Indications for an artificial insemination

[Nusha]

The doctor, it is possible a question on what the successful insemination depends, and its or her what factors privodjashie to not for success. Thanks you for .:confused:

[boris]

Uv. Nusha!



On what the successful insemination depends

First of all from sootvetsvija the diagnosis and recommended treatment.

Unfortunately, even among doctors, a popular belief, that the insemination considerably increases or enlarges frequency of offensive or approach of pregnancy. Unfortunately it not absolutely so.

Below I shall result or bring indications for AI.

Indications to an artificial insemination a semen of the husband:

c the parties or sides of the husband:

- A hypospadias of a urethra

- An impotency

- Absence of an ejaculation

- An oligozoospermia with the saved normal mobility of spermatozoons and absence of their morphological changes



From the wife:

- A vaginismus

- C?aO?-functional, immunologic and inflammatory changes shejki uteruses at which there is a so-called cervical antagonism.

/ V.I., Smetnik V.P., Tumilovich L.G.not gynecology. A management or manual for doctors. .-1995/



Indications to an artificial insemination a semen of the donor:

- azoospermija

- An oligozoospermia and oligostenozoospermija with morphological changes of spermatozoons and disturbance of their mobility, not giving in to treatment

- Incompatibility of spouses on a rhesus to the factor

- Hereditary diseases at the husband which can be passed by right of succession

- Absence of the sexual partner



Almost similar reasons are resulted or brought in the most authoritative foreign edition (Marcus Samuel F., Brinsten P.R. Interuterine insemination. In the book: R. Edwards. A textbook of In-Vitro Fertilization and Assisted Reproduction. Edited by Peter R. Brinsden. Second edition. 1999, p. 258.)



Conditions for carrying out of an artificial insemination by a semen of the husband/donor:

- The saved permeability of uterine pipes



However if AI to be spent at:

- The infections of organs of a small basin transferred or carried by the anamnesis

- Presence of adherent or adhesive process of a various degree of gravity (at the saved permeability uterine pipes)

- Under the insisting of patients (at absence of formal contraindications)

In a combination to any of the above-stated factors of sterility or barrenness



Frequency of offensive or approach of pregnancy does not exceed 2 %



On the average frequency of offensive or approach of pregnancy at application of AI according to different sources makes

10-18 % (Marcus Samuel F., Brinsten P.R. Interuterine insemination. In the book: R. Edwards. A textbook of In-Vitro Fertilization and Assisted Reproduction. Edited by Peter R. Brinsden. Second edition. 1999, p. 258.)

[Leva]

Whether carrying out of AI with such parameters is possible or probable: quantity or amount and the formula of presence of active spermatozoons in norm or rate, viscosity is raised or increased, leucocytes *gt; 60. The doctor has told or said, that leucocytes can be washed, but I have a question, how much or as far as she will save the properties. Such variant is possible or probable?

[Leva]

The small amendment: in spermogramme - leucocytes up to 60 in p.zr., epitel.kl. - up to 30 in p.zr., the agglutinum ++, letsit.zerna - is a lot of.

Volume - 2,5 ml

Time of a colliquation - 30 minutes

Viscosity - raised or increased

Color, mutnost, a smell - norm or rate

RN - 7,4

The general or common -in norm.funkts.spermatozoidov - 36,0 million/ml

Concentration - 82 %

Activly mobile spermatozoons - 48 %

Spermatozoons with norm.morfologiej - 41 %

Index of an estimation of quality of a semen - 290

I shall repeat a question: whether it is possible or probable at presence of such data carrying out artificial insiminatsii, under condition of washing up of leucocytes, and whether the last influences quality of procedure IO.