Artificial Insemination Procedure In India

Intrauterine insemination (IUI), also called artificial insemination is a basic step in direct fertility treatments. In this procedure, semen collected beforehand from the male partner or sperm donor is directly placed inside the woman’s uterus with the help of a catheter.

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This low-tech process can be done in a natural cycle or along with ovulation induction. In a natural cycle, the body of the female partner is monitored to detect when ovulation occurs and when the luteinizing hormone surge is higher, and the procedure is timed accordingly. In the ovulation induction method, fertility enhancing drugs are used to induce ovulation (usually multiple eggs are released) and increase the chances of pregnancy.

This technique is used in cases where the male partner has a low sperm count or decreased sperm motility, or if the male partner is not able to ejaculate in the vagina due to causes such as spinal cord injury, multiple sclerosis, etc. The procedure is beneficial as it places the sperm closer to the egg. However, the sperm still has to reach and fertilize the egg on its own. It is also used if the female partner suffers mild endometriosis, or ovulatory disorders or if the cervical mucus is insufficient or hostile. In this procedure, a very thin flexible tube or catheter is passed through the cervix and the sperm is injected straight into the uterus,

The sperm required for this procedure is usually collected beforehand by asking the male partner or donor to ejaculate into a sterile collection cup or condom. As most of clinics require semen within a half hour of ejaculation, sperms are usually collected in a private setting in the clinic. Only if the male partner or donor lives close to the clinic, then the sperms are collected at home and brought to the clinic. After this, sperms are washed and preserved for IUI.

In IUI, fertility drugs may be given to cause maturation of multiple eggs. The growth of follicles is measured and accordingly drug doses and individualized to avoid side effects. Efforts are also made to reduce the risk of multiple pregnancy. When two or three follicles reach the required size, hormone hCG is injected to induce ovulation. IUI should be performed within 6 hours before or after ovulation. When timing is based on an hCG injection, the process is done between 24 and 48 hours later. Post-hCG, the timing of IUI is around 36 hours or 24 hours, while others also do it within 40-42 hours. The sperm sample collected on the ovulation morning, is washed, concentrated and inseminated later that day by passing a catheter, through the cervix into the uterus of the female partner. After this, tests and early ultrasounds are done to identify potential pregnancy.

As IUI is a simple and inexpensive form of therapy, it should be tried first, before trying out more expensive treatment options. In comparison to other countries, India offers this treatment at affordable rates.

We, at Medicopedia, can arrange for free of cost opinions from various super specialty hospitals and expert doctors of our connected hospitals before doctor’s consultations.    

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