Artificial insemination: methods, treatment, cost

What are the options for people wishing to be artificially inseminated?

Artificial insemination can be approached in several ways. After all, it depends on the individual situation of a woman or a couple – Sonja Steinert tells us. such factors Woman’s age, egg reserve, sperm quality as well as other medical aspects ultimately determine how carefully to approach assisted reproduction.

This can be done minimally invasively without too much effort, or complex therapies are used to allow artificial insemination. Final Insemination inside or outside the body be performed.

The methods at a glance

There are three main methods of artificial insemination:

  1. Intrauterine insemination (IUI) or sperm transfer: It is usually used when a man has too much sperm, sperm quality is poor or the woman has no male partner. (Donated) sperm are injected directly into the uterus, cervix, or fallopian tubes using a syringe or catheter. The sperm must then find their own way to the fertilized egg.
  2. In vitro fertilization (IVF): Performed in a test tube. Fertilizing ova are collected from the female and then mixed with the (donated) sperm in a test tube. If fertilization occurs and the eggs are still developing, an embryo is placed in the uterus. In most cases, hormone treatment is carried out beforehand to obtain a few eggs that are capable of fertilization.
  3. Intracytoplasmic Sperm Injection (ICSI): It is a modified in vitro fertilization (IVF) procedure. It is used when IUI or IVF have not fertilized the egg due to poor sperm quality. Here, too, sperm and egg cells are removed. However, the sperm is injected directly into the egg in the test tube. If fertilization and cell division are successful, up to three embryos are placed in the uterus.

While the sperm transfer takes place inside the woman’s body, the other two methods are performed outside the woman’s body. Thus, intrauterine insemination is the method by which least effort. Here, however, the chances of success are lower than for the other two methods. “Which is the right option differs from patient to patient”says Sonja Steinert.

How does artificial insemination work?

The course of artificial insemination depends on the chosen one treatment method away. First of all, there is a comprehensive consultation, during which the doctor will explain with you which method is best for you. The whole thing works more or less as follows:

Sperm Harvesting: Of course, sperm is needed to fertilize an egg. Removal can be done in different ways: by masturbation, surgical removal of the testicles or epididymis.

Hormonal stimulation treatment: In some cases, hormone therapy is performed on a woman before artificial insemination. This ensures that there are enough fertilized eggs in a woman’s body during artificial insemination. Contrary to the normal female cycle, more than one egg should mature here. First, however, the level of hormones is tested. The doctor then determines exactly what the hormone therapy will look like. This hormone therapy can last for 10 to 14 days.

egg collection: In the treatment of IVF or ICSI, the eggs are then removed. Under a brief anesthesia, the ova are suctioned through a puncture so that they can then be fertilized in the laboratory. “The egg and sperm are either collected together in a test tube so that fertilization takes place independently, or the selected sperm is inserted into the egg under a microscope. After three to five days, the resulting embryo can be transferred to the uterus. “reveals Sonja Steinert.

Embryo transfer: After the eggs are fertilized outside the woman’s body by IVF and ICSI, they are reintroduced. This is one of the most important steps on the way to pregnancy. Up to three viable embryos can be used. If there are surplus viable embryos, they can be frozen if necessary. Non-viable embryos are rejected.

Leave a Comment