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Having a baby is the dream of millions of couples around the world, and when it is not fulfilled after a period of more than twelve months of having frequent sexual intercourse and without contraceptive protection, an infertility problem is suspected.
Currently, fertility rates are in decline around the world, especially in industrialized countries, where the population is projected to decline dramatically over the next 50 years, and while much of the population chooses to delay the arrival of children, there is another percentage suffering from infertility problems.
According to the National Population Council (CONAPO), in a 2019 study, 1.4 million Mexicans require some assisted reproduction technique since it is estimated that 17% of women of reproductive age suffer from infertility. And while men are also known to suffer from this condition, there is not enough data to estimate a percentage.
In the United States, the fertility rate has declined in recent years; a report conducted in 2017 revealed that the fertility rate nationwide was 1,765 per thousand women : the lowest number of births in 30 years, which represented 16% less than the level needed for the population to be replaced, which is 2,100 births per thousand women. Only two states reported a rate above the replacement level: South Dakota, with a rate of 2,227; and Utah, with a rate of 2,120.
It is a fact that fertility rates decrease in the United States, only between 2007 and 2017 the rate fell by 12% in rural counties, 16% in suburban counties and 18% in metropolitan counties. In particular, the state of California has had a 2.2 to 1.5 decline in its fertility rate, especially in Latin women and even fertility rates among teens have declined considerably.
Fertility Table in the United States from 2007 to 2015
This infertility is due to an evolutionary phenomenon, both, from a biological and social point of view. Since more and more women delay motherhood for after their 35 years, an added factor to diseases such as; polycystic ovary, endometriosis, diabetes mellitus, among others which cause fertility problems.
Facing this situation, couples are increasingly approaching assisted reproduction clinics looking for methods that help them fulfill their dream of having a baby out of their love. Below we will tell you everything you want to know about artificial insemination, join us to read.
Artificial insemination is an assisted reproduction method of low complexity, whose purpose is to deposit spermatozoa, previously treated inside the woman´s cervix with the use of high specialty instruments.
This technique is performed after the patient’s menstrual cycle has been monitored as the semen deposit must be performed at the time the egg is released. Since it is a copulation replacement, women can resort to treatment even if they do not have a male partner, and just go to a sperm bank to have anonymous sperm donors.
About 30 days prior to the AI, the specialist will give the hormonal medications to the patient to control her ovulation and facilitate the process, although this may not be done if her cycle is regular.
On the intervention day, if the semen sample will be taken, the couple must arrive two hours before the procedure but if it is frozen, they will arrive at the indicated time. While it is not necessary fasting for the procedure, it is recommended to have a light meal, without a lot of fluids and also important to arrive previously showered.
Once the insemination is done, the patient should rest for 15 to 30 minutes, and then she can continue with her normal life, with the indication of not making excessive efforts, carrying a lot of weight or having too much stress.
It is important to be patient and wait for the date the specialist tells you to take the pregnancy test. This period is 12 to 15 days for the blood for the beta-hCG hormone test which indicates if the implantation took place. Doing the test ahead of time can give false results.
Candidates for artificial insemination should be in good general health, have permeable fallopian tubes, and be ovulating on the day of the procedure. It is recommended as a treatment option for women with endometriosis, with a hostile cervical condition, when their partner has little or low sperm quality, or if they do not have a male partner.
Semen can be obtained from the partner, a sperm bank, or a donor, a patient´s relative or friend; it is then processed in the laboratory in order to select the best quality spermatozoa.
The procedure lasts between 10 to 15 minutes, depending on the characteristics of the patient’s cervix. In case the cervix is closed it may take longer.
While the specialist will give you indications after the procedure, in general there are no problems in having sex after the AI; in fact, the uterine contractions that occur during orgasm help sperm advance to the fallopian tubes.
Yes, in fact it is increasingly common for single women or women with same-sex partners to resort to this technique to start a family with a child of their own.
No. The difference lies in the technique; AI seeks to reduce the distance between the egg and the sperm so that there is fertilization in a natural environment, while in IVF the egg is joined with the sperm in a laboratory, so fertilized embryos are transferred to the uterus that evolve to give rise to pregnancy.
It depends on the type of treatment that the patient requires, as well as the place where it is performed. In general, AI techniques are cheaper than other assisted reproduction treatments such as IVF, and it is important that the couple considers that the cost does not include medication, nor the use of samples from a sperm bank.
The success rate of AI depends on factors such as the woman’s age, her lifestyle (alcohol and tobacco consumption decrease the chance of getting pregnant), overweight, obesity, diseases and problems with cervical mucus.
In general, the success rate of AI is 15 to 20% per cycle, and after four attempts a cumulative rate of 45 to 50% can be achieved.
While problems associated with AI are rare, the following may occur:
If you live in Tijuana, or you live in North America and you are looking for a more accessible option than in your country to get pregnant, come to The Fertility Center clinic, where we have highly trained specialists, with high specialty medical equipment, and high success rates with procedures like embryo freezing, so that you fulfill your dream of being a mother.
We will gladly assist yo! Call the following phone numbers: 664 231 1020 and 858 8674090, send us an email to firstname.lastname@example.org or through our contact form.
Gynecology, Obstetrics and Biology of Human Reproduction Surgeon at the Autonomous University of Guadalajara, specialist Biologist of Human Reproduction by the Mexican Institute of Infertility.
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