MyFertilityGuide

Insemination or intrauterine insemination is an assisted reproductive treatment (ART) that can be an effective treatment for couples suffering from infertility. Sperm is directly placed into the recipient’s uterus, thus avoiding any issues with, for example, erectile dysfunction, low sperm motility or abnormal cervical mucus. An alternative for couples who do not qualify for intrauterine insemination is in vitro fertilization.

How is insemination performed?

1. The recipient of insemination takes a round of ovulation inducing medication or is treated with hormones prior to ovulation. This stimulates the release of multiple eggs.
2. The progression of the recipient’s cycle is monitored carefully.
3. Just before ovulation, a semen specimen is produced on site.
4. The sperm is separated from the seminal fluid and washed.
5. The washed sperm is placed directly into the uterus via a catheter.

Does insemination hurt?

There is little to no discomfort for women who undergo the procedure. The transfer process takes no more than a few minutes and utilizes equipment similar to that used during a pap smear.

When is insemination an appropriate form of ART?

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.

When is insemination not an appropriate form of ART?

Intrauterine insemination is not appropriate for women who have had their ‘tubes tied’ and have blocked fallopian tubes. A hysterosalpingogram (HSG) is an x-ray performed to rule out this problem. Women over the age of 40 show a significantly reduced success rate as do women who demonstrate irregular ovulation patterns. In this case, IVF shows a better chance of success.

How many times can insemination be performed in hopes of pregnancy?

Intrauterine insemination can be used for three to six months in women who are ovulating. A few more months may be added for women who have anovulation, that is, do not ovulate on their own.

What is the success rate for insemination?

Success rates for intrauterine insemination are as varied as the women who undergo the treatment. The outcome is affected by factors including:

• Whether or not ovulation is induced
• Type of ovulation medication is prescribed
• How long the couple has been actively trying for pregnancy and remained infertile
• Reason for infertility
• Quality of sperm in the washed specimen