Is it possible to play sports after insemination. Intrauterine insemination: how to prepare and behave after the procedure? Why is ultrasound prescribed after insemination

Demchenko Alina Gennadievna

Reading time: 3 minutes

Almost all families want to have children. Many people conceive naturally and quickly, so the problem of infertility does not bother them. But there are also couples whose path to happiness is long and thorny. In some cases, the cause of infertility in the family may be a man, not a woman. If the main problem is in the male factor, and pregnancy cannot occur as a result of poor analysis of the spermogram (subfertile sperm), the doctor prescribes an auxiliary procedure - artificial insemination.

A similar technique is assumed not only in the case of the male factor, but also when the female cervical mucus is of poor quality or, for some reason, is completely absent. Also, this technique is recommended for those girls whose cause of infertility remains unexplained. The only condition is that a woman should have no pathology of the tubes.

After insemination, the chances of getting pregnant increase significantly, and on average, statistics show an increase in opportunities by 20%.

Procedure

Before starting the procedure, the doctor monitors the woman's cycle for several days using ultrasound. This is necessary to establish when ovulation occurs.

The purpose of the artificial insemination procedure is to conduct purified sperm through the cervix in a technical way with a special catheter.

About the 3rd or 5th day after the start of menstruation, the doctor prescribes hormones to stimulate the ovaries. On the 8th day, the gynecologist daily, using an ultrasound machine, monitors the size of the growth of estradiol and follicles, and also monitors the normal state of the endometrium.

A few days after the maturation of the follicle, the stimulation drugs are canceled. Woman stabs hCG injection which speeds up the process of ovulation. Ovulation occurs approximately a day later, a maximum of 40 hours, after stimulation. The reaction of each organism to such a procedure is quite individual. On the second day after the injection, the AI procedure (artificial insemination) is performed.

Artificial insemination is an assisted reproductive procedure that allows you to conceive a child artificially. This technique involves the introduction of donor sperm into the uterine cavity of the patient. Insemination is one of the most natural and safe methods of artificial conception.

To improve the effectiveness of the procedure, factors such as proper preparation, the use of high-quality biological material and compliance with certain rules after AI. Free samples of gene material can be obtained using the services of a private sperm donor. The recommendations of specialists will help you learn how to behave correctly after artificial insemination.

What to do after the procedure?

Immediately after the completion of the artificial insemination procedure, the patient is recommended to spend about 40 minutes lying down, in a horizontal position. For the next few days, you should keep calm, rest more, avoid any stress, both physical and psycho-emotional.

It takes about 2 weeks to know the results of artificial insemination. After this time period, the patients donate blood for a laboratory test for hCG, which allows you to get ahead of pregnancy by early dates. Within 10-14 days, a woman should follow medical recommendations as strictly as possible.

Restrictions after artificial insemination

To increase the chances of a successful pregnancy after the insemination procedure, reproductive specialists advise their patients to follow the following rules:

Refuse to use hygienic tampons.
Refrain from visiting baths, saunas.
Replace the hot bath with a warm hygienic shower.
Refrain from excessive physical exertion, refrain from lifting weights. In the first 2 weeks after the fertilizing manipulation, it will be better to postpone going to the gym, training, and visiting the pool.
Pay attention to your diet, excluding alcohol from the daily menu, coffee drinks, citrus fruits, chocolate.
Refrain from sexual contact.
Do not take medicines, except for those medicines that have been recommended to you by your doctor.

Condition after the procedure

Most women tolerate insemination well without any side effects. In some cases, pulling pain localized in the lower abdomen, nausea, and weakness are possible. When these symptoms appear, you should rest more, keep calm. It is better to refrain from taking medications.

Compliance with these simple rules significantly increases the chances of positive results after fertilization. However, even if the analysis turned out to be negative, do not be upset! Practice shows that in order to achieve the desired pregnancy using the method of artificial insemination, a woman may need about 3-5 procedures.

After insemination

The site provides background information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!

For insemination, a woman sits in a gynecological chair. The ejaculate, which has previously undergone special preparatory procedures, is poured into a device that is inserted into the cervix and then into the uterus itself. The most unpleasant thing during insemination is the cold from the inserted catheter. At the end of the sperm infusion, the woman should take a supine position and remain in it for about half an hour. After that, no restrictions on behavior and lifestyle.

After insemination, it is advisable not to have sexual intercourse for some time, you should also not lift weights, drink alcohol and drugs. But similar recommendations can be given with natural fertilization.
Sometimes after the procedure, the doctor prescribes drugs containing the hormone progesterone. It is preferable if these are vaginal preparations. Progesterone provokes lethargy and cravings for sleep. If drugs are taken orally, these effects of drugs are enhanced.

In the event that fifteen days after the procedure, menstruation did not occur, we can talk about its success. Then you should purchase a rapid pregnancy test. If the insemination was unsuccessful, after eleven to thirteen days, menstruation will begin.

According to various sources, the chance of successful fertilization is from ten to fifteen percent. At the same time, the opportunity to become parents of twins is fifteen percent, and the opportunity to give birth to triplets is three percent. In no other way is a pregnancy after this procedure no different from a normal pregnancy.

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What to do before and after artificial insemination

Artificial insemination is becoming the main method of pregnancy for many couples. Practice shows that not every woman can become pregnant naturally. Sometimes the problem is in her, and sometimes in her partner.

Naturally, in such situations, it is rational to seek help from qualified medical professionals. They conduct full-fledged examinations of both future parents, determining for them the best way to conceive a child.

If the situation is not critical, many doctors prefer to prescribe artificial insemination to clients. This name hides the artificial insemination of a woman's egg by introducing her husband's or donor's sperm into her vagina. This seems to be a relatively simple procedure. And indeed: of all the methods of artificial insemination, this one is considered the simplest and most gentle.

However, not every couple knows what rules to follow before and after such a procedure. In this article, we will answer these questions and try to formulate the main recommendations regarding this case.

What to do before going for artificial insemination?

Preparing for insemination requires a lot of responsibility on the part of both partners:

So, first of all, each of them is sent to be tested for sexually transmitted diseases. The woman will be examined by a gynecologist who will determine whether her fallopian tubes are normal. If necessary, ultrasound diagnostics is also prescribed, with the help of which it is possible to establish the presence of inflammatory processes.
The sperm itself passes through the spermogram. This is a detailed analysis that will help determine the suitability of the intended father's sperm to conceive a child. If the analysis turns out to be disappointing, you will have to look for a donor.
In addition, a woman undergoes special monitoring, which will help track and record the process of egg development. So you can find out if it develops normally and if it is suitable for fertilization.
The last step in preparing for artificial insemination is taking drugs to stimulate follicle growth and superovulation. In each case, such medications are purely individual, and can only be prescribed by qualified doctors. The man is voiced the rules according to which he will have to hand over the seed material.

To achieve the greatest chance of conception, it is important to know the date of ovulation. You can determine its onset in different ways, for example, by keeping a schedule, tests, ultrasound monitoring.

Consultation with a doctor before carrying out the insemination procedure at home

Before taking action, many women do not go to the doctor, but start asking questions on the Internet search engine, for example, how is insemination done at home, experienced reviews help to gain confidence before the procedure.

However, it is worth getting the advice of your doctor to have an accurate idea of what can and cannot be done during insemination.

Insemination can be carried out in the woman's natural cycle at the time of ovulation or in a stimulated cycle. It all depends on the condition of the patient and the presence of certain indications.

Many women are interested in what signs of pregnancy can occur after insemination. In fact, conception and implantation of the fetus should be asymptomatic for a woman. If the patient took hormonal preparations, then she may be disturbed by pain in the lower abdomen, dizziness.

Those who become pregnant after insemination often complain of spotting spotting a week after the procedure. Such a symptom may indicate successful implantation of the fetus, as well as the threat of miscarriage. When spotting you need to consult your doctor immediately.

Due to changes in the hormonal background after fertilization, the well-being of women may change, but usually everything happens individually. Consider what the sensations are on the days after insemination:

in the first days after the procedure, abdominal pain, bloating, weakness associated with ovarian hyperstimulation syndrome may occur if the woman took hormones for stimulation;
on the 5th day after insemination, hunger and pain in the mammary glands may occur;
on the 6th-7th day, women complain of a temperature increase of up to 37 degrees and pink discharge from the vagina - this is due to the implantation of the fetus.

Patients are often concerned about the question of when to do a pregnancy test after insemination? On the recommendation of reproductologists, you can do the test on the 14th day after insemination. If a woman is unbearable, she can take a blood test for hCG in her clinic on the 10th day.

Features of the procedure

Artificial insemination is a method of fertilization without sexual intercourse. The procedure is the introduction of sperm into the uterine cavity of a woman. Due to certain circumstances, donor sperm is used both freshly collected and frozen.

If the second option is used, then the material is pre-processed. When the husband's spermatozoa are incompetent, materials from an outside donor are used. There are a number of reasons why insemination may or may not work.

Why insemination fails:

the presence of reasons that prevent conception;
performance of the procedure by an unqualified specialist;
poor preparation of the ovaries or sperm;
age after 30 years;
the presence of hormonal diseases;
the presence of an infection of the genital tract of one of the spouses;
lack of proper nutrition;
unsuccessful attempts to conceive a child naturally for more than 5 years;
previous ovarian stimulation;
performed gynecological operations;
inadequate patency of the fallopian tubes.

Some experienced doctors advise artificial insemination only after 2 years of trying to get pregnant naturally.

Indications

Indications for the procedure are sexual dysfunction or low sperm motility in men, as well as vaginismus or cervical factor infertility in women.

The success rate of this procedure depends on the effectiveness of the preliminary preparation of the ovaries and sperm. Experts recommend trying to conceive a child naturally, since the effectiveness of such fertilization in each individual case ranges from 3% to 40%. Mothers who were helped by insemination with an unknown genesis thank the specialists for the happy opportunity to have a baby.

Artificial insemination with poor morphology is most often not prescribed. In such cases, it is best not to waste your time, but to plan IVF right away. Low concentration or poor sperm motility, insufficient amount of sperm, as well as a high content of leukocytes or platelets in the blood of a man, greatly complicate conception.

What to do after unsuccessful insemination? Practice shows that positive result the procedure shows 3-6 times, so it is worth continuing fertilization attempts after a short break.

Training

Mothers who become pregnant after the procedure say in unison that the advice of the attending physician should be fully applied. Before the manipulation, the specialist prescribes an examination of the uterine tubes to make sure there are no adhesions.

It happens that 2 unsuccessful inseminations in a row are obtained only because of not all examinations performed, for example, folliculometry. If the first time you did not manage to get pregnant after insemination, do not be upset. Before the procedure, you can drink a course of drugs that increase the growth of the follicle.

2 an unsuccessful attempt at insemination is most often associated with stress or various kinds of unrest. As mentioned above, you should clearly follow all the instructions of the doctor.

The reasons for the failure of artificial insemination most often lie in improper preparation for the procedure.

If the third insemination attempt fails, it is necessary to wait a few months, and then resume the procedure.

AT modern world technologies advancing rapidly, infertility is no longer a sentence. Every couple who wants to have children can make their dream come true. The main thing is to have a desire.

Every year becomes more urgent problem infertility, both female and male. Not all couples succeed in getting pregnant “on the go”, which is associated with an increase in the incidence, environmental degradation, and a frantic pace of life. Artificial insemination is one of the ways out of this situation. Despite its low efficiency (from 15 - 20 to 30% of pregnancies after the procedure), it has a number of advantages, an important of which is the low price (compared to IVF).

Artificial insemination: what is it, types

Intrauterine insemination or artificial insemination is the procedure for introducing sperm (husband or donor) into the genital tract of a woman for pregnancy. This medical manipulation belongs to assisted reproductive technologies and is carried out in a clinic, after the procedure is completed, the woman goes home. Artificial insemination began to be used about 200 years ago; in Russia, the AI method was first used by Shorokhova in the 25th year of the last century. This technology began to be used more widely in the 1950s and 1960s.

Options for conducting AI

The artificial insemination method includes 2 options:

Homologous technique

In this case, artificial insemination is carried out with the husband's sperm. To perform the procedure, both freshly obtained sperm, immediately before its introduction, and cryopreserved are used. Cryopreservation of the husband's sperm is carried out before the sterilization of the man, before the start of the course of treatment with cytostatics and on the eve of irradiation.

Heterologous technique

Artificial insemination is performed with donor sperm according to absolute and relative medical indications. It is not allowed to mix the sperm of the donor and the spouse, since the chances of fertilization of the egg by the husband's sperm will not increase, and the quality of the donor sperm will deteriorate. Before conducting AI with donor sperm, a test is performed for the penetration of the husband's and donor's sperm into the cervical mucus. If there are significant differences in the penetration abilities of the husband's and the donor's sperm, the issue of AI is decided in favor of the donor.

According to the technique of performing the procedure, artificial insemination is divided into:

Intracervical (subspecies - vaginal)

This is the simplest procedure, performed without any special technical difficulties. Intracervical AI according to the technique of conducting is most consistent with natural sexual intercourse. Special preparation before the manipulation is not required. Artificial insemination is carried out with freshly obtained purified sperm (no later than three hours before the procedure), and with cryopreserved sperm. The essence of the vaginal method is the introduction of sperm into the woman's vagina, and the intracervical (intracervical) method is as close as possible to the cervix.

Intrauterine

This method of introducing sperm is more effective than intracervical insemination. The technical essence lies in the introduction of specially prepared and purified sperm into the uterine cavity through the cervical canal. If fresh and unpurified seminal fluid, then its reduction or the development of an allergic reaction are possible, which will not only significantly reduce the chances of fertilization, but also pose a threat to the patient's life.

In-pipe

Before the procedure, spermatozoa undergo special preparation. The seminal fluid is then injected into the fallopian tube from which ovulation occurred. It has been proven that the effectiveness of intratubal insemination is not higher than that of intrauterine insemination.

Intrauterine intraperitoneal

Some of the processed semen is combined with a few milliliters of a special fluid that increases sperm motility. Then the resulting solution (about 10 ml) is injected into the uterine cavity under pressure. As a result, spermatozoa with fluid will almost immediately enter the tubes and from there into the abdominal cavity. The chances of fertilization of an egg that is currently in abdominal cavity much higher than during natural intercourse. This method of AI is used for an unknown cause of infertility and in case of failure of intracervical and intrauterine insemination.

Preparing for AI

Before insemination, the woman (recipient), the man (husband or donor), and the sperm itself are prepared. A married couple must undergo a full examination, and in case of detection of any diseases, their treatment (for example, genital infections). Also, spouses must follow all the recommendations for the planning period for pregnancy (within six months). These include: giving up bad habits, maintaining healthy lifestyle life, stimulation of immunity, rational nutrition, intake of vitamins and so on.

Expert advice

Both spouses need to visit the following doctors:

therapist - identification of chronic somatic pathology and its correction;
gynecologist (women) – detection of gynecological diseases;
andrologist (men) – determination of dysfunctions in the male reproductive system;
urologist - exclusion of the pathology of the urogenital system;
mammologist (women) – detection of breast diseases;
endocrinologist - exclusion of endocrine disorders.

According to indications, additional consultations of related specialists (cardiologist, oncologist, ENT doctor and others) are prescribed.

Analyzes and instrumental diagnostic methods

On the eve of the AI, a married couple is assigned to take tests and instrumental diagnostic methods:

general blood and urine tests - exclusion of anemia, inflammation, allergic reactions, infections and other pathologies of the urogenital system;
blood biochemistry (women) - assess the condition of the liver and kidneys, pancreas and heart, exclude metabolic disorders;
coagulogram (women);
examination for STIs - to identify and treat hidden sexual infections (chlamydia, ureaplasmosis, cytomegalovirus and herpetic infection other);
swabs for gonorrhea (men and women);
blood for viral hepatitis, syphilis and HIV infection;
blood for hormones (women) - sex, prolactin, FSH, LH, thyroid and adrenal hormones;
blood group and Rh factor (exclude isoserological incompatibility of spouses);
spermogram (men) - the number of live spermatozoa and their activity, the volume of seminal fluid, its density and color are estimated;
Ultrasound (women) - gynecological sphere, kidneys, thyroid gland, mammary glands;
fluorography, ECG.

Semen preparation

Before conducting AI, it is necessary to prepare the sperm. For this purpose, it is processed - seminal plasma is separated from active spermatozoa. This prevents proteins and prostaglandins from seminal fluid from entering the uterine cavity (may cause uterine spasm and allergic reaction). In addition, seminal plasma has factors that reduce the fertilizing ability of male germ cells. Also, the preparation of sperm includes the rapid and high-quality removal of not only seminal plasma, but also dead spermatozoa, epithelial cells, leukocytes and various microorganisms. Today, several options for sperm preparation are used:

sperm float method

The essence of the method is the spontaneous movement of mobile spermatozoa in the washing solution. The emergence of male germ cells from the seminal fluid avoids the centrifugation method, during which spermatozoa can be damaged by reactive oxygen species. But this method is only suitable for ejaculate with a high concentration of active sperm. The duration of the procedure is 2 hours.

sperm washing

The simplest technique. It is based on the removal of the liquid part of the ejaculate, which somewhat improves sperm motility. The resulting ejaculate is suspended in a washing solution containing antibiotics and dietary supplements in a centrifuge tube. Then the seminal fluid is subjected to centrifugation, as a result of which the cells are deposited, and the excess solution is drained. The precipitate obtained is washed again and centrifuged. Then the solution is drained off and washed a third time and the precipitate is centrifuged. The duration of sperm cleaning is about 1 hour.

Semen centrifugation

Washing of the semen, in which the liquid part of the seminal fluid is removed, and the active spermatozoa are separated from the "garbage" (leukocytes, microbes, dead epithelial and sperm cells). Centrifugation is repeated twice, the resulting precipitate is again diluted in washing medium and used for intrauterine insemination. The duration of the procedure is 1 hour.

Sperm filtering through fiberglass

This variant of semen purification includes washing the ejaculate, centrifugation, repeated washing and placing the resulting sediment on glass fibers. The solution of the washed precipitate is filtered, the resulting filtrate is collected for AI.

Timing for AI

On which day is it desirable to conduct AI? The choice of time for insemination is determined by the calculation of the day of ovulation. The success of the procedure depends on the exact determination of the date of ovulation. Not so long ago, intrauterine insemination was performed after examination for 2 to 3 cycles and performing tests of functional diagnostics, measuring basal body temperature and determining the concentration of progesterone in the blood in the middle of the second phase of the cycle. Using these studies, the estimated date of ovulation was calculated.

Today is the optimal day for the insemination procedure is calculated by the following methods:

Determination of the level of urinary LH peak

When the concentration of LH in the urine reaches its peak, ovulation occurs after 40-45 hours. In this regard, AI is planned for the next day.

Ultrasound control of follicle growth

Follicles are determined by ultrasound when they reach 2-3 mm in diameter. The rupture of the main follicle and the release of the egg occurs when the size of the follicle is 15-24 mm. The procedure is performed when the size of the dominant follicle is 18 mm or more and the thickness of the endometrium is 10 mm.

The introduction of the ovulation factor - hCG.

The introduction of choriogonin stimulates ovulation and is advisable when the size of the dominant follicle is 17-21 mm. Insemination is carried out after 24 - 36 hours.

Before the AI procedure

It is necessary to start preparing for the proposed date of the AI 5-7 days in advance. Men refuse to visit saunas and baths, and also avoid hypothermia. If possible, eliminate stressful situations and limit physical activity. Before donating sperm, observe sexual rest, but longer than 2-3 days, since longer abstinence has a negative effect on sperm quality. Stop drinking alcohol and smoking, or reduce the number of cigarettes you smoke. On the day of the procedure, a man should arrive at the clinic 60 to 90 minutes in advance for sperm donation by masturbation. If the volume of ejaculate is too small, semen may "accumulate". To do this, the husband comes to the clinic several times and donates sperm, which is cleaned and frozen.

Women also need to follow certain rules. Stop drinking alcohol and smoking (ideally 6 months before the planned conception). Avoid anxiety and stress, exclude physical activity and heavy lifting. It is important to observe sexual rest for 3-5 days (sexual intercourse and orgasm can provoke spontaneous ovulation). Set yourself up for success.

How AI is done

How does the AI procedure work? The couple must appear at the clinic on the appointed day. While the ejaculate is being collected and the sperm is being processed, the woman is once again examined by ultrasound, the ovulation is confirmed and she is asked to take a seat on the gynecological chair. The processed sperm is drawn into a syringe without a needle, on which a blunt tip (for intracervical insemination) or a plastic catheter (for intrauterine insemination) is installed. After the introduction of the speculum into the vagina, the tip is placed as close as possible to the cervix and the piston pushes the sperm out of the syringe. When carrying out intrauterine insemination, the catheter is inserted through the cervical canal into the uterine cavity, and then they press on the piston, pushing out the sperm. For reliability, a cervical cap is put on the cervix, which will prevent sperm from leaking out of the uterus. After the procedure, a woman should remain on the chair for 60 - 90 minutes, after which she is allowed to go home.

After doing AI

After performing insemination, the doctor gives the patient a number of recommendations, the observance of which increases the chances of success. Not recommended:

take a bath on the day of the procedure (water with detergent can penetrate the vagina, which will lead to the death of part of the spermatozoa and significantly reduce the likelihood of conception);
lead sexual life within three days after the manipulation (although many experts do not prohibit intimacy);
lift weights and do heavy physical work within a week after IS (if the egg is successfully fertilized physical labor may disrupt the process of its implantation in the uterine mucosa);
smoking and drinking alcohol (reduces the chances of fertilization, implantation and the normal course of pregnancy);
accept medicines without a doctor's permission.

After the procedure, the patient is allowed to:

take a shower on the day of the procedure;
to walk outside;
sunbathing.

In some cases, the doctor may recommend taking utrogestan or duphaston. These preparations contain progesterone, which prepares the endometrium for the successful implantation of the ovum, and supports further development pregnancy. 12-14 days after insemination, the patient should come to the clinic and donate blood for hCG, which will confirm the conception, implantation and development of the pregnancy.

Pregnancy

If the AI procedure was successful, then after a certain time, but not earlier than after 7 days, the woman has signs of pregnancy: a change in taste and smell, emotional lability (tearfulness, irritability), weakness, drowsiness, mild nausea, possible vomiting, change taste preferences and appetite, engorgement of the mammary glands. The most reliable subjective sign of pregnancy after insemination is the absence of menstruation after 14 or more days. An express test will help confirm pregnancy 10 to 14 days after insemination and laboratory determination of hCG in the blood. Ultrasound is recommended not earlier than 3-4 weeks after the manipulation. With the help of ultrasound, the onset and development of pregnancy is confirmed and its ectopic implantation, for example, in the fallopian tube, is excluded.

Discharge and pain after AI

What should be the discharge after insemination? If the procedure was successful, then the discharge from the vagina is no different from the usual. There may be a slight cloudy discharge on the day of AI, which indicates a part of the semen that has flowed out of the genital tract. In case of violation of the rules of asepsis (use of non-sterile instruments) during the procedure, it is possible that a secondary infection may occur with the development of an inflammatory process in the vagina and cervix. In this case, colpitis / cervicitis will develop, accompanied by profuse leucorrhoea with an unpleasant odor and itching in the vagina. Also, after AI, pulling or aching pains in the lower abdomen may appear, which is explained by irritation of the uterus and cervix with a catheter and sperm that have not undergone high-quality cleaning.

Indications for AI

Insemination is carried out according to certain indications, both on the part of the woman and the part of her sexual partner. Indications for AI in case of women's problems:

vaginismus;
chronic endocervicitis;
chronic endometritis;
operations on the cervix or cicatricial deformity of the cervix;
anomalies in the development and localization of the uterus;
neck factor - high viscosity cervical mucus, the presence of antisperm antibodies;
allergy to husband's sperm;
gynecological diseases accompanied by anovulation;
idiopathic infertility;
mild endometriosis.

Indications for AI on the part of the husband:

sexual impotence (lack of erection);
hydrocele or inguinal-scrotal hernia of considerable size;
hypospadias;
pathological postcoital test;
anomalies in the structure of the penis;
retrograde ejaculation (ejaculate enters the bladder);
sperm subfertility (reduced sperm fertility);
transferred radiation, chemotherapy;
bad habits;
impotence after spinal cord injury.

Indications for AI with donor sperm:

azoospermia (lack of sperm in the ejaculate);
necrospermia (there are no live spermatozoa in the ejaculate);
absence permanent partner in a woman;
genetic diseases on the part of the husband;
incompatibility of spouses by blood type and Rh factor.

Contraindications

Artificial insemination is not advisable in the following situations:

severe endometriosis;
acute or exacerbation of chronic inflammatory processes in the female genital area;
infectious diseases in the husband;
tumors and ovarian cysts;
cancer of any localization in a woman;
the presence of contraindications to pregnancy;
female infertility lasting more than three years;
absence of the uterus, ovaries or tubes;
mental illness in a woman;
the possibility of eliminating infertility after treatment or surgery.

Question answer

Question:
Can I inseminate a woman aged 40 or older?

Yes, insemination can be done at a late reproductive age, but it should be borne in mind that the older a woman is, the less likely she is to become pregnant. A favorable outcome of the procedure is possible only in 5 - 15%.

Question:
How many times can an AI procedure be performed on one woman?

Question:
What are the chances of getting pregnant with AI with husband's sperm and AI with donor's sperm?

The effectiveness of AI with the husband's sperm does not exceed 10 - 30%. Insemination with donor sperm is more effective and pregnancy occurs in 30-60% of cases.

Question:
Does AI increase the chances of having multiple pregnancies?

No, the chance of having a multiple pregnancy after AI is the same as after natural intercourse. But in the case of ovulation stimulation with drugs, it is possible that not one, but several eggs can mature, which will increase the chances of a multiple pregnancy.

Question:
Is the AI procedure painful?

No. You may experience discomfort when performing intrauterine insemination, when the catheter is inserted into the uterus.