Vaginal insemination, in medical parlance Intrauterine Insemination (IUI), commonly known as "insemination", is an assisted reproductive technique. The "insemination" process can be briefly defined as the sperm taken from the man, processed and injected into the woman's uterus with a plastic cannula. It is performed almost painlessly with the latest technology used today.
TO WHOM IS VAGINAL IMMUNIZATION APPLIED?
It is applied to couples who have not become pregnant even though they have had regular intercourse for a year. Although it is a simpler and faster method than other assisted reproductive techniques, it is not the first choice. It is recommended to try natural pregnancy methods first. The prerequisite for this procedure is that the man has sperm that can be processed and the woman has eggs that can be developed. Therefore, before making a decision about vaccination, couples should be evaluated and the underlying causes of infertility should be thoroughly investigated. If there are problems with sperm function or ovulation, correcting them first will increase the chances of success in IUI. If the woman has polycystic ovary syndrome and the man has mild sperm impairment, IUI treatment can be quite successful. In addition, this method can be used in cases such as infertility of unknown cause, endometriosis, cervical diseases, presence of antibodies against sperm, sexual dysfunctions, vaginismus, and ejaculation problems. How is pre-vaccination evaluation done? The first test to be requested from a man is a Spermiogram. Spermiogram should be given after 3 days of sexual abstinence. Following the gynecological examination and hormone tests, a uterine film (Hysterosalpingography-HSG) should be taken for women. Laparoscopy and hysteroscopy can be performed when necessary.
HOW IS VACCINATION DONE?
The first stage in vaccination is egg development treatment. Various hormone treatments are used for this. When the egg reaches a certain maturity, a cracking shot is given. Ovulation occurs approximately 34-36 hours after the cracking shot is given. The sperm sample taken from the man at the time of ovulation is washed, prepared and placed in the uterus with a special plastic cannula.
WHAT IS THE SUCCESS RATE?
In such treatments, it is as if insemination occurs on the face. face Patients get the impression that it will happen and are disappointed when pregnancy does not occur. This disrupts the psychology of couples considerably. The chances of success in assisted reproductive techniques largely depend on the age of the woman. This rate is 15-20% under the age of 35, 10% between the ages of 35-40, and below 5% over the age of 40. In other words, it should be known that the chance of success of a vaccination is around 20% at most. Another important factor affecting the success of the insemination technique is the sperm washing procedure. Because the purpose of this technique is to create a more mobile sperm concentrate by separating healthy sperm from unhealthy sperm. That's why the chosen center, the conditions in which the sperm is washed, the solutions used and the technical skills of the staff are very important. Repeating the vaccination process increases the chance of success. Although hysterosalpingography (HSG) and hysteroscopy have been performed beforehand, in cases where insemination does not work 3 times, it is recommended to switch to in vitro fertilization method.
WHAT ARE THE PROBLEMS THAT MAY EXPERIENCE?
First of all, the insemination process is carried out. It must be done by experienced hands and under sterile conditions. Because uterine infection is one of the common problems. Another problem is excessive egg development. If more than 3 eggs are developed, that cycle is cancelled. In such cases, multiple pregnancy may develop and this is undesirable. Sometimes hyperstimulation syndrome (OHSS) may occur. Overgrowth of the ovaries and excessive increase in hormone levels can negatively affect the woman's body and may even require hospitalization and treatment.
WHEN SHOULD A PREGNANCY TEST BE DONE?
2 months after insemination. A blood pregnancy test (BhCG) can be taken after a week. Tests taken early and repeated frequently disrupt the woman's psychology. Therefore, it is best to wait until the period is late. Psychology is the basis of everything. Couples who want children and try assisted reproductive techniques should realize that pregnancy is not a goal; It is important for them to remember that it is a tool for a healthy, happy life.
Read: 0
