Intrauterine insemination with partner’s sperm can be used as a potentially effective treatment for infertility of all causes in women under about age 45 except for cases with tubal blockage, severe tubal damage, very poor egg quantity and quality, ovarian failure (menopause), and severe male factor infertility. In vitro fertilization with the woman’s eggs or IVF with donor eggs are alternatives for couples that are not candidates for artificial insemination.
It is most commonly used for infertility associated with endometriosis, unexplained infertility, anovulatory infertility, very mild degrees of male factor infertility, cervical infertility and for some couples with immunological abnormalities.
It is reasonable initial treatment that should be utilized for a maximum of about 3-6 months in women who are ovulating (releasing eggs) on their own.
IN VITRO FERTILIZATION – IVF
There are five major steps in the IVF and embryo transfer sequence:
– Monitor the development of ripening egg(s) in the ovaries.
– Collect eggs
– Obtain sperm
– Put eggs and sperm together in the laboratory, and provide
correct conditions for fertilization and early embryo growth.
– Transfer embryos into the uterus.
The retrieval of the eggs is performed transvaginally using a hollow needle guided by the ultrasound image, a method completely comfortable under adequate sedation and local anesthesia.