What is the insemination method?
Insemination (Intrauterine Insemination-IUI) is used in infertility of unknown cause (unexplained infertility), mild sperm number and structure disorders, mild endometriosis, cervical pathologies, sperm antibody detection and ejaculation disorders in men. The sperm taken from the man by masturbation is washed, cleaned of unhealthy sperm and its mobility is increased, and then injected into the uterus of the woman during the ovulation period with a special cannula in the gynecological examination position.
How is the insemination method applied?
Insemination In the method, the sperm is taken from the man into a sterile tube by the masturbation method. Masturbation is done dry, that is, no substances such as lubricating soap or gel are used because it can damage the sperm. In addition, the sperm must be ejaculated into the tube from the first drop to the last drop. Because the first drop of sperm is the highest in the sperm count. It is the drop that it is and therefore it is very important. The sperm taken into the tube is washed with special liquids and the mobility of the sperm is increased by cleaning it from dead, immobile and deformed sperm.
Female patient starts the insemination process from the beginning of the menstrual period with an ovulation increaser in both tablet and injection form. It is prepared with medications and by determining the period of ovulation. First, a speculum is placed on the patient in the gynecological examination position. The inside of the vagina is washed with serum to remove substances that may harm the sperm. The washed sperm is injected into the uterus with a special cannula. Since the insemination is a painless procedure, it does not require any anesthesia. Insemination. Afterwards, the patient is rested on the examination table for 15-20 minutes. At the end of the procedure, the patient can return to his/her daily life.
In which situation is vaccination applied?
In many cases, vaccination is easy to apply, practical, economical and risk-free. Since it is a procedure, it is preferred as the first stage infertility treatment method. The most common reasons for infertility are as follows.
1) It is applied when the sperm count and motility are low. The success rate is when the sperm count is above 5 mil/ml and there are no morphological disorders. It is higher in certain conditions.
2)Mild Endometriosis
3)Unexplained Infertility
4)In the presence of antibodies against sperm
5)Female a When there is no ovulation or when ovulation is at an insufficient rate
6)In conditions where there is destruction and deformation of the cervix after surgical interventions applied to the cervix.
7)In sexual dysfunctions, for example in patients with retrograde ejaculation
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How long does the vaccination process take?
The vaccination process only takes a few minutes. No anesthesia is required during this procedure. After the completed procedure, the expectant mother rests for 10 to 20 minutes. can return to her daily life without any problems.
What conditions are required for a successful insemination?
1) In order to perform insemination, there must first be an egg to be fertilized by the sperm. In case of ovulation disorders, a woman is given a pre-ovulation stimulant and enhancer. medications should be given.
2)Both or at least one of the tubes must be open so that the sperm can fertilize the egg. Before insemination, a uterine film must be taken to determine that the tubes are open.
3)Sperm count analysis of the man. It should be normal or close to normal. The chance of success decreases in cases where the sperm count is below 5 ml/ml and there is a severe disorder in sperm morphology.
4) In order for insemination to be performed, there should be no intrauterine pathology that would prevent the implantation of a recently formed pregnancy.
How many times should vaccination be applied?
The recommended number of vaccinations in today's vaccination method is 2 or 3 times. Considering the success rates, the highest pregnancy is achieved in the third application.
What are the success rates of vaccination?
The pregnancy rate is around 2-3% for couples who have regular intercourse every month. With the insemination method, this rate can increase up to 20% depending on the underlying cause. With the insemination process without stimulation of the ovaries, pregnancy is achieved in less than 5%. In the European Union's report reporting the averages of many European countries, the average pregnancy rate with insemination was reported as 9.3%. While the spontaneous pregnancy rate in infertile couples diagnosed with unexplained infertility is 2%, the pregnancy rate in this group of infertile couples receiving insemination treatment is 10.5-17.9% in each cycle. Pregnancy rates in patients diagnosed with endometriosis are reported to vary according to the unexplained infertility group. It was found to be surprisingly low. As the duration of infertility increases, pregnancy rates after insemination decrease. Pregnancy rates after insemination are low in patients with abnormal sperm morphology. Another important factor in insemination treatment is the age of the woman. Even if pregnancy is achieved through insemination, the rate of miscarriage is high. In a woman aged 42 on average, While the rate of pregnancy loss due to miscarriage is 54.5%, this rate increases to 74.7% at the age of 45.
What are the complications of vaccination?
1)Multiple pregnancy
2) Development of infection
3) Sometimes groin pain and cramps may occur after vaccination
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