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What is the principle of artificial insemination?
THEinsemination is the technique ofmedically assisted procreation (AMP, or PMA) the simplest and oldest. It consists in introducing sperm in the female genitalia. Most often, a treatment of ovarian stimulation is prescribed in order to trigger ovulation and allow the development of one or two follicles (or even three depending on the circumstances). Follicular growth is then checked during ultrasounds and blood tests (to monitor hormone levels). Insemination is scheduled when the follicles are mature. This technique uses, depending on the causes of infertility, the sperm of the spouse (IAC) or that of a donor.
Artificial insemination: who can benefit from it?
THEartificial insemination is usually offered to women who have problems with cervical mucus. During the test chickens, the doctor may notice a abnormal interaction between semen and cervical mucus. It should be noted that cervical sterility remains the main indication for insemination. But this technique is also considered if your spouse has a insufficient amount of sperm, if these are altered, or after repeated failure of ovarian stimulation.
In terms of the conditions to be fulfilled, as with any assisted reproduction technique, couples benefiting must be alive at the time of the act, of childbearing age, married or cohabiting. For the time being, insemination is not authorized for homosexual couples.
The course of artificial insemination in practice
Depending on the case, theinsemination is done at the level of the cervix or in the uterine cavity. Corn most of the time, it is “intrauterine” : the doctor deposits the sperm inside theuterus using a thin catheter on the day of ovulation. The motile spermatozoa then orient themselves naturally towards the tubes to meet the oocytes. Fertilization therefore takes place according to the natural process, inside your body. The semen is collected by masturbation in the laboratory, and prepared on the day of insemination.
Artificial insemination is carried out in a center ofmedically assisted procreation (AMP, or PMA).
Artificial insemination: what precautions, what treatment?
No special precautions should not be taken before artificial insemination, except for a period ofsexual abstinence between 2 and 6 days before the semen collection. The operation does not require hospitalization: you lie down for a few minutes during the injection, painless, and can then resume normal activity. In most of the cases, no treatment is necessary after insemination. If the attempt is unsuccessful, your period will take about 12 days. Otherwise, a pregnancy test is performed 18 days after insemination.
Artificial insemination: what success rate?
In male infertility, the success rates ofartificial insemination are not always good. We obtain 10 to 15% of pregnancies per cycle, with 50% of pregnancies obtained after six attempts. In case of failure, doctors recommend not to repeat the act the next cycle. It is better to respect a rest cycle between each attempt at insemination. IVF can also be considered.
How much does artificial insemination cost?
The artificial inseminationss represent a significant financial cost, since it takes about 450 euros per attempt. In the context of sterility treatment, these attempts are taken care of at 100% by Social Security, which reimburses one artificial insemination per cycle, within the limit of six attempts. You must send a request for exemption from user fees, as well as a request for prior agreement for the acts, signed by your gynecologist, to your health insurance fund. The care ends on the woman’s 43rd birthday.
When calculating your budget, also think about ancillary costs that are not medical, such as the cost of transport, accommodation if your ART center is far from where you live, or even the days of absence from your work. ‘they are not paid.