Indications for artificial insemination and methods of its administration
Methods of carrying out the insemination procedure.
Artificial insemination - introduction into the cavityThe uterus of the sperm (husband or donor), previously treated, for the purpose of pregnancy. After this, the process of sperm movement through the fallopian tubes takes place naturally, ends with the meeting of the spermatozoon with the ovum, that is fertilization. The procedure for introducing sperm is carried out using a special thin catheter, easily traversed through the cervical canal. This process is painless, its duration is not more than two minutes. After the procedure, the woman needs to lie down for another half an hour.
Artificial insemination is carried out onceOr twice in the expected days of ovulation. Sperm is used, containing in one milliliter not less than 10 million active spermatozoa and at least 4 million spermatozoa with normal morphology.
The advantages of artificial insemination.
- The percentage of successful pregnancies is comparable to IVF;
- Good tolerability;
- Affordable price (which can not be said about IVF).
Indications for carrying out insemination can be divided into three groups:
- Insemination by the husband's seed;
- Seed insemination of the donor;
- Insemination by a woman.
Indications for use of the sperm spouse:
- Neck factor (with loss of spermatozoa mobility after getting into the cervical canal). Most often this is due to the presence in the cervical mucus of antisperm antibodies ("allergy" of the wife to her husband);
- Malformations of genital organs when natural intercourse is impossible;
- Lack of ejaculation;
- Oligospermia (a reduced number of spermatozoa with normal mobility).
Indications for use of donor sperm:
- Serious infectious diseases of the husband (AIDS);
- Incompatibility with the Rhesus factor of the spouses;
- Azoospermia (absence of spermatozoa in the ejaculate);
- Decrease in spermogram indices, if there is no effect from treatment.
Indications for insemination by a woman:
- Endometriosis of severe and even moderate degree;
- Pronounced adhesion in the small pelvis;
- Absence of sexual partner.
Contraindications to insemination:
- Racist motives caused by "ennobling the race";
- Lack of written confirmation that both spouses agree;
- Procedure under anesthesia;
- Lack of women's consent;
- Defects in the development of the uterus, which make gestation impossible;
- Cysts or ovarian tumors;
- Acute inflammatory process;
- Mental and general diseases, in which pregnancy is contraindicated;
- Malignant tumors of any localization.
Stages of the insemination procedure.
- Normalization of the natural menstrual cycle or stimulation of ovulation.
- Monitoring the maturation of the egg, monitoring the preparation of the endometrium for fertilization (carried out with the help of ultrasound).
- Selection of the time of the procedure (the day when the egg matured and left the ovary).
- Immediately intrauterine introduction of sperm.
Sperm treatment for insemination.
It is necessary to process the sperm to eliminateContained in her foreign body proteins, which can cause allergic reactions. Centrifugation, settling and thickening of sperm during processing is carried out, after which it becomes concentrated, is released from a rather large number of pathological spermatozoa.
It is unacceptable to mix the sperm of the donor and the husband, since the quality of donor sperm is reduced.
Factors contributing to the enhancement of the effect of insemination:
- Use of quality sperm;
- The use of drugs - stimulants of ovulation;
- Passage of both fallopian tubes;
- Age of the woman is under 30 years.
Currently, artificial inseminationOccupies one of the most important places in the treatment of infertility. The application of this method significantly reduces the number of childless couples and is proof that with infertility you need and you can fight.