Table of contents:
- Aims and Indications of Artificial Insemination
- Artificial Insemination Warning
- Before Artificial Insemination
- Artificial Insemination Procedure
- After Artificial Insemination
- Artificial Insemination Complications
Artificial insemination is a medical procedure to treat fertility problems (infertility). Artificial insemination aims to increase the number of sperm that can reach the fallopian tubes so that fertilization and pregnancy occur
Artificial insemination is done by placing sperm directly into the uterus at the time of release of the egg (ovulation) using a small catheter. Generally, artificial insemination does not take long.
The success of artificial insemination can be increased if it is done not only once (cycle). However, the success of this procedure also depends on age, cause of infertility, and use of fertility drugs.
Aims and Indications of Artificial Insemination
Artificial insemination can be performed on patients with the following conditions:
- Having infertility problems
- Has too thick cervical mucus that blocks the passage of sperm
- Having problems with ejaculation or erection
- Has an allergy to sperm
- Has a condition that makes it impossible to have direct sex, such as a physical disability
Artificial Insemination Warning
To undergo artificial insemination, female patients must be ensured in good he alth, especially the condition of their fallopian tubes. Artificial insemination should not be performed on women who have abnormalities in the fallopian tubes, such as blocked fallopian tubes due to pelvic inflammation.
In addition, artificial insemination should not be performed on women who suffer from severe endometriosis, which is a condition when the tissue that forms the inner lining of the uterus grows widely outside the uterus.
Before Artificial Insemination
Before artificial insemination, the doctor will conduct an examination to ensure that this procedure is safe and in accordance with the patient's condition. The examination can be in the form of X-rays, ultrasound, or hysterosalpingo-contrast sonography (HyCoSy) with sound waves.
Artificial insemination begins with preparing a sperm sample. From the sperm sample, the best sperm will be taken so as to increase the woman's chances of getting pregnant.
The doctor will also determine the timing of the artificial insemination that is adjusted from the results of monitoring the prediction of ovulation. Doctors can give you the option of waiting for ovulation to occur naturally, or using fertility drugs, such as clomiphene, to speed up ovulation.
After ovulation is detected, the doctor will determine the time of artificial insemination. The implementation of artificial insemination is generally carried out 1-2 days after showing signs of ovulation.
Artificial Insemination Procedure
This procedure usually only takes about 10 minutes. The following are the steps performed by the doctor:
- Ask the patient to lie down on the bed
- Using a speculum to widen the vagina
- Inserting a catheter containing sperm into the vagina through the uterine door and into the uterus
- Squirting sperm near the fallopian tube
- Ask the patient to remain lying down for a while, then remove the catheter and speculum
Artificial insemination procedures are generally painless. However, some women may experience stomach cramps or light bleeding.
After Artificial Insemination
After the artificial insemination, the patient can go straight home and carry on with their normal activities. In some cases, the patient may experience bloody discharge or spotting from the vagina for 1-2 days after the procedure.
The next step is to see the results of the insemination with a pregnancy test. This test can be done 2 weeks after the insemination. If pregnancy has not been successful, the doctor may suggest artificial insemination.
Re-insemination can be carried out again in the next 3–6 months to increase the chances of getting pregnant.
When to go to the doctor
For patients who use fertility drugs to accelerate ovulation, see a doctor immediately if you experience the following symptoms:
- Sudden weight gain of more than 2 kg
- Nausea and vomiting
- Shortness of breath
- severe abdominal or pelvic pain
- Stomach size increases suddenly
Artificial Insemination Complications
Artificial insemination is generally an uncomplicated and safe procedure. However, some complications can occur after the artificial insemination procedure, namely:
- Bleeding in the vagina
- Twin or multiple pregnancies, which can lead to low birth weight and premature birth
- Ovarian hyperstimulation syndrome (OHSS), which is an excessive response of the ovaries to too many pregnancy hormone levels in the body