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Intrauterine (Artificial) Insemination

On the way to overcoming infertility, the couple often faces problems in which the reproductologist offers insemination. Fertilization is a complex process. A very small amount of sperm can go all the way to the woman’s egg, while retaining enough strength to penetrate inside. The purpose of the IU is to make this path as easy as possible. What is intrauterine insemination and in what cases will it be effective? Intrauterine insemination – (IUI) is an assisted reproductive technology based on the introduction of special sperm into the uterine cavity. Usually sperm is brought into the uterine cavity through a thin catheter passed through the cervix. This treatment provides an accurate time calculation of sperm entering the uterine cavity and allows to bypass any undesirable effects on sperm cervical mucus. The procedure is performed in an outpatient setting. It is used to overcome infertility in married couples or to achieve pregnancy in single women.

Indications for incubation can be on the part of both a woman and a man.

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Woman’s reasons:

  • cervical factor of infertility, when sperm immobilize when interacting with cervical mucus

  • vaginismus (spasm of the muscles of the vaginal and cervical vaults)

  • no partner (insemination with donor sperm)

 Man’s reasons:

  • ejaculatory and sexual disorders ,when sperm entering the vagina is impossible

  • a slight decrease in sperm concentration or mobility.

 It is very important to know that in the case of intrauterine insemination, the meeting of sperm with the egg and its fertilization occurs in a natural environment – the fallopian tube. Therefore, intrauterine insemination can only be performed under conditions of passing fallopian tubes, sufficient number and mobility of spermatozoa and the presence of ovulation.

Intrauterine insemination is also performed for infertility of unknown genesis, when it is not possible to identify any cause of infertility in a married couple, but pregnancy does not occur naturally.

The insemination procedure is completely painless and resembles a normal gynecological examination.

The IUI procedure helps prepare and place sperm in a woman’s uterus and does not affect her eggs. Therefore, IUI can be used as part of a natural cycle or in combination with hormonal stimulation if ovulation is difficult. IUI is usually a quick and painless procedure that is performed during ovulation in a woman. This procedure involves the following steps:

  • When ovulation is stimulated (CO), when the eggs are Mature, the drug is injected to stimulate their release. The IUI procedure is performed simultaneously with the specified injection or in the next 24 hours

  • For IUI, the partner (or donor) provides a portion of sperm. Normally, the sperm sample contains enough sperm even to freeze some volume for the future, if this is required.

  • Usually, sperm screening for any diseases or genetic abnormalities is performed before the sperm is prepared for use in the laboratory

  • The embryologist prepares the sperm by “washing” and filtering to remove the mucosa and immobile (non-viable) spermatozoa. As a result, there is a concentrated solution of the most active spermatozoa ready for IUI

  • A syringe containing prepared sperm is attached to a catheter, which is then inserted through the vagina into the uterus.

After the procedure, the reproductologist prescribes hormonal support for the luteal phase until the expected day of the next menstrual cycle.

When menstruation is delayed for 1-2 days, the level of chorionic gonadotropin in the blood is determined, which indicates the presence or absence of pregnancy.

Sometimes it is not easy to achieve fertilization . If the IUI cycle does not immediately produce a positive result, this does not mean that pregnancy is unattainable. The next cycle of IUI may be successful or there will be time to consider another infertility treatment regimen.

Intrauterine insemination is a non-invasive and at the same time affordable method, but its effectiveness is not high-the frequency of pregnancy is approaching the indicator of natural conception, amounting to 18-22%.

If several (maximum of 3 cycles) unsuccessful attempts of intrauterine insemination continue treatment with this method is unpromising and it is recommended to resort to the method of in vitro fertilization.

If you are interested in intrauterine insemination, and you intend to undergo this procedure – contact the clinic “Girimon”. We perform insemination with the sperm of the husband or donor in a natural cycle or with stimulation. Patients who may be recommended for insemination with donor sperm have the opportunity to choose a donor according to the necessary parameters (age, type of appearance, nationality) from a significant number of options.

Our professional team will provide you with the necessary detailed information and individual, caring attitude during the entire treatment period.

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