Іntrauterine insemination Clinic Alternatyva

The essence of intrauterine insemination (IUI) is that specially prepared sperm of a man is injected directly into the womb of a woman. After that, everything goes as you would be with a normal conception: sperm must reach the ovum and fertilize it through the fallopian tubes.

The effectiveness of IUI can range from 2% to 40%, with an average of no more than 15%.

Insemination is not carried out with obstruction of the fallopian tubes or when the fallopian tubes patency is compromised . In such cases, in vitro fertilization (IVF, ) is suggested. The benefit of infertility treatment with the IUI method is that it is closest to natural conception.

There are two types of intrauterine inseminations:

  • With husband’s (partner’s) sperm
  • With donor’s sperm ( in case of absence of spermatozoons in husband’s semen or risk of genetic problem)

Which kind of IUI will be most optimal for you depends on your partner’s sperm count.

Indications for conducting of IUI with husband’s sperm

In men

  • subfertile sperm
  • ejaculatory-sperm disorders
  • retrograde ejaculation
  • hypospadias (pathology of penis anatomy)
  • hypospermia (small volume of ejaculate)
  • high viscosity of the seminal plasma
  • antisperm antibodies
  • the use of cryopreserved semen

In women

  • infertility of unexplained genesis
  • cervical infertility factor
  • the presence of antisperm antibodies
  • ovulatory dysfunction which is amenable to treatment
  • semen allergy
  • vaginism

Reasons for conducting of IUI with donor’s sperm

In men

  • Expressed oligoastenoteratozoospermia, azoospermia
  • Ejaculatory-sexual disorders
  • Adverse medical-genetic prognosis

In women

  • Medical and social indications (at the woman’s request )

Contraindications

  • somatic and psychological diseases that are a contraindication for pregnancy and childbirth; – congenital malformations or acquired deformities of the uterine cavity in which implantation of embryos or pregnancy is impossible;
  • ovarian tumors;
  • benign uterine tumors requiring surgery;
  • acute inflammatory processes of any localization;
  • malignant neoplasms of any localization, including those in anamnesis.

Examinations required for intrauterine insemination

  • Gynecological examinations with smear test and cytology
  • Confirmation of the fallopian tubes patency by echosalpingography (under ultrasound control, performed on the 9th to 12th day of the menstrual cycle) or by metrosalpingography (x-ray of tubes)
  • Blood test for sex hormone levels – FSH, LH, prolactin, estradiol, AMG (given on 2nd or 3rd day of the menstrual cycle) and progesterone (given on 21st day of the menstrual cycle)
  • Folliculometry and ovulation monitoring (performed from 7 -9 days of the menstrual cycle) , AMG (given on the 2nd or 3rd day of the menstrual cycle) and progesterone (given on the 21st day of the menstrual cycle)
  • Blood test for hepatitis B and C, HIV and syphilis

When conducting a husband’s sperm, it is necessary for the sperm count to meet the existing requirements – not less than 10 million sperm in 1 ml of ejaculate, the index of maturity when conducting the HBA-test is not less than 60.

Dr. Ihor Palyha

Dr. Ihor Palyha

Director. Honored Doctor of Ukraine. Member of the Presidium of the Ukrainian Association of Reproductive Medicine

Dr. Ivanna Korchynska

Dr. Ivanna Korchynska

Head doctor of the clinic. Obstetrician-gynaecologist of the highest category Ultrasound specialist

Prokopov Marianna Bogdanovna

Prokopov Marianna Bogdanovna

Obstetrician-gynaecologis

Dr. Lyubov Mykhaylyshyn

Dr. Lyubov Mykhaylyshyn

Head of IVF department. Fertility specialist. CNR of Ukraine in ESHRE

Dr. Anastasja Volodko

Dr. Anastasja Volodko

Gynecologist. Professor of the Department of Oncology and Radiology in Danylo Halytskyi Lviv Scientific Medical University. Doctor of the highest category

Dr. Lidiya Segedii

Dr. Lidiya Segedii

Сandidate of medical sciences. Ultrasound specialist. Fertility specialist. Obstetrician-gynaecologist of the highest category

Dr. Anna Kostja

Dr. Anna Kostja

Obstetrician-gynaecologist of the highest category

Dr. Roxolana Purpura

Dr. Roxolana Purpura

Obstetrician-gynaecologist of the highest category. Ultrasound specialist

Dr. Yuliya Bosiak

Dr. Yuliya Bosiak

Fertility specialist. Obstetrician-gynaecologis

Dr. Alla Konyk

Dr. Alla Konyk

Obstetrician-gynaecologis

Dr. Svitlana Zinovjeva

Dr. Svitlana Zinovjeva

Fertility specialist. Obstetrician-gynaecologis

Dr. Olga Dragush

Dr. Olga Dragush

Ultrasound specialist

Dr. Tatjana Pivovarova

Dr. Tatjana Pivovarova

Obstetrician-gynaecologis. Aesthetic-gyneacologist. Ultrasound specialist

Dr. Sergij Kryshtafovych

Dr. Sergij Kryshtafovych

Obstetrician-gynaecologist of the highest category

Dr. Rostyslav Skolozdra

Dr. Rostyslav Skolozdra

Urologist of the highest category

Dr.  Iryna Levytska

Dr. Iryna Levytska

Dermatologist. Cosmetologist