Artificial insemination: reviews, indications, contraindications

Today, many married couples face the problem of conception. Comprehensive examination helps to establish the causes. With the male factor of infertility, as well as some pathologies, the woman is offered insemination to the family, which is positive about the reviews.

To date, reproductive technologies have helped to become parents of millions of people. They are used for a long time and are constantly being improved. The simplest and inexpensive of them is artificial insemination, the main lack of which is not very high efficiency.

The probability of pregnancy is about 15% on average. It increases with the stimulation of ovulation. However, this can lead to multiple pregnancies.

As a rule, insemination with donor sperm is recommended for male infertility or when a woman does not have a partner. Also, the donor's ejaculate can be used with an unfavorable genetic prediction of the pair.

Sperm is treated in a special way, so only high-quality spermatozoa are selected. The donor necessarily undergoes a comprehensive examination to exclude the infection of a woman.

The resulting material is injected directly into the uterus. Thus, the likelihood of pregnancy increases , compared with normal sex. Since many spermatozoa in the latter case do not overcome the cervical mucus.

By the way, with a cervical factor of infertility, insemination is also used. Feedback indicates that this gives good results. This pathology occurs when a change in the consistency of cervical mucus in a woman, which becomes an obstacle in the way of spermatozoa.

Normally, cervical congestion is a barrier that prevents infection into the uterus. Under the action of hormones it becomes permeable, including for spermatozoa only during ovulation. But some have this mechanism broken.

In addition, in cervical mucus may be present antispermal antibodies, which are stuck together with spermatozoa, violate their mobility and fertilization ability. In order to find out how surplus cervical mucus is for them , a postcoital test is performed.

Also, artificial insemination is indicated for women with vaginismus. In this case, because of fear of sex, the muscles of the vagina contract and make it impossible or very painful.

This manipulation lasts only a few minutes. After the patient is inseminated, the testimonies of which indicate that she is absolutely painless, she needs to be in a horizontal position for about half an hour.

When carrying out insemination, ovulation with folliculogenesis is necessarily monitored. Sperm is injected into the uterus three times per cycle. During ovulation, as well as the day before and after it.

The cycle uses one donor's ejaculate. They can become a man who has never had urological and venereal diseases. He should have excellent spermogram records.

However, insemination has a number of contraindications. Among them there are acute inflammations, malignant neoplasms, ovarian tumors, pathologies of the uterus, which do not allow to endure pregnancy, as well as mental and somatic diseases, in which it is contraindicated.

It is pointless to carry out insemination in case of obstruction of the tubes and absence of ovulation. Therefore, before manipulation, the patient is examined to exclude these pathologies. Tubal obstruction can lead to an ectopic pregnancy. It is also not recommended to perform the procedure for endometrial hyperplasia.

Thus, insemination, reviews of which are positive, is conducted with male infertility, unfavorable genetic prognosis, vaginism, cervical factor. This is the simplest and cheapest reproductive technology. Manipulation can be carried out in a natural cycle and with stimulation. At the last variant the probability of pregnancy is more.