The wait for the baby is quite long, this does not mean that moms and dads have failed. The insemination procedure can be the solution when the natural pregnancy program doesn’t work. Who, yes, is it recommended to undergo this procedure? Come on, read more here.
Who can be inseminated?
Insemination or intrauterine insemination (IUI), is artificial insemination which is a procedure to treat fertility problems (infertility). The spermatozoa that have been washed and concentrated are placed directly in the uterus around ovulation, or when the ovaries release one or more eggs to fertilize.
The expected result of insemination is that the sperm will swim down the fallopian tube and fertilize the waiting egg, eventually leading to pregnancy. Depending on the reason for the infertility, insemination can also be coordinated with the menstrual cycle or in combination with fertility drugs.
A couple’s ability to conceive depends on many different factors. Insemination is most often used in couples who have the following problems:
- Fertility disorders of unknown cause (unexplained infertility)
Phased insemination is often done as the first treatment for infertility of unknown cause, along with medications that induce ovulation.
- Fertility disorders related to endometriosis
For infertility associated with endometriosis, using drugs to obtain good quality eggs results are good when combined with insemination. This step is also often the first approach to treatment.
- Mild male infertility (subfertility)
Male sperm analysis is one of the first steps in medical evaluation of infertility. Analysis results may show below average sperm concentrations, weak sperm movement (motility), or abnormalities in sperm size and shape (morphology). Insemination can overcome some of these problems because the insemination procedure helps to select agile and high quality sperm.
- Infertility of the cervical factor
The cervix (cervix) is located at the lower end of the uterus which provides a space between the vagina and the uterus. The mucus produced by the cervix near the time of ovulation provides an ideal environment for the passage of sperm from the vagina to the fallopian tubes. But, if the cervical mucus is too thick, it can obstruct the passage of sperm. Additionally, the presence of scar tissue from a biopsy or curettage procedure can also cause the cervix to thicken. By performing the insemination procedure through the cervix, the sperm can be inserted directly into the uterus, so that it has a greater potential to meet the egg.
- Infertility of the ovulation factor
Insemination can be done for women who suffer from infertility due to ovulation disorders, such as a lack of ovulation (anovulation) or a low number of eggs.
Although they include rare cases, allergies to proteins in semen can cause infertility. If you have a semen allergy, ejaculation into the vagina causes redness, burning, and swelling where the semen comes into contact with the skin. Condoms can actually protect against these allergic symptoms, but also prevent pregnancy. So, as a solution, insemination can be done and effective.
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What are the success factors for insemination?
Insemination as a minimally invasive strategy that can be used to help with pregnancy is considered effective when done correctly. The goal of the insemination technique is to increase the number of spermatozoa available to reach and fertilize the egg, thus increasing the chances of pregnancy.
Even so, the success rate of insemination still depends on several factors, including:
- Diagnosis of men and women and partners
Different fertility disorders, therefore different chances of success. The doctor will diagnose several problems that determine the success rate of the insemination procedure, such as:
- Unexplained infertility. In this condition, it means that the woman has a good number of eggs, a healthy uterus, an open fallopian tube and a good number of spermatozoa, all normal. The success rate if you and your husband fall into this category is 7-10% per cycle. Also, when combined with fertility drug treatment, the success rate can increase by up to 15-25%.
- There is only one open fallopian tube, which means you have a blocked fallopian tube and an unblocked fallopian tube. Although pregnancy can occur, the success rate depends on the location of the block. When the blockage occurs near the ovary, the insemination success rate is approximately 11.7%. When the block is close to the uterus, the success rate is 38.1%.
- If the husband does not have severe sperm problems, insemination can improve the natural fertilization process by bringing the sperm closer to the egg. The success rate of insemination in cases of male infertility is 16.9%.
- The age of the woman, which is an important factor in determining the success rate of the insemination procedure. It should be noted that the conception rate decreases significantly with the age of women due to the decrease in egg quality. You may also need several repeated insemination cycles to get pregnant if you are over 35. To illustrate, this is the close relationship between a woman’s age and successful insemination:
- Under 35, the insemination success rate is 13%.
- Age 35-37, 10% success rate.
- Age 38-40, 9% success rate.
- More than 40 years, 3-9% success rate.
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- Time for insemination
After your doctor has determined when ovulation will occur, an insemination date will be scheduled. The doctor will also tell you when you should take the medications and when your husband should administer a semen sample. All of this must be properly planned and done regularly. Delays or irregularities in any process can reduce the success rate of conception.
Meanwhile, insemination has the lowest success rate in the following situations:
- You have moderate to severe endometriosis.
- The husband does not produce sperm (azoospermia).
- Moms suffer from severe fallopian tube disease.
- Remove both or both blocked fallopian tubes.
- Moms have a pelvic infection,
In some of the above situations, doctors will generally recommend other methods of assisted reproduction, especially IVF procedures. (IS)
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Reference:
WebMD. IUI
Mayo Clinic. IUI
