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 such a method as insemination. At whom it turned out the first time, will tell you the article presented. You will learn about the procedure and the method of its conduct, and also you can get acquainted with the opinions of patients who have passed this stage.
Supportive reproductive technology: intrauterine insemination
Artificial insemination is the process of insertion into the cavity of the reproductive organ of a female sperm of her partner. This moment is the only thing that happens artificially. After that, 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.
Indications for the operation of
The procedure for insemination is indicated for couples who can not conceive of their own child for a year, and both partners have no pathologies. Usually in this case they speak of infertility of an unknown genesis. Also indications for insemination are the following situations:
- a decrease in the quality of sperm or sperm motility in a man;
- erectile dysfunction;
- irregular sex life or sexual dysfunction;
- cervical factor of infertility( development of antispermal bodies in the cervical channel of the partner);
- age factor( both men and women);
- anatomical features of the structure of the genital organs;
- impossibility of sexual contact without protection( for HIV infection in a woman);
- desire to conceive a child without a husband and so on.
Insemination of sperm is usually carried out in private clinics involved in assistive reproductive technologies. The procedure requires some preparation and has several stages. Consider them.
Preliminary examination of
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. If you receive unsatisfactory results during the procedure, additional manipulations will be applied. Also the partner is examined for the presence of sexual infections, passes a blood test and fluorography.
A woman has a greater diagnosis than a man. The patient undergoes ultrasound diagnosis, passes tests for the definition 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.
Initial stage: stimulation or natural cycle?
Before the 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 for those patients who have an ovarian reserve reduced. Reducing the number of eggs can be an individual feature or a consequence of ovarian resections. Also, the decrease in the 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 ultrasound specialist who performs follicle measurements. Attention is also drawn to the condition of the endometrium. If the mucous layer grows poorly, then the patient is prescribed additional medications.
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 sperm state. If fresh material is used, its administration can occur no more often than once every 3-5 days. Therefore, the pair is offered two options:
- is inseminated 3 days before ovulation and a few hours after it;
- the introduction of the material once directly 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. At whom it has turned out from the first time at the single introduction, do not advise to be solved on double. And vice versa. Otherwise, the situation is with frozen sperm or donor material.
Another version of
Insemination by the donor always provides for the preliminary freezing of the material. Such sperm after thawing 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. You need to discuss this with a 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 should not strain and lift heavy objects. Rest is recommended. The next day there are no restrictions in the mode. However, personal hygiene must 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, then you need to seek medical help. Also, some patients may have minor spotting. They are associated with a small expansion of the cervical canal and the possibility of traumatizing the mucous membrane. Alloculations pass independently and do not require the use of additional drugs.
Diagnosis of pregnancy
After the insemination is carried out, pregnancy should occur within a few hours. At the end of this time, the egg becomes incompetent. But at this point the woman still can not find out 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 puncture of the 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 confirmation or denial of a pregnancy is capable of 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 pair that carried out such manipulation. The probability of pregnancy ranges from 2 to 30 percent. While in the natural cycle, without assisted reproductive methods, in healthy spouses it is 60%.
A favorable outcome at the first attempt usually occurs under the following conditions:
- the age of both partners is in the range of 20 to 30 years;
- the woman does not have any hormonal diseases;
- in a history of a man and a woman there are no infections of the genital tract;
- partners lead a healthy lifestyle and prefer proper nutrition;
- the duration of unsuccessful attempts to conceive a child is less than five years;
- had not previously performed ovarian stimulation and gynecological surgery.
Despite these parameters, success can be in other cases.
Reviews of women
Almost all patients before the manipulation study the 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 ways, 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. It can be such diseases 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 not to spend 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 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. When pre-freezing the 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 may 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 compared with the method of in vitro fertilization, gave couples a new hope and a chance to conceive a child. Far from every 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!