A variety of reproductive technologies are becoming increasingly popular in recent years. The most complex and time-consuming procedure is in vitro fertilization. In the process of its carrying out, female and male gametes are collected, which are combined in specially prepared conditions. Equally popular is intrauterine insemination. How the procedure goes and its effectiveness - all this will be described in this article. You will also learn the main reviews about this event and will be able to get acquainted with the opinion of doctors.
What is intrauterine insemination?
How the procedure goes, this article will tell you. However, before that it is worth learning about some points.
Insemination is a peculiar way of fertilization. With him, there is no classic sexual contact. Partners may not even touch each other. A man and a woman during conception can be separated by a large distance. The procedure of artificial insemination is a manipulation in which the ejaculant is injected directly into the cavity of the genital organ. So, while the vagina and cervical canal are bypassed. This operation can be carried out with freshly collected sperm or frozen material. In the second case, the ejaculant is pre-processed. It is worth noting that you can conceive a child in this way with the help of the material of the husband or an extraneous donor.
Who is assigned the procedure?
In what cases do doctors say that a couple needs artificial intrauterine insemination (how the procedure goes, will be described below)? Indications for conducting may be different. This is often a pathology in a man or woman. However, sometimes an ailment can affect both partners. The main indications for manipulation include the following:
- The production of sperm in the vagina in women. Often this happens with a long life together. It is worth noting that not all doctors confirm this assumption. A postcoital test will help to identify pathology.
- Long-term infertility associated with the lack of ovulation in women, provided that the second sexual partner has good sperm counts.
- Lack of sperm activity in men. In this case, it is advisable to preliminarily conduct a medical correction.
There are other (individual) indications. So, for example, insemination is carried out to couples who for a long time can not conceive a baby for unknown reasons. Often a similar method of fertilization is used by couples who are forced to spend a long time in separation. In this case, they simply physically cannot conceive a child on their own.
Contraindications to fertilization in this way
Before insemination is performed, the doctor must schedule a conversation with both partners. The doctor explains the effectiveness of the manipulation, and also reports contraindications. To refuse the procedure is in the following cases:
- obstruction of the fallopian tubes in a woman;
- the presence of an inflammatory process in the vagina;
- with pathologies of the cervical canal and cervix;
- menstruation period;
- lack of ovulation.
In the latter case, the procedure is performed only after a certain correction. Only a doctor can choose an individual preparation scheme for a particular pair.
Where is the procedure performed?
If insemination is shown to you, how the procedure goes, the doctor will tell. An operation can only be done within the walls of the hospital. It can be a public institution or a private clinic.
In the first case, you will need some documents confirming that you really need such a procedure. It is also necessary to have a passport and policy. Be prepared for having to stay in the clinic for a few days. Private institutions perform the manipulation at the request of the client. However, be prepared for the fact that in this case you will have to pay a certain amount for insemination. The average cost of such an operation is in the price range from 5 to 40 thousand rubles. Much depends on the state of partners and preliminary preparation of the material.
Intrauterine insemination: how is the procedure? Preparation
Before insemination, the couple must undergo a certain examination. Preparation includes a spermogram. This analysis should pass the man after a five-day abstinence. The remaining studies are exclusively representative of the weaker sex. This includes blood diagnostics, determining the condition of the fallopian tubes (metrosalpingography), examination of the uterine cavity (hysterosalpingography). Also, the doctor must make sure that ovulation occurs in the body of the future mother. This can be done using ultrasound or by determining the level of certain hormones.
According to the results of analyzes, the spermogram should be normal. Otherwise, immediately before insemination, sperm is processed. The fallopian tubes of a woman should be passable along its entire length, and normal microflora should be present in the vagina. How does artificial insemination occur? Consider the algorithm of actions.
Insemination: Algorithm
How does insemination occur? Doctors say that a woman is pre-examined with an ultrasound probe. Doctors should make sure that there are at least three follicles in the ovaries. Their size is also estimated. According to experts, ovulation should occur in the coming hours.
Before insemination is done, semen is taken. If necessary, it is processed and cleaned. Also, sometimes it makes sense to fill the substance with useful substances to prolong the viability of sperm. The woman is located on a gynecological chair in the doctor’s office.
A gynecologist collects sperm from a partner or donor into a syringe. A thin tube, a catheter, is connected to its end. A soft hose is inserted into the cervix and reaches the internal pharynx. After that, the specialist injects the contents of the syringe into the cavity of the genital organ.
Manipulation Efficiency: Expert Evaluation
You already know how to do insemination. Reviews of doctors say that with natural fertilization there is a greater likelihood of a successful outcome than from this procedure. According to reproductologists, the effectiveness of this method is estimated at no more than 20 percent. At the same time, repeated insemination increases the chance of a good outcome.
Pre-treatment of sperm and stimulation of the ovaries lead to the fact that the effectiveness of the procedure is estimated at 40 percent.
Opinions of doctors and patients about artificial insemination
You already know how insemination is performed. Reviews of patients indicate that this is a rather painful manipulation. Unpleasant sensations appear when a catheter is inserted into the cervix. Also, some women report that after the procedure they had minor spotting.
Doctors say that if the procedure is not followed, inflammation can develop in the woman’s uterus. This situation is particularly dangerous if the outcome of the operation is successful.
Instead of a conclusion ...
You have learned what insemination is, how the manipulation goes, and what its effectiveness is. Remember that this procedure is not a panacea. The result of the procedure can be found out already ten days after artificial insemination. The most accurate result can be shown by a blood test to determine the level of chorionic gonadotropin. Follow all the rules for preparing for manipulation. This will increase the chance of a positive outcome. I wish you success!