HRCL

Infertility

Intra-uterine Insemination

IVF

ICSI

The Possibility of Success

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INTRA-UTERINE INSEMINATION

After trying the simple treatments such as stimulation of the ovulation and the programmed coitus, the first attempt with the Technique of Assisted Reproduction to be used is the INTRA-UTERINE INSEMINATION.

Intra-uterine insemination

It consists of the women ovulatory adjustment (time) and the inserting of the capacitated spermatozoids into the uterus cavity after the ovular posture, making easier the ovules fertilization. 

In this procedure the woman takes hormones that induce the follicular growth until having over than 2 follicles of 18 millimeters.  When the follicular development is completed, it is done an injection of HCG in order to happen the follicular break and eggs liberation.  After 38 to 40 hours, after the HCG, the uterus will receive over than 3 millions spermatozoids capacitated through a process that makes them capable to fertilize the ovule.  This procedure is not invasive and does not need the use of anesthesia.  The fertilization will happen in the place where it usually happens, in the fallopian tubes (it is necessary that the patient fallopian tubes are in perfect conditions).  With this procedure putting together spermatozoids and ovules facilitates the fertilization.

The index of success is around 16% by tentative, and after four consecutives tentative this index can achieve 42 % of success.  The risks in this treatment are very low and controlled through a transvaginal ultra-sound monitoring.

It is indicated in cases as:

• Sterile couples without an apparent cause 
• Problems of cervical mucus
• Male problems with slight changes of the sperm analysis
• Immunologic problems either from male and female origin.
• Absence of spermatozoids (insemination with donated sperm)
• Male partner with genetic diseases (insemination with donated sperm).