HealthMedicine

What is insemination, how is the procedure, what is its effectiveness? Reviews

A variety of reproductive technologies are increasingly gaining popularity in recent years. The most difficult and time-consuming procedure is in vitro fertilization. In the process of its carrying out the sampling of female and male gametes is carried out, which are combined in specially prepared conditions. IATM has an uncommon popularity. How the procedure goes and its effectiveness - all this will be described in this article. Also you will learn the basic responses about this action and you can get acquainted with the opinion of doctors.

What is intrauterine insemination?

How the procedure goes, this article will tell you. However, before this, it is worth learning about some points.

Insemination is a kind of fertilization. With him, there is no classical sexual intercourse. Partners may not even touch each other. A man and a woman can divide a great distance during conception. The procedure of artificial insemination is a manipulation at which the ejaculation is introduced directly into the cavity of the genital organ. Thus, the vagina and the cervical canal are passed . This operation can be carried out with freshly collected semen or frozen material. In the second case, the ejaculate is pre-treated. It is worth noting that it is possible to conceive a child in this way with the help of a husband's material or an outside donor.

To whom is the procedure assigned?

When does the doctor say that the pair needs artificial intrauterine insemination (how is the procedure going to be described below)? Indications for the conduct may be different. Often this is a pathology in men or women. However, sometimes an ailment can affect both partners. The main indications for manipulation include the following:

  • Development of antispermal bodies in the vagina of a woman. Often this happens with a long life together. It is worth noting that not all doctors confirm this assumption. The postcoital test will help to reveal the pathology.
  • Prolonged infertility associated with the lack of ovulation in women, provided that the second sexual partner has a good sperm count.
  • Insufficient activity of spermatozoa in men. It is advisable in this case to pre-medicate correction.

There are other (individual) indications. For example, insemination is carried out for couples who for a long time can not conceive a baby for unknown reasons. Often, this method of fertilization is used in pairs, which are forced to spend a long time in separation. In this case, they simply can not physically conceive the child on their own.

Contraindications to fertilization in this way

Before the insemination, the doctor necessarily appoints a conversation with both partners. The doctor explains the effectiveness of manipulation, and also reports on contraindications. Refuse the procedure is in the following cases:

  • Obstruction of the fallopian tubes in a woman;
  • Presence of an inflammatory process in the vagina;
  • With pathologies of the cervical canal and cervix;
  • Period of menstruation;
  • Absence of ovulation.

In the latter case, the procedure is performed only after a certain correction. Only a doctor can choose an individual training scheme for a particular pair.

Where is the procedure performed?

If you are shown insemination, how the procedure goes, the doctor will tell. You can only perform surgery in 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 a policy with you. Be ready to stay for a few days at the clinic. Private institutions perform 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 condition of the partners and the preliminary preparation of the material.

Intrauterine insemination: how is the procedure? Preparation

Before carrying out the insemination, the couple must undergo a certain examination. Preparation includes a spermogram. This analysis should be handled by a man after five days of abstinence. The rest of the research is carried out exclusively by the representative of the weaker sex. This includes the diagnosis of blood, the determination of the condition of the fallopian tubes (metrosalpingography), examination of the uterine cavity (hysterosalpingography). Also, the doctor must make sure that in the body of the expectant mother, ovulation occurs. This can be done with the help of ultrasound or by determining the level of certain hormones.

By results of analyzes the spermogram should be in norm. Otherwise, immediately before insemination, the sperm is processed. The fallopian tubes of a woman should be passable throughout their entire length, and a normal microflora should be present in the vagina. How does artificial insemination occur? Let's consider the algorithm of actions.

Insemination: algorithm

How does insemination occur? Doctors say that a woman is pre-examined using an ultrasound transducer. Doctors should make sure that there are at least three follicles in the ovaries. Also their size is estimated. Ovulation according to the calculations of specialists should occur in the next few hours.

Before insemination is done, the sperm is collected. If necessary, it is processed and cleaned. Also sometimes it makes sense to fill the substance with useful substances to prolong the viability of spermatozoa. The woman is located on the gynecological chair in the doctor's office.

A gynecologist gains sperm from a partner or donor in a syringe. To its end is connected a thin tube - a catheter. A soft hose is inserted into the cervix and reaches the inner throat. After this, the specialist injects the contents of the syringe into the cavity of the genital organ.

Efficiency of manipulation: evaluation of specialists

You already know how to make insemination. The comments of the doctors say that with natural fertilization there is a high probability of a successful outcome, rather than from this procedure. According to reproductive specialists, 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 on artificial insemination

You already know how insemination is carried out . The patients' comments 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 bloody discharge.

Doctors say that if the rules of procedure are not observed in the woman's womb, inflammation may develop. This situation is especially dangerous if the operation is successful.

Instead of confinement ...

You have become aware of insemination, how manipulation takes place, and what its effectiveness is. Remember that this procedure is not a panacea. The result of the procedure can be found ten days after the artificial insemination. The most accurate result can show a blood test for determining the level of chorionic gonadotropin. Observe all the rules of preparation for manipulation. This will increase the chance of a positive outcome. I wish you success!

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