Jakarta: Most couples will become pregnant within the first year of marriage. However, 10-15% of couples do not have children after a year of regular intercourse and not using contraception.
This condition can lead to infertility problems, or fertility disorders. One of the causes could be the wife’s fertility problems, which is as much as 30%.
According to Dr. Shanty Olivia FJ Sp. OG, Subsp. FER, there are various treatments for infertility, including; taking fertility drugs. This drug is usually given to patients whose fertility problems are purely due to disorders of egg maturation, without any other causes, such as no sperm factors, no anatomical disorders, and no disorders of the fallopian tubes.
“Then there are patients who are given hormone injections, insemination, IVF and surgery,” said Dr. Shanty in a media talk show about Intrauterine Insemination by Pondok Indah Hospital.
IVF is the treatment most often chosen by couples experiencing infertility. But there is one more treatment that couples can do, namely insemination.
What is Insemination?
Insemination is a form of assisted reproductive technology, where selected sperm is sprayed into the uterine cavity during the fertile period.
Insemination, which is also known as Intra Uterine Insemination (IUI), has the aim of shortening the distance sperm travel to reach the egg, increasing the chances of sperm reaching the uterus, and allowing women to get pregnant without having sexual intercourse with their partner.
When is insemination done?
According to Dr. Shanty, there are several indications when insemination is needed. Among them:
– Unexplained Infertility
“This means that doctors can give advice to unexplained patients to undergo insemination. And indeed one of the treatment suggestions for unexplained patients is insemination,” said Dr. Shanty.
– Mild endometriosis
A condition when endometrial tissue grows in small amounts and superficially on the ovaries and pelvic walls.
– Male factor infertility
“This is a major factor, so if for example there is a problem with the sperm naturally reaching the egg. By inseminating the sperm, the sperm takes a shortcut without having to go to any trouble to reach the egg,” explained Dr. Shanty.
– Certain diseases
Having certain disease conditions that require special consideration, such as sperm washing in men, people with HIV, hepatitis B, or hepatitis C.
– Cervical factors
If there is narrowing in a woman’s cervix, the doctor can directly insert sperm.
– Ovulation disorders
This is a condition that causes ovulation to not occur or be irregular, which can cause infertility in women. Ovulation disorders occur due to reproductive hormone regulation problems that affect a woman’s endocrine system.
Also read: Getting to know Andropause, Middle-Aged Men’s Menopause
Conditions for insemination
There are two factors that can be applied if a husband and wife want to carry out insemination. In terms of factors, the wife must have a healthy uterus and tubes.
“The uterus must be healthy because later the results of fertilization will attach to the uterine cavity. Meanwhile, the fallopian tubes are healthy and should not be blocked, because the fallopian tubes are still needed for the sperm to meet the egg,” said Dr. Shanty.
Then there must be ovulation, so an egg must be broken from the ovary, because the sperm will fertilize the mature egg.
Another factor in the wife is age under 40 years. Because apart from the number and quality of egg cells, a woman will decline drastically if she is over 40 years old.
dr. Shanty Olivia FJ Sp. OG, Subsp. DO Doc. A. Firdaus/Medcom
“Several studies say that ideally a wife who wants to have insemination is under 38 years old,” he explained.
Meanwhile, the husband’s factor is that he must not experience serious sperm disorders, such as azoospermia, which is a condition where a man’s semen does not contain any sperm at all during ejaculation.
“This could interfere with the success rate or chances of success of the insemination itself,” said Dr. Shanty.
Preparation for Insemination
The first step that needs to be prepared is, providing intake, whether from drugs or natural. To be natural, the doctor will first monitor the wife’s fertile period.
“We will also provide medicines such as CC/Letrozol and gonadotropin injections. Everything is to create ovulation,” said Dr. Shanty.
“After monitoring, insemination is then prepared. Usually, when a mature egg is found, the doctor will provide an egg breaker or egg breaker, then insemination will be carried out 24 or 48 hours later,” he continued.
After the insemination is carried out, the doctor will monitor it again two weeks later to find out whether it is positive or negative. The success rate for insemination is not very high, but compared to natural or organic it is relatively high, around 10-15 percent.
Differences between Insemination and IVF Programs
The difference between insemination and IVF or In Vitro Fertilization (IVF) is that during insemination there is still fertilization in the wife’s womb. So the oviduct is still needed, because fertilization occurs where sperm and egg cells meet in the oviduct.
“Meanwhile in IVF, fertilization occurs outside the body. In Vitro means outside. So the sperm and egg meet outside,” concluded Dr. Shanty usually practices at Pondok Indah IVF Center Hospital, Pondok Indah-Puri Indah Hospital.
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Insemination: The Modern Love Story
Ah, Jakarta—where the humidity is high, traffic is a nightmare, and couples are in a race against time to get pregnant! Most couples? Quietly becoming baby-making machines within a year of happily ever after. But hold your horses! About 10-15% of couples might still be practicing their “skills” in bedroom gymnastics after a year, all while dodging the baby shower invitations. It’s a real plot twist, isn’t it?
Now, enter the world of infertility. That 10-15% that don’t end up at the diaper aisle might be facing fertility problems, with the wife’s fertility nudging the percentage up to a wholesome 30%. But fret not—Dr. Shanty Olivia to the rescue! She’s got a toolkit that’s more varied than a Swiss army knife for these folks.
What’s Cooking in the Fertility Kitchen?
So, what are the options on the table? From hormone injections to surgery, you can almost hear the sound of medical professionals rattling off their shopping lists. However, if you want to keep things PG, IVF seems to sit at the head of the table. But wait! What if I told you there’s a less ‘invasive’ option that sounds strangely romantic? Insemination is here to swoop in like a superhero in scrubs!
Meet Insemination—Your New Best Friend
Insemination—or should we call it the “who needs sex anyway” technique?—involves selecting the finest swimmers and blasting them straight into the uterine cavity during that golden fertile window. Yes, you heard right! You can skip the awkward moments entirely and still make a baby. Talk about convenience, right?
When Is This Miracle Moment Happening?
Now, when should our heroes (the doctors, that is) pull this trigger? According to Dr. Shanty, the stars need to align for a couple of reasons:
- Unexplained Infertility: Sometimes, doctors get just as baffled as the couple, and insemination becomes the hopeful option.
- Mild Endometriosis: A fancy term for a condition where endometrial tissue plants itself where it shouldn’t. Sneaky little things!
- Male Factor Infertility: When the man’s sperm feels a bit tired and lethargic, and the shortcut is the way to go.
- Cervical Issues: If the cervix is a bit shy, sperm can just take an express elevator instead.
- Hormonal Disarray: Just like your coffee if you skip breakfast; it’s a mess out there!
Conditions for a Successful Expedition
So, before the insemination fairies arrive, let’s talk conditions! The uterus should be as healthy as a horse and those fallopian tubes? Totally clear of blockages! And don’t forget the ovulation—is that little egg ready to party? And age? Ladies, being under 40 is the jackpot here. You want to save those egg cells for a rainy day, right?
Prepping for the Big Day
Once you’ve checked off the “ready” list, it’s time for the pre-game preparations. Dr. Shanty gives you a prescription that sounds straight out of a pharmacy catalog. With things like CC/Letrozole and gonadotropin injections, you’re practically prepping for the Olympics of reproduction! After all this, once that glorious egg is a go, insemination happens 24 to 48 hours later. Fingers crossed—magical baby vibes!
IVF vs. Insemination – The Showdown
And here we come to the ultimate showdown: insemination versus IVF. Insemination leaves the fertilization magic happening right inside the womb. But IVF? That’s when we take the party outside, creating a little lab experiment that’s as complicated as my love life! The choice is yours—do you want a romantic ballroom dance or a straight-up science project?
So there you have it—insemination! The medically sanctioned way to throw out the traditional sense of romance and just get right down to business. It’s not just about babies, folks—it’s about options, science, and maybe a little cheekiness! Because in the world of fertility, who says you can’t have a bit of fun tackling life’s big questions?
An article for all the lovebirds and baby dreamers out there!
How do hormonal imbalances affect ovulation and the insemination process?
Hormones can wreak havoc on your mood, they can also play a huge role in ovulation. If there are hormonal imbalances that prevent ovulation, insemination may be an option.
Before jumping into this game-changer, there are a few criteria that couples need to meet: The preparation process is as entertaining as it sounds. First on the list? Monitoring the woman’s fertile window. Dr. Shanty often prescribes medication—think of it as a little kickstart to kick those ovaries into high gear. When the egg is ready to roll, the magic happens typically 24-48 hours later. Post-insemination, couples wait with bated breath for two weeks, hoping for the positive news. While the success rate might not be sky-high (hovering around 10-15%), hey, it’s still a promising option when compared to going completely natural! Before we wrap this up, let’s clarify a common point of confusion: how does insemination stand against the heavyweights of fertility treatments, like IVF? In insemination, fertilization happens inside the woman’s body, utilizing the fallopian tubes. IVF, on the other hand, takes the process outside the body, where fertilization occurs in a lab dish. Each option has its benefits, depending on individual circumstances. So there you have it—your definitive guide to insemination as a fertility option. While it might not suit everyone, for some, it could be the answer to their prayers. Here’s wishing all those on this journey the very best! 🌟Prerequisites for Insemination
Preparing for the Big Moment
The Showdown: Insemination vs. IVF