Intrauterine insemination, also called insemination, is one of the frequently used treatments applied to couples who want to have a pregnancy. It can be applied under clinic conditions. Insemination is prepared by selecting healthy and fast sperm in a laboratory environment and this product is deposited into the intrauterine canal without delay, allowing the sperm to reach the egg more easily. .
In insemination (intrauterine insemination)the sperms sent inside are subjected to a chemical process and washing in the laboratory environment. These sperms are injected directly into the uterus with the help of a special insemination cannula and syringe. In the laboratory. This washing process increases the movement and vitality of the sperm and increases the chance of success.
Who is Applied to IUI Treatment?
- Those who cannot conceive despite unprotected intercourse for 1 year It can be applied to patients.
- It can be applied to patients whose infertility research tests are normal but no cause can be found.
- It is applied to patients who have applied ovulation monitoring and treatment for 4-5 months and have not received results.
- If there is a problem with the sperm analysis result, vaccination should be preferred first.
- It is preferred in patients with impaired cervical secretion.
- It is applied in Vaginismus patients who cannot have normal sexual intercourse.
- Antisperm Antibody. It can be applied to detected patients.
- What Conditions Are Required for Vaccination?
- The woman's ovaries must be functioning and producing eggs. For example, it cannot be applied in patients with early menopause.
- It can not be applied in patients with a certain There must be sperm in number and mobility. It is not preferred in patients who do not have sperm or are insufficient for insemination. Your doctor will direct you for insemination according to the spermogram result.
- There should be no problem in the endometrium, which is the intrauterine area, that would prevent the fertilized egg from attaching. Inside the uterus. There should be no myoma, polyp, adhesion or a septum in the disrupting location.
- Again, at least one of the tubes must be open so that the sperm and the egg can meet.
How Is Vaccination Done?
In the vaccination process, first of all, ovulation-inducing drugs are used for the ovaries, and egg monitoring is done with transvaginal ultrasound. r. In this way, the development of at least 2-3 eggs is ensured. The patient is monitored for eggs with ultrasound at regular intervals. When the follicles in the ovary reach 18-20 mm and the endometrium, called the uterine wall, is around 8 mm, it is thought that the body is ready for pregnancy and the so-called cracking shot is given. hCG injection is made. Approximately 36 hours after this injection is applied, the most appropriate time is to perform the vaccination. Before the vaccination, the patient should be told that his/her partner should abstain from sexual abstinence for 3-4 days.
On the day of the application, the patient's spouse should be done before the procedure. He must go to the laboratory 2 hours before and ejaculate the semen by masturbation. He should not use any chemical substances such as lubricants during masturbation. Such agents can deteriorate the quality of sperm. It is undesirable to apply the semen directly to the woman without preparation in the laboratory during insemination. It may cause allergic reactions and groin pain in women. The sperm preparation process in the laboratory can usually take 2 hours, and then the patient is delivered to the owner. The quality of the collected sperm is increased by washing them with a special method.
After the sperm arrives, the patient is taken to the gynecological table. No chemicals are used. A speculum is placed on the patient and the sperms drawn into the syringe are slowly sent by placing the insemination catheter from the cervix into the uterus. During the procedure, it is necessary not to force the uterus so that the patient does not feel pain. After the procedure is completed, the patient should rest for 45 minutes without changing his position. After the insemination, the patient is given some medicines to help the pregnancy take hold. Hormonal support drugs can be given.
Is the IUI method a painful procedure?
IUI is not a painful procedure. Local or general anesthesia is not needed during IUI. Only in cases of vaginismus. A light anesthesia may be applied.
Is Rest Necessary After Insemination?
After the insemination process, the patient must rest for 45 minutes without changing her position. After the insemination, until menstruation occurs. It is useful to be careful in terms of physical activity. Intercourse can be started within 2 days after this procedure. It is also useful to follow the warnings and precautions recommended by your doctor after vaccination.
Vaccination Success� What is the temperature and how many vaccinations can be done at most?
Compared to the pregnancy rate after a normal sexual intercourse, the success rate of pregnancy with vaccination is 20%for each application. .The pregnancy rate increases as the number of applications increases. Vaccination can be applied 5-6 times, depending on the reason for inability to become pregnant. If pregnancy cannot be achieved after this amount of application, in vitro fertilization should be recommended to the patient.
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