Artificial insemination and the difference between it and ICSI and IVF?
The term IVF linguistically includes modern technologies to assist pregnancy, such as: IVF, ICSI, and intrauterine insemination, but realistically, the common term for intrauterine insemination is artificial insemination, so what is meant is intrauterine insemination.
Let us explain the difference between IVF, ICSI and IVF.
In vitro fertilization (IVF) and infertility (ICSI): are two new technologies to assist pregnancy in some cases of infertility. By fertilizing the egg taken from the wife with the sperm taken from the husband in the laboratory; By placing an egg with semen (after treating it in a laboratory) in a laboratory dish, which is called a tube baby, or injecting the sperm directly into the egg in the case of ICSI.
IVF or intrauterine insemination (IntraUterine Insemination):
It is a way to help conceive and overcome some cases of infertility, by injecting semen after laboratory treatment to increase the concentration of sperm, inside the wife’s uterus at the time of ovulation, to fertilize the egg naturally inside the uterine canal .. Thus, sperm bypass the problem of long distance, and resistance to thick secretions Cervix.
It is possible to perform this operation simultaneously with the use of ovulation stimulating drugs. To increase the chances of success and the occurrence of pregnancy.
What are the reasons for using intrauterine insemination or artificial insemination?
The ability to conceive depends on several factors for men and women .. When a defect occurs in one of these factors, the chances of pregnancy and childbearing are reduced, so intervention by means of assisting the occurrence of pregnancy such as artificial insemination, which we resort to in the following cases:
Unexplained infertility: Intrauterine insemination is the first step in trying to conceive in a natural way, with the help of ovarian stimulation drugs that stimulate ovulation, before using ICSI.
Some cases of endometriosis.
Infertility related to male factors such as: low sperm count, poor sperm motility, or the presence of abnormalities in their size or shape, and erectile dysfunction cases .. as intrauterine insemination overcomes sperm problems; Because the procedure followed before injection is to prepare and process semen in the laboratory to increase the concentration of fast-moving sperm, and exclude the deformed ones.
Infertility associated with a factor in the cervix: the cervix is the lower, narrow part of the uterus that connects the body of the uterus to the vagina .. In normal cases, the cervix produces mucous secretions that provide a suitable environment for sperm to swim through and move from the vagina to the uterine cavity .. But these secretions may be Too thick, which hinders sperm movement. IVF bypasses the cervix and places the sperm directly into the uterus.
Allergy to semen: It is very rare, as semen causes sensitivity to women when ejaculated inside the vagina in the form of swelling, redness and a feeling of burning .. In this case, it is recommended to use condoms to protect against symptoms of allergy, but it also prevents pregnancy; Therefore, IVF is an effective option as the semen is treated in the laboratory and the proteins that cause allergies are removed before the injection.
How long does the IVF process take?
The IVF process is very simple, and a visit to the doctor’s office usually takes only 15-20 minutes to perform.
The intrauterine insemination process itself takes only a minute or two, and you do not need any medications or painkillers afterwards.
Preparation before the operation
Preparation before IVF includes preparing a semen sample, monitoring the woman’s ovulation process, and determining the appropriate time.
Preparing the semen sample: semen can be obtained from a man through masturbation, and it is advised to avoid sexual intercourse for a period of two to five days before this procedure. To increase the number and concentration of sperms .. Then the sample is processed to remove proteins, separate invalid sperms, keep healthy and fast moving sperms and increase their concentration.
– Follow-up of the ovulation process: through transvaginal ultrasound imaging by your doctor, taking into account the possibility of using ovulation stimulating drugs to increase the chances of ovulation, and thus increase the chances of success and pregnancy.
Determining the appropriate time: Intrauterine IVF is performed after ovulation is confirmed.
How is the artificial insemination process?
After preparing the semen sample, and upon confirmation of ovulation, your doctor will ask you to lie on the gynecological examination bed .. Then the vaginal speculum is inserted to expose the cervix, and in the meantime the nurse or doctor connects the bottle containing the treated semen with a thin, long and flexible tube ( Catheter), then the catheter is inserted through the vagina, into the opening of the cervix, to reach the uterine cavity, and then the semen is pushed through the tube into the uterus, then the tube is removed, and then the hysteroscope.
Your doctor will ask you to lie on your back for a short time, then you can leave and go about your daily work.
Tips after the IVF process
As mentioned, the intrauterine insemination process is very simple and does not need to rest afterwards, but we recommend that you lie down for a short time, about 15 minutes after the injection, before leaving the doctor’s office.
You can practice your usual daily activities, and there is no objection to having sexual relations with your husband after the operation, but it is recommended to do it in the following days to increase the chances of insemination.
Do not rush to take a pregnancy test two weeks before the operation. Because it might give you the wrong result:
-A false negative result because the level of pregnancy hormones is not sufficient to show for the test, when you are in fact pregnant.
-False positive result If you have taken some ovulation stimulation medication and it is still blood in it, the test will indicate that you got pregnant while you are not pregnant.
Are there risks or side effects of the IVF process?
IVF is a relatively safe procedure with no serious complications.
-Light bleeding from the vagina in the form of spots of blood; The result of the process of inserting the catheter into the uterus .. But it usually has no effect on the chances of pregnancy.
-Infection, which is rare.
-Pregnancy with more than one child, due to the use of ovulation stimulators, which may lead to the release of more than one egg from the ovary.