The process of artificial insemination gives hope to many couples who want to have children but are unable to achieve this for some medical reason, as it is one of the effective methods of infertility treatment in Turkey.
An overview of infertility and the artificial insemination process
Infertility is defined as the inability of the spouses to produce a pregnancy despite the fact that a full year has passed since their marriage and regular sexual intercourse without the use of contraceptives.
Infertility is one of the common problems among couples Study 15% of married couples suffer from infertility, whether the reason is due to male or female infertility.
There are many causes of infertility, some of which are related to a health problem that the man suffers from VaricoceleOr for a problem that affects a woman’s fertility as a disease endometriosisIn both cases, the primary step in managing infertility is finding the cause and treating it.
Recently, many couples have resorted to IVF to increase their chances of conceiving. Indeed, IVF has proven to be successful in increasing the chances of conceiving by about 20% per trial.
IVF can be repeated several times, but most doctors recommend doing a maximum of 6 trials before switching to another method of infertility treatment as a process. IVF.
What is IVF or intrauterine injection?
It is a medical procedure that aims to improve the chances of having children by injecting the man’s semen directly into the woman’s uterus. A sample of the man’s sperm is taken to be injected into the uterus with a small needle during the woman’s ovulation period.
Natural pregnancy occurs when the male’s semen is ejaculated into the female’s vagina, then the fluid travels through the cervix into the uterine cavity and from there to the fallopian tube, so that the egg is fertilized within the fallopian tube.
The process of artificial insemination (IUI) shortens the previous method by injecting semen directly into the uterus, which contributes to avoiding the loss of semen and facilitating its access to the egg for fertilization, especially in the event of blockages or mucous accumulations in the female reproductive path or a decrease in the number of sperm in the man.
Intrauterine injection is one of the first methods used to treat infertility. It is easy to apply and takes place quickly, as it normally takes no more than 45 minutes, and it is very safe to use.
If you want to perform an intrauterine injection, the doctor will often prescribe ovulation-inducing drugs before the procedure in order to stimulate ovulation and increase the chances of releasing more than one egg to increase the possibility of fertilization and pregnancy.
The doctor asks you to determine the time of ovulation, which is in the middle of the menstrual cycle. The time of ovulation can be determined by calculating the number of days of the regular cycle, where ovulation occurs around the 14th day of the beginning of the menstrual bleeding.
As for the man, a sample of his sperm is taken, and in some cases, the most active sperms are isolated in the laboratory, in order to be used in the injection process to increase the chances of success of the process.
The sperm is then injected into the woman’s uterus during the time of ovulation, and then the couple must wait for the results in the hope that pregnancy will occur, as this procedure increases the chances of having children, but does not necessarily lead to its occurrence.
What cases is artificial insemination used for?
IVF is used to treat infertility cases of various causes, whether the cause is related man's fertility As a decrease in the number of sperms or poor motility so that they are unable to reach the female egg for fertilization.
Intrauterine injections are also used when there are problems that hinder the process of sexual intercourse between spouses, such as erectile dysfunction or the husband’s physical disability that limits his ability to have sexual intercourse.
On the other hand, the intrauterine injection process is used to treat female infertility This results from many reasons, the most important of which are:
- disease endometriosis
- Changes in the mucous membrane of the cervix (the presence of mucus that is too thick to prevent the passage of sperm)
- Infertility caused by ovulation problems such as absent ovulation or decreased ovarian reserve (due to age)
- polycystic ovaries
- Infertility of unknown cause
Types of intrauterine injections
There are two methods of artificial insemination:
ICI . Intracervical injection
It is a simple procedure that can be completed in the outpatient clinic or at home by using special syringes for home use, where the man’s semen is injected into the cervix, and attention must be paid to sterilizing these syringes to avoid transmission of infection.
After the injection, the woman is asked to lie down for about half an hour to allow the sperm to move into the uterus and then into the fallopian tubes for fertilization.
Intrauterine injection (IUI)
In this method, the semen is directly injected into the woman's uterus through special syringes. This process requires greater accuracy, and its steps are similar to the process of injecting into the cervix.
Sometimes the semen is washed before being injected into the uterus in order to clean it of proteins that may have a negative effect on the process of intrauterine insemination. The most active sperms can also be isolated in the laboratory for use by injection.
IVF success rate
The success rate of the IVF process depends on many factors, including what is related to the age of the wife and the cause of infertility, in addition to following the doctor’s instructions correctly.
The age of the woman plays a big factor in the success rate of the artificial insemination process. The older the woman, the lower the quality of the eggs and their susceptibility to fertilization. Therefore, older women often need several experiments in order for the process to succeed.
Determining the time of ovulation has an important role in the success of the artificial insemination process. The ovulation period is usually in the middle of the menstrual cycle. The doctor pre-sets the date of the operation in order to match the ovulation period. The woman must adhere to the exact date of the operation and not delay it.
The reason that led to infertility has an important role in determining the success rate of the operation. Women suffering from endometriosis or a fallopian tube lesion have a rather low success rate, so surgery is often used in these cases. IVF baby.
According to studies, the success rate of a single IVF experience, according to age groups, is:
- Women under 35 years old, 13%
- 35 to 37 years old, 10%
- Over 40 years old, 3-9%
The process can be repeated several times when it fails to cause pregnancy, but it is recommended to suffice with a maximum of 6 trials before moving to another method of infertility treatment known as the IVF process.
Another study that was conducted after 6 trials indicated that the success rate was approximately 40%, which indicates that repeating the operation helps to increase the chances of childbearing.
In fact, this process gives hope to infertile couples in increasing their chances of conceiving, as this process has proven successful for many who have undergone it.
Of course, artificial insemination is a very safe process, but no medical procedure is without the possibility of complications or side effects, including:
- Some women experience cramps or slight bleeding after the operation
- Complications caused by ovulation-stimulating drugs, such as a multiple pregnancy
- Sepsis from using contaminated syringes
- Swelling or redness at the injection site
There are many rumors linking the process of artificial insemination with an increased risk of malformations in fetuses. This is not true. There is no proven study linking the two.
Signs of IVF success in Turkey
Signs of success and pregnancy do not appear until at least two weeks after the operation. What is rumored about the appearance of symptoms of successful IVF from the first day are just rumors.
In the case of a strong desire to become pregnant in the wife, psychiatric symptoms that are somewhat similar to the symptoms of pregnancy may appear. Signs of successful IVF after two days It is not certain that the operation will be successful because it may be due to psycho-emotional reasons.
The only way to determine the success of IVF is a positive pregnancy test, which is delayed around day 14 after IVF.
The signs of successful IVF are similar to those of a normal pregnancy, which include fatigue, nausea, vomiting, a change in the size of the breasts, and a missed period.
What is the difference between IVF and IVF process
Both are ways to treat infertility and increase the chances of conceiving in infertile couples.
IVF is often the next option for IVF, meaning that IVF is tried first as a method of treating infertility, when IVF fails, then IVF is considered.
Before performing the IVF procedure, the doctor prescribes medications that stimulate ovulation in the wife in order to produce more than one egg in one cycle to increase the chances of fertilization, after which the eggs are surgically withdrawn from the ovary and placed in a tube.
A sample of the husband’s sperm is taken to complete the process of fertilizing the egg in the laboratory, after which the fertilized egg is transferred and implanted into the wife’s uterus.
The difference between artificial insemination and in vitro fertilization (IVF) is mainly where the egg is fertilized. In IVF, insemination takes place with the wife's body, while in vitro fertilization is carried out in a laboratory tube.
What are the causes of intrauterine injection failure?
There are many reasons that may contribute to the failure of intrauterine injection, including:
- Weakness of the uterine lining and the inability of a fertilized egg to nest in it
- Poor quality of eggs or sperm
- Wife's age
- fibroids merciful
- fallopian tube diseases
- Error executing the operation
Undesirable effects of intrauterine injection
Intrauterine injections may have a number of undesirable effects, including an increased risk of multiple pregnancy with more than one fetus (twins) due to ovulation-stimulating drugs that are given before the operation.
Multiple pregnancies increase the risk of serious complications for the fetus such as miscarriage or premature birth.
In addition, ovulation-stimulating medications may result in ovarian hyperstimulation syndrome, which is associated with swollen ovaries and abdominal pain, as well as nausea and vomiting.
Tips after intrauterine injection
After completing the intrauterine injection process, the woman can return to her daily activities normally, but it is preferable to avoid bathing in hot tubs or saunas for about two weeks after the operation.
You must be patient after the operation to know the results. Do not rush to take a pregnancy test immediately after the operation because the pregnancy test is often negative before at least 14 days have passed since the intrauterine injection.
In the event that the intrauterine injection process did not succeed in causing pregnancy, the process can be repeated one more time, or two or three times, before moving to another method for treating infertility as an operation IVF.
Get some rest after the operation, there is no need to think excessively about the results that do not appear until after at least two weeks have passed.
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