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Artificial Insemination


Artificial Insemination

Relevant information about Artificial Insemination .


      Artificial Insemination is all that method of reproduction in which the sperm is deposited in woman´s body by a specialized set of instruments, using technologies that replace the copulation action in the egg (intrafolicular), in the uterus, or in the cervix. During the treatment, the woman’s menstrual cycle is closely monitored using ovarian kits, ultrasounds, and blood tests. The semen to be implanted is “washed” in a laboratory, which increases the chances of fertilization while removing unnecessary, potentially harmful chemicals. The semen is inserted into the woman, and if the procedure is successful, she conceives. Artificial Insemination can help patient conceive if she has a sperm allergy or if her partner has a low sperm count or poor sperm motility, which means that his sperm can't make the long journey to the egg. Different techniques can be used to carry out artificial insemination.


  • Natural Insemination difficulties

      Artificial Insemination can be useful in helping couples to conceive, saving most of the obstacles known by science. A man who cannot ejaculate inside patient´s vagina is a common one. The causes for ejaculation problem are diabetes, multiple sclerosis, spinal cord injury and retrograde ejaculation, where sperm are released backward into the bladder instead of urethra.

On the other hand, woman who has minimal to mild endometriosis (a condition where cells that are usually only found in the lining of the uterus begin to grow in other parts of the reproductive system) is in natural fertilization risk. Also in risk, women with cervical mucus hostility or poor cervical mucus, a condition that cause little spermatozoid mobility. Despite the fact that this procedure is under permanent development and optimizations, many cases of infertilities remain unexplained (some specialists believe in psychic explanations).


  • Treatments

      Although there´re many variants, three are the main Artificial Insemination procedures types. The Intracervical insemination (ICI) is one of the most commonly performed types of artificial insemination. The procedure known as ICI only will be late near ten minutes. The sperms will have to be placed inside patient´s uterine neck, just before she ovulates. A speculum will be in use for open her vagina, allowing and easy access to the uterine neck. Then a catheter will be inserted inside the neck of her uterus, containing the sample of sperm. This process closely replicates the way in which fresh semen is directly deposited on to the neck of the cervix by the penis during vaginal intercourse. It is the simplest method of artificial insemination and 'unwashed' or raw semen is normally used Timing is critical as the window and opportunity for fertilization, is little more than 12 hours from the release of the ovum.

The Intrauterine insemination (IUI) is the most commonly performed method of artificial insemination by husband. Often simpler and than in vitro fertilization, intrauterine insemination is an effective treatment for some forms of infertility. The best results of intrauterine insemination are obtained when it is realized together with ovulation induction procedure. Duo to the hormones used to induce the ovulation produce several eggs, the control of this treatment is very important to avoid secondary effects or multiple pregnancies.

Finally, one of the better-known fertility treatments, in vitro fertilization (FIV) is a technology in which the fertilization of the eggs by the sperms is realized out of the body of the mother. It´s performed at the laboratory, under controlled conditions. The FIV is the principal treatment for the infertility when other methods of assisted reproduction have resulted unsuccessful. The process implies the hormonal control of the ovulation process, extracting the egg cells of the patient´s ovaries. Then, a spermatozoid is stimulated to fecund one of these cells. The egg fertilized (now called zygote) is transferred to the uterus of the patient with the intention of initiating the pregnancy. FIV treatment is an assisted reproductive technology method suitable for couples with any one of various causes of infertility, including tubal factor infertility, endometriosis, and certain types of male factor infertility.

  • Anesthesia: Normally, the type of anesthesia that is use in this procedure is local. However, some variants of intrauterine insemination might need general anesthesia, as well as in all the types of in vitro fertilization, when the zygote is replaced in patient´s uterus.
  • Surgery length: A sperm sample will be provided by the male partner of the patient undergoing artificial insemination, but sperm provided through sperm donation by a sperm donor. For example, some couples have chosen to obtain donated sperm from somebody they know, a relative or a friend. In fact, the normal procedure is to take the sperm sample from an anonymous donator. Sperm is usually obtained through masturbation or the use of an electrical stimulator. Also, a special kind of condom could be used to catch the sperm during ejaculation. In order to do this step, the donator of the sperm (couple or anonymous donator) is usually advised not to ejaculate for two to three days before providing the sample in order to increase the sperm count. On the other hand, woman's menstrual cycle is closely observed.

    When using intrauterine insemination, the sperm must have been “washed” in a laboratory. If sperm is provided by a sperm donor through a sperm bank, it will be frozen and quarantined for a particular period and the donor will be tested before and after production of the sample to ensure that he does not carry a transmissible disease. A chemical known as a cryoprotectant is added to the sperm to aid the freezing and thawing process. Further chemicals may be added which separate the most active sperm in the sample as well as extending or diluting the sample so that vials for a number of inseminations are produced. Frozen semen should only be used with direct intra-uterine deposition. For fresh shipping, a semen extender is used. The different procedure and their performance have already been told. In the other hand, in cases of in vitro procedures, the egg is “cleaned” too. Specialist takes out of it the cells that complicate the fertilization process. The sperm freezing is considerate preventive medicine, because when a sample of semen is frozen, man is guaranteeing his ability to reproduce himself, in case of illness, accident or even death.


  • Patient Recovery

      Generally, the success of the procedure chosen is determinate a few hours later. Once the specialists have checked patient´s status, she could return home. However, patient will be asking to maintain calm and not to move too much. These types of pregnancies have to be even more watched than naturals ones. Patient might do regular exams to evaluate the correct evolving of the embryo.


  • Possible Complications

      Beside that the process could result unsuccessful, exits the chances of more serious problems. If the previous sperm exams have not been done with care, any donator’s illness might be transmitted to patients. It is also important to choose the right specialists and medical center.


  • Treatments advantages and disadvantages

      Human artificial insemination is a revolutionary fertility procedure with many benefits. The AI technique creates an avenue to pregnancy for couples faced with male or female infertility. Further, AI by donor allows sperm to be tested and screened prior to insemination, reducing the likelihood of passing a genetic disorder on to the child. Another benefit of artificial insemination is that it allows homosexuals couples to have a child.
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