INTRAUTERINE INSEMINATION (IUI)
Intrauterine Insemination is the selection of the most fertile spermatozoa and their subsequent introduction into the uterus by way of a canula (tube) through the cervical channel.
REQUISITES:
1. Woman under 42 years of age.
2. Permeable uterine tubes.
3. Adecuate ovarian response to inductive medications.
4. Male with at least 5 million mobile sperm cells on the sperm count.
HOW IS THE SPERM FOR INSEMINATION SELECTED?
By means of chemical substances we are able to filter the semen, achieving high concentrations of healthy spermatozoa. A second chemical is administered to flush and enhance the spermatozoa´s mobility in order to increase the chances of producing a pregnancy.
WHAT WILL I GO THROUGH DURING THE PROCESS?
- Induction: the use of medicine to stimulate the growth of the ovaries and the production of follicles as well as thicken the inner layer of the uterus (endometrium).
- Follicular Follow-up: the performance of ultrasound scans on days 2, 7 and 10 of the period in order to measure the ovarian follicles, adjust the dosages and determine the date and time of insemination.
- Collection and Processing of the sperm sample: the collection of the sperm sample and subsequent processing, concentrating the most fertile spermatozoa. At this point the male partner must have, ideally, 3 to 5 days of sexual abstinence.
- Insemination: the placement of the processed semen into the uterus.
- Waiting Period: the 14 days following the procedure. On the 14th day a pregnancy test (blood test) is to be performed.
WHAT IS THE SUCCESS RATE WHEN EMPLOYING THESE TECHNIQUES?
We have a success rate of 20%
WHAT WOULD HAPPEN IS AFTER ATTEMPTING 4 CYCLES PREGNANCY HAS NOT BEEN ACHIEVED?
After 4 attempts we must shift to more invasive methods which require the use of anesthesia in order to obtain the ova, such as Gamete Intra-fallopian Transfer (GIFT) which we administer in Costa Rica (40% success rate per attempt) and In Vitro Fertilization (50% to 60% success rate per attempt) which we administer in Panama.
Prices:
Each Single Attempt: $200 (lab) + $100 (medical honoraries) = $300 (per attempt)
Special cases (if required)
Sperm Donor $200 US per sample.
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