I. Indications for artificial insemination
1, abnormal semen: liquefaction abnormalities, oligospermia, weak sperm, teratospermia.
2.Spiritual-psychological factors of male partner: impotence, premature ejaculation, non-ejaculation during sexual intercourse, etc.
3, developmental abnormalities: hypospadias, etc.
4, immune infertility: positive sperm plasma anti-sperm antibodies.
5.Female factors: abnormal cervical mucus, cervical inflammation, post-operative cervical scar formation, abnormal cervical development, psycho-psychological factors (such as vaginal spasm, scarring, etc. leading to inability to have sexual intercourse).
6, unexplained infertility.
7. 2-3 times of artificial insemination can be done to help pregnancy before preparing for IVF to help pregnancy.
II. If the above-mentioned artificial insemination indications are available, artificial insemination can be prepared.
1. Three certificates are prepared.
The couple’s ID card, marriage certificate, family planning department’s certificate of permission to have children, and the second birth certificate is required for second births.
2.Laboratory examination.
Female partner: routine blood, routine urine, inpatient immunity (five hepatitis B, hepatitis C, syphilis, AIDS antibodies), blood type, mycoplasma, chlamydia, TCT, routine white belt; male partner: inpatient immunity, blood type, urethral gonococcus, chlamydia, semen routine, sperm morphology, sperm plasma anti-sperm antibodies.
3, life, psychological preparation.
Relaxation, reasonable diet, regular exercise, avoid spicy and stimulating food, avoid contact with toxic and harmful substances (such as the female party to avoid perming and dyeing hair, heavy make-up; male party to quit smoking, limit alcohol, prohibit sauna bath, etc.).
4, the female party to prepare.
(1) If you have spontaneous ovulation, you can follow medical advice to monitor ovulation regularly and artificially inseminate during ovulation, the pregnancy success rate is about 10%, which can avoid multiple pregnancies.
(2) For those without spontaneous ovulation, oral or intramuscular injection of ovulation-promoting drugs on 3-5 days of menstruation, and artificial insemination during ovulation, the pregnancy success rate is 20%-30%, with the risk of multiple pregnancies, such as more than 3 pregnancies must be reduced.
5. Male partner preparation.
The semen for artificial insemination (especially for those with abnormal semen) should preferably be retained in the male reproductive tract for 2-7 days.
6. IUI procedure.
The couple comes to the hospital during the expected ovulation period, first the male partner masturbates to take the semen into the sterile sperm collection cup and sends it to the artificial insemination laboratory for semen optimization (about 30-60 minutes), then a soft thin tube is used to put the processed semen into the uterine cavity of the female partner and leaves the hospital lying down for 30-60 minutes.
7. Postoperative precautions.
(1) Routinely give progesterone support (according to the patient’s condition, you can choose intramuscular HCG, intramuscular progesterone, oral progesterone, etc.).
(2) Avoid strenuous activities or physical exercise and heavy physical labor, without affecting daily life.
(3) Come to the hospital around 14 days after surgery for urine test to determine if pregnancy is present.