OVARIAN STIMULATION  

Physiologically, in each menstrual cycle, a woman experiences the growth of a single follicle (structure that contains the egg) that will release an egg into the fallopian tube to be fertilized on the fourteenth day of the menstrual cycle.

Thus, the beginning of the Artificial Insemination treatment will be marked by the beginning of the menstrual cycle in which the treatment is to be performed, since there are no waiting lists. With this treatment we intend to stimulate, in a gentle and controlled way, the ovaries to increase the possibilities of success, inducing the growth of the follicles by administering medication.

The gynecologist specialized in assisted reproduction will be the one to carry out the whole process of ovarian monitoring, which consists of carrying out ultrasound and hormonal analysis controls in order to make an exhaustive, individualized follow-up and thus achieve maximum efficiency in each cycle. An average of 3-4 controls per cycle will be carried out and between the first control and the insemination usually 8-10 days pass.

In some specific cases, it is advisable to consider insemination without ovarian stimulation, monitoring spontaneous ovulation.

SPERM PREPARATION  

In case the insemination is with the partner’s sample, two hours before the insemination, a sperm sample is obtained which is processed in the andrology laboratory.

A sperm capacitation treatment will be performed on this semen, with the main aim of separating and concentrating the best quality spermatozoa into a volume of 0.4-0.5 ml for later introduction into the uterus.

If we use semen from the Sperm Bank, the sperm sample will already be in the andrology laboratory and will be defrosted one hour before insemination so that it can be treated in the laboratory. Thus, the best quality spermatozoa resulting from this treatment will be those introduced into the woman’s uterus.

INSEMINATION  

Once the follicles (1 or 2) are the right size, a dose of the hCG hormone is administered which will be responsible for inducing ovulation and, 38-40 hours later, we proceed to insemination as such.

Insemination is a simple technique, which we perform in the same office, without the need for anesthesia because the discomfort is minimal. The gynaecologist introduces a catheter through the cervix where the previously prepared spermatic sample will be deposited.

PREGNANCY TEST  

Once the technique has been completed, you will rest for a few minutes, we will give you the instructions to follow and we will set a date to do the pregnancy test with the first urine in the morning, approximately 15 days after the insemination. During this period, we recommend living a completely normal life, maintaining the usual routines and avoiding only high intensity efforts.

If the result is positive, we will schedule a visit 3 weeks later to do a control ultrasound, in which we will confirm the presence of the embryonic sac and the viability of the gestation.