Treatments: Artificial Insemination
This procedure consists on the introduction of a concentrated
quantity of sperm in the cervix or in the uterine cavity, just
before ovulation. Ovulation is predicted by means of the
ultrasound in order to know when to perform the insemination
(usually around day 12th of the cycle). On this day a semen
sample is obtained and through a special laboratory procedure, a
sperm separation is performed. In this preparation the seminal
fluid is separated from the sperm and these are concentrated in
a small amount of culture media Then this are inseminated in the
patient. The purpose of this procedure is to have a lot of sperm
inside the fallopian tubes at the time of ovulation, increasing
in this way the chances of pregnancy.
Artificial Insemination
The clearest indication for this procedure is when there is a
deficient mucus production at the cervix that prevents sperm
from ascending easily toward the fallopian tubes. Nevertheless
it is also used to increase chances of pregnancy in cases of low
sperm count, ovarian hyperstimulation, some sexual dysfunctions
or in cases of donor artificial insemination (AID). This last
indication is used in cases of azoospermia (complete absence of
sperm) or in cases of very low sperm count.
The necessary condition to achieve pregnancy with
insemination is that fallopian tubes are not obstructed and are
free from adhesions (adequate mobilization).
