 Percentage per treatment cycle.


Intracervical insemination (ICI)

The intracervical insemination procedure (ICI) may be recommended if the female partner does not ovulate regularly and needs to take fertility drugs. Monitoring of the cycle by ultrasound scans and hormone blood tests is important to check the development of the follicles and the lining of the womb (endometrium); the sperm should be of good count and quality. There should be no cervical mucus hostility. This is performed when the couple can not afford the preferred intrauterine insemination (IUI) treatment.

Timing of intracervical insemination

When the leading follicle measures 18 mm or more and the endometrium is well developed, an hCG injection is given and insemination is usually performed about 36-44 hours later.

The intracervical insemination procedure

Intra-cervical insemination is a relatively simple procedure and takes about five minutes to perform. The patient lies on the examination table, a doctor or a nurse inserts a speculum into the vagina, the semen sample is then placed into the cervix with a plastic catheter. Sometimes a sponge or cap is placed into the vagina before removing the speculum to keep the sperm near the cervix and can be taken out about 6 hours later.

Success rates of intracervical insemination

Success rates rates for the intracervical insemination treatment are in the region of 5-10 percentage per treatment cycle.


Intrauterine insemination (IUI)

The intrauterine insemination (IUI) procedure is the most commonly used method of artificial insemination husband (AIH). It is a relatively simpler and cheaper than in-vitro fertilization (IVF). Intrauterine insemination (IUI) is effective treatment for selected groups of patients. Careful selection of patients for IUI is the cornerstone for achieving good success rates.Intrauterine insemination has a higher success rates than intravaginal insemination or intra-cervical inseminationbecause it places the good motile sperm near the Fallopian tubes and if combined with ovarian stimulation, then there will be usually more than an egg available for insemination and fertilization.

The intrauterine insemination (IUI) procedure

The intrauterine insemination procedure involves direct placing of washed and prepared sperm inside the cavity of the womb around the time of ovulation (spontaneous or induced).

IntraFallopian insemination (IFI) and intraperitoneal inseminations (IPI)

The intraFallopian and intraperitoneal insemination techniques are not commonly used. The procedures are more invasive and there is no firm evidence that they result in higher success rates compared to intrauterine insemination (IUI).

The procedures for intraFallopian insemination (IFI) and intraperitoneal insemination (IPI)

The steps of treatment are similar to IUI until insemination. For intraFallopian insemination (IFI), the washed sperm is injected into one Fallopian tube using a special plastic catheter. For intraperitoneal insemination (IPI) the washed sperm is injected through the top of the vagina into the peritoneal cavity next to the entrance of the Fallopian tubes using a special needle. The procedure is usually performed under ultrasound guidance.

 

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