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Intra uterine insemination

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NEOM Medical Hub Building (formerly Porto Cairo Medical) - Sadat Axis - in front of Gate 10 Police Academy - First Settlement - New Cairo

In general, Intra uterine Insemination (IUI ) involves placing sperm directly in the female reproductive tract of an infertile patient whose ovaries may or may not be stimulated with hormones.

Intra-Uterine Insemination (IUI) and ovarian stimulation with exogenous hormones is the alternative with the highest probability of pregnancy. The form of AI will be influenced by the effective sperm count, ovarian stimulation and deposition of sperm in the female reproductive tract.

In Rahem Fertility Center, we give a brief but general explanation of the different modalities associated with Artificial Insemination (AI), the clinical significance and the probability of pregnancy. We have our special and effective protocol for controlled ovarian stimulation (COS) in AI cycles. The most important about COS is to be effective, cost effective and avoid complications especially ovarian hyper stimulation syndrome (OHSS)and multiple pregnancies. .

What is needed before AI?

Before AI is offered, it is important to determine the cause(s) of infertility and if the couple is a candidate for the procedure. A detailed medical history and physical examination should be conducted initially. The male partner will undergo one or two semen analyses. Some physicians may recommend a Post-coital Test but not much information can be gained from it. The Royal College of Obstetrics and Gynecology in 2004 reported that PCT is of no value (Grade A evidence). In Rahem Fertility Center, we do not do PCT any more.

Some patients may need a hysterosalpingogram, hysteroscopy or laparoscopy prior to insemination to determine the status of the fallopian tubes, absence of severe adhesions in the pelvic cavity and a reproductive tract free of problems interfering with conception and pregnancy. If your medical history and pelvic exam suggests previous pelvic inflammatory diseases, infections, tubal damage, or endometriosis you will need at least one of those procedures

Related services

The choice of protocol for IVF is variable from one patient to the other. In Rahem Fertility center, we tailor the optimal stimulation protocol, according to age, ovarian reserve, BMI and previous response.

For patients who will take drugs that may affect their fertility ( eg. Chemotherapy for cancer) sperm freezing and oocyte vitrification can help them to preserve their fertility.

This is a trans-vaginal procedure, in which the telescope (attached to camera) is passed into uterus. This helps to evaluate uterine cavity. It is of special importance to deal with the following lesions using hysteroscopy

Azoospermia may be due to poor production of sperm, a problem in transport of sperm, or a problem with the ejaculatory process. TESA (testicular sperm aspiration) and TESE (testicular sperm extraction) are indicated when normal motile spermatozoa cannot be produced

This is the best modality of embryo freezing. All studies report better survival and higher pregnancy rates with vitrification than standard slow freezing. By this procedure, couples who have ICSI or IVF can increase their chances of having a child and also decrease the cost they bear.

Cases with known chromosomal or genetic defects will benefit from PGD. Cases who have multiple previous failed ICSI trials or who experienced recurrent pregnancy losses due to chromosomal defects may have benefit from PGS with selection of the chromosomally normal embryo(s) for transfer

By  this procedure one cell of the embryo produced  after ICSI or IVF   is taken and examined for the type of sex chromosome ( either xx or xy) and this is beneficial to select the embryo the couples wish to have.

For couples who are candidate for ICSI the husband may not get a semen sample on the day of oocyte aspiration due to anxiety  or get a sample of very poor quality .