Insemination: who got it the first time? Artificial insemination - assisted reproductive technology

An increasing number of married couples in recent years need assisted reproductive technologies. A few decades ago, in the presence of some problems, women and men remained childless. Now medicine is developing very rapidly. Therefore, if you can not get pregnant for a long time, you should use a method such as insemination. At whom it turned out the first time, the article will tell you. You will learn about the procedure and the method of conducting it, and also you can get acquainted with the opinions of patients who passed this stage.

Auxiliary reproductive technology: intrauterine insemination

Artificial insemination is the process of insertion into the cavity of the reproductive organ of the female sperm of her partner. This moment is the only thing that happens artificially. After this, all processes are carried out naturally.

Insemination can be carried out by the sperm of a husband or donor. The material is taken fresh or frozen. Modern medicine and the experience of doctors allow a couple to conceive a child even in the most seemingly hopeless situations.

Indication for the operation

The procedure of insemination is indicated for couples who can not conceive a child for themselves during the year, while both partners have no pathologies. Usually in this case they speak of infertility of an unknown genesis. Also, indications to insemination will be such situations:

• A decrease in the quality of semen or sperm motility in a man;
• Erectile dysfunction;
• Irregular sexual life or sexual disorders;
• Cervical factor of infertility (development of antispermal bodies in the cervical channel of the partner);
• The age factor (both men and women);
• Anatomical features of the structure of the genital organs;
• The impossibility of sexual contact without protection (in case of HIV infection in a woman);
• The desire to conceive a child without a husband and so on.

Insemination of sperm is usually carried out in private clinics involved in assisted reproductive technologies. The procedure requires some preparation and has several stages. Consider them.

Exploratory survey

Artificial insemination involves the diagnosis of both partners. A man must necessarily pass a spermogram so that experts can reasonably assess the state of sperm. When receiving unsatisfactory results, additional manipulations will be applied during the procedure. Also the partner is examined for the presence of sexual infections, gives a blood test and fluorography.

A woman has a greater diagnosis than a man. The patient undergoes ultrasound diagnostics, tests for the detection of infections of the genital tract, provides fluorography. Also, the future mother needs to explore the hormonal background, determine the ovular reserve. Depending on the results obtained, further tactics of working with the pair are chosen.

The initial stage: stimulation or natural cycle?

Before insemination, some women are prescribed hormonal drugs. Take them in a strictly prescribed dose.

The doctor indicates the days when the medicine is administered. It can be in the form of tablets or injections. Hormonal stimulation of the ovaries is necessary for a woman with a violation of ovulation, as well as those patients who have an ovarian reserve reduced . The decrease in the number of eggs can be an individual feature or a consequence of ovarian resections. Also, the decrease in ovarian reserve is observed in women approaching 40 years.

Both in stimulation and in the natural cycle, the patient is prescribed folliculometry. A woman regularly visits an expert in ultrasound diagnostics, which performs the measurement of follicles. Attention is also drawn to the condition of the endometrium. If the mucous layer grows poorly, then the patient is prescribed additional medications.

An Important Moment

When it is found that the follicle has reached the appropriate size, it is time to act. Depending on when will ovulation, the insemination is appointed for a few days or a couple of hours. Much depends on the state of sperm. If fresh material is used, its administration can occur no more often than once in 3-5 days. Therefore, the pair is offered two options:

• Insemination 3 days before ovulation and a few hours after it;
• The introduction of the material once during the rupture of the follicle.

Which of the ways is better and more effective, has not yet been determined. Much depends on the health of partners and indications, on which insemination is carried out. Who got it the first time with a single introduction, do not advise to decide on a double. And vice versa. Otherwise, the situation is with frozen semen or donor material.

Another variant

Insemination by the donor always provides for the preliminary freezing of the material. Such sperm after defrosting can be introduced in several portions. The effectiveness of this method is slightly higher than fertilization with fresh material.

You can also freeze sperm from a partner in a married couple. For this, it is not necessary to become a donor. Discuss this question with the reproductologist. During the cryopreservation of sperm, its quality is improved, only the best, fast and healthy spermatozoa are selected. Pathological cells are removed from the material. As a result of manipulation, the so-called concentrate is obtained.

The process of introducing the material

This procedure takes no more than half an hour. The woman is located on a gynecological chair in a familiar position. A thin catheter is inserted into the cervical canal through the vagina. At the other end of the tube, a syringe with the collected material is fixed. The contents of the injection are delivered to the uterus. After this catheter is removed, and the patient is recommended to lie down for another 15 minutes.

On the day of insemination, a woman is not allowed to strain and lift heavy objects. Rest is recommended. The next day there are no restrictions in the mode. However, personal hygiene should be observed, since after insemination there is a risk of infection.

On the first and second days from the transfer of material, a woman may have a traumatic pain in the lower abdomen. Doctors do not recommend taking medications. If the pain seems unbearable to you, then you need to seek medical help. Also, some patients may have minor spotting. They are associated with a slight expansion of the cervical canal and the possibility of traumatizing the mucosa. Alloculations pass independently and do not require the use of additional drugs.

Diagnosis of pregnancy

After the insemination is carried out, the pregnancy should occur within a few hours. At the end of this time, the egg becomes incompetent. But at this moment the woman still can not learn about her new position. Some patients are prescribed hormonal support. Drugs are always needed in a cycle with stimulation and sometimes in the natural.

The test after insemination will show the correct result after 10-14 days. If a woman was stimulated and a shot of a chorionic gonadotropin was given, she could see a positive test right after the procedure. However, he does not talk about the onset of pregnancy. The reagent on the strip shows only the presence of hCG in the body.

The most accurate confirm or deny pregnancy is ultrasound. But it can be no earlier than 3-4 weeks after the procedure. Some modern devices allow you to get results in 2 weeks.

Insemination: who got it the first time?

There is a statistics of couples who carried out such manipulation. The probability of pregnancy ranges from 2 to 30 percent. While in the natural cycle, without auxiliary reproductive methods, in healthy spouses it is 60%.

A favorable outcome on the first attempt is usually under the following conditions:

• The age of both partners is in the range of 20 to 30 years;
• A woman does not have any hormonal diseases;
• In the anamnesis, men and women have no genital tract infections;
• Partners lead a healthy lifestyle and prefer proper nutrition;
• The duration of unsuccessful attempts to conceive a child is less than five years;
• Previously there was no stimulation of the ovaries and gynecological operations.

Despite these parameters, success can be in other cases.

Women's Feedback

Almost all patients before the manipulation study reviews that have insemination: who got it the first time, how to behave, what better not to do, and whether it is worthwhile to carry out stimulation. I must say at once that if you are hoping for a positive outcome, then you need only listen to a doctor. No tips girlfriends will not help. Each situation is individual. Therefore, when insemination is selected its own way of acting in each individual case.

Representatives of the weaker sex who had a cervical factor, in most cases receive a positive result of manipulation. Spermatozoa pass the cervical canal and are not destroyed by antispermic bodies. If it is a question of poor quality of sperm, then everything is individual. In many respects reproductologists can improve the material. But this does not give a reliable guarantee in a positive outcome. Approximately 30 percent of couples are satisfied with the procedure.

The situation is more complicated if the woman has pathologies. These can include diseases such as endometriosis, fibroids, polyps in the uterus and adhesions. In such situations, the probability of a positive outcome is even less. Approximately 8-10 pairs of a hundred were pregnant.

Doctors usually advise to spend no more than 3-4 attempts. If stimulation was carried out in each of them, then it is worthwhile to think about more complex methods of assisted reproductive technologies - IVF. In the event that a woman allows age, and hormonal preparations are not present in the cycle of insemination, the manipulation can be repeated unlimited number of times.

Cost of the procedure

Artificial insemination can be carried out in private clinics at an affordable cost. But much depends on the health of partners. The more pathologies are identified, the more difficult will be the preparation. With the pre-freezing of semen, the cost of the procedure increases, as in the case of its long storage.

If the usual insemination is carried out, its price will be approximately 10-20 thousand rubles. In this case, the cost can already include specialist advice, tests, folliculometry and monitoring until pregnancy is confirmed. Other clinics offer a separate payment for each service, reducing the cost of the manipulation itself. What to choose, it's up to you.

A small conclusion

Artificial insemination, the price of which is relatively low in comparison with the method of in vitro fertilization, gave couples new hope and a chance to conceive a child. Far from each spouse can make ECO independently, and quotas are allocated only for certain indications. With insemination, everything is much simpler.

If you can not conceive a child for more than one year with a regular sexual life or have other indications for insemination, then consult a specialist. In carrying out manipulation there is nothing to worry about. All processes occur naturally. Reproductive specialists only help you increase the chance of a successful outcome. Good results to you!