Artificial insemination with partner's semen

Artificial insemination with partner's semen (AI): fulfilling the dream of parenthood

What is Artificial Insemination with Partner's Semen or AI? La artificial insemination (AI) It is one of the two large groups into which the techniques of Assisted reproduction (TRA). The other is in vitro fertilization (IVF). It basically consists of facilitating the meeting of sperm and egg by placing a semen sample inside the woman's uterus. This sample will have been previously prepared in the laboratory, selecting and concentrating the highest quality sperm—that is, those with the best motility. The main difference compared to IVF, is that prior extraction of the woman's eggs is not necessary. In this case, they are carried out ovarian stimulation and endometrial monitoring to calculate the ideal moment in which to perform artificial insemination (AI). Furthermore, it's worth noting that, within the field of AI, we find two subgroups:

the one made with partner's semen (IAC)
or with donor semen (IAD).

Today we will talk about the IAC.

Artificial insemination with partner's semen (AI)

When is Artificial Insemination with Partner's Semen Indicated?

When a mild alteration in the semen is detected in a man.
When a woman has ovulation defects or suffers from mild endometriosis.
In cases of sterility of unknown origin.

Requirements

Women must be able to ovulate spontaneously or with treatment and have at least one patent (unobstructed) tube. A hysterosalpingogram is performed to check tubal patency.
Men require a minimum concentration of recovered motile spermatozoa - greater than 3 million.

Procedure: ovarian stimulation

1st. A is made gentle stimulation of ovulation through intramuscular hormone injections for 10-12 days. The goal is to produce a maximum of two follicles, thereby increasing the chances of pregnancy. Naturally, women usually produce only one follicle per menstrual cycle. 2. During this period, between 3 and 4 ultrasounds to monitor the progress of the treatment. The growth and development of the follicles will also be checked through the blood estradiol level3. After the ultrasound scan, which will determine when the dominant follicle reaches a size of between 17 and 20 mm, the woman will be administered, via subcutaneous injection, the human chorionic gonadotropin hormone (hCG)This hormone will be responsible for completing the maturation of the follicle and inducing ovulation. 4. After a few 35-37 horas Since the hCG injection, the follicle must have reached the appropriate size. Vaginal ultrasounds will be used to confirm this, after which artificial insemination will be scheduled5. The semen sample will be taken to the reproductive laboratory approximately two hours before the AI. There, the biologists will analyze it. will train the sample, preparing the motile sperm in a 0,2 ml container. They will then be introduced into the woman's uterus in a simple intervention that does not require sedation and is performed in the office itselfWith the help of a vaginal speculum, the specialist inserts the cannula containing the sperm sample through the cervix and into the uterus. The discomfort the woman will experience will be no greater than that caused by a routine Pap smear. 6. After resting for a few minutes in the examination room, the patient will be scheduled for the procedure. pregnancy test around 15 days later. In addition, the need to prescribe medication will be considered –progesterone To promote implantation. During this time, you should lead a normal life, avoiding high-intensity physical activity. More information about ovarian stimulation. here.