Artificial insemination in Tunisia

Technical, simple painless and does not require hospitalization, the intrauterine insemination consists of depositing previously treated motile sperm in the laboratory, into the uterine cavity at the time of ovulation.

Indications

• Ejaculation, anatomical, sexual, neurological or psychological disorders.
• Cervical pathologies: surgical squeal of the cervix, cervical fluid absent or inadequate despite treatment.
• Moderate alterations of semen.
• Immunological factors: the presence of antibodies: anti-sperm, in seminal plasma or cervical mucus.
• The mild endometriosis and unexplained infertility and mild when intrauterine insemination is proposed as a therapeutic option on a purely empirical basis. 

The intervention

Artificial insemination consists in a slight stimulation of ovulation using anti-estrogens, particularly clomiphene citrate, exogenous gonadotropins alone or in combination with the first. Subsequently, an induction of ovulation is carried out by injection of HCG (human chorionic gonadotrophin playing the role of LH in inducing an ovulatory peak). Insemination is performed 48-36 hours after the onset of ovulation.

Using a flexible tube called a catheter; sperm previously prepared and washed in the laboratory (to rid the seminal fluid and the capacitor, i.e. to make them suitable for recognize and fertilize the egg) is injected into the uterus. Insemination can also be done during a spontaneous cycle.

The chances of success of intrauterine insemination are 7 to 15% / cycle. If despite 4-6 cycles of insemination, pregnancy does not occur; your doctor will suggest more often in vitro fertilization.