Assisted reproduction specialists always interview the couple to determine whether or not they are candidates for artificial insemination treatment. We usually recommend this method for couples who have infertility of unknown cause, ovulation problems in the woman or mild male infertility..
Artificial insemination is an assisted reproduction treatment that consists of placing the couple’s capacitated sperm at the bottom of the patient’s uterus. This is a quite common method, although it is not recommended in cases such as
The artificial insemination cycle consists of 7 main steps:
First we evaluate the patient to identify if she has any hormonal imbalance, infections or structural problems. Especially since these conditions could reduce the chances of successful treatment.
The procedure includes ovarian stimulation. In this case, the patient will start using medication to make her body produce more than one oocyte (cell that turns into an oocyte) during the menstrual cycle. Usually, a woman releases only one oocyte per month and, of course, having more oocyte gives her a better chance of getting pregnant.
We routinely check for signs of ovulation. Normally, we perform a transvaginal ultrasound to check that there has been growth of the ovarian follicles, where the maturing eggs are located. Since insemination is timed with ovulation and the oocyte can only be fertilized 12-24 hours after this natural process, time is of the essence.
We can also do the luteinizing hormone (LH) test, a hormone produced in the pituitary gland of the brain. When its levels increase in the menstrual cycle, ovulation is triggered.
We then schedule the treatment for the morning after the LH surge, as we know that ovulation will occur one or two days after this surge, although in many cases this process can be scheduled by administering hormonal medication.
On the other hand, the man should refrain from ejaculating between two and five days before ovulation is scheduled. Once the woman ovulates, the man will produce a semen sample at home or at the clinic through masturbation.
It is worth mentioning that, in the first visit to the clinic, we perform a sperm test to evaluate the quality of the sperm. If it is not of sufficient quality, we resort to a different procedure such as In Vitro Fertilization and, in some cases, sperm donation is necessary.
To ensure that the sperm meet the requirements for fertilization, we take some measures:
If you and your partner are interested in using this treatment, we invite you to learn about the process of artificial insemination in person.