Indications: This procedure can be done only for patients with patent tubes.
1. Patients with intractable infertility where all other measures
of treatment have failed.
Patients with unexplained infertility,
Wives of men with low sperm count and
Women who have some disease of the cervix
for the patient:
is usually done in cycles where ovulation is enhanced using oral and
injectable drugs to make sure that the woman produces a lot of ova which
can stay ready for the sperms.
woman has to undergo ultrasound examination every alternate days from day 10-11
to find out when her follicles have reached the appropriate size.
Usually when the follicle has reached 18mm, an injection is
given to induce ovulation.
uterine insemination is done 36 hours later after confirming ovulation on
the procedure involves repeated visits to the hospital , it may place a
lot of mental strain on the patient and should be done only when all other
doors seem to be really closed. It should be the choice of therapy before going in for the more
costly treatment of IVF-ET or ICSI.
|Procedure: Semen is collected by masturbation.
Semen is mixed with some media (medical fluids) and centrifuged.
The supernatant sticky portions of the semen are removed and the
sperm pellet is left behind. A little (about 0.5ml) of medium is layered over the sperms
and it is incubated. The more
active sperms swim up in the medium and these are collected in a tube and
placed into the uterus. A
swim down method is used in some cases.
the dead and
ineffective sperms and a lot of useless debri are discarded and only the
active and useful sperms are deposited in the uterus. These can reach the
ovum faster as they have to travel much less.
The couple can expect a pregnancy rate of 15-25% depending on the
indication for which the procedure is done.