Insemination - The gentle method

Well prepared, well planned and carefully carried out

In the Wunschkind Klinik we carry out the so-called Intrauterine Insemination (IUI): We transfer the sperm directly into the uterus of the woman. The success of an insemination depends, in large part, on the sperm being transmitted at the optimal time in the woman's cycle. This is the case when the follicle is between 17 and 22 millimeters in size.

Depending on the procedure we distinguish in:

• Natural cycle IUI: We monitor your cycle using ultrasound to track follicle development and predict ovulation.
• Stimulated cycle IUI: In some cases, we use hormone therapy to increase the number of mature follicles. Once the follicles are ready, ovulation is induced and insemination is timed precisely.

The right time for insemination is crucial for the chances of success. Therefore, couples who want to undergo insemination should be flexible in their time. An essential prerequisite for any insemination is that the Fallopian tubes are open. We clarify this through our diagnosis.

We use either fresh or cryopreserved sperm, from your partner or a donor. Fresh samples are collected at our clinic in a private, comfortable room. In certain cases, sperm must be surgically retrieved directly from the testicles — for this, we collaborate with experienced specialists.

The sample is then prepared in our laboratory, where we select the most motile sperm for insemination. The sperm is introduced into the uterus via catheter, and from there, nature takes over. Three weeks after the procedure, we perform a pregnancy test. If positive, the baby’s heartbeat can usually be seen on ultrasound three weeks later.

The success of insemination depends on several factors:

• Age of the woman
• Her reproductive health
• Quantity and quality of the sperm

Often, multiple attempts are required. The average pregnancy rate per cycle is between 12% and 20%, depending on age. After one year, 80% of couples will have conceived. If pregnancy hasn’t occurred after three or four cycles, we typically recommend moving to IVF.

Insemination is generally low risk, but there are a few possible challenges:

• Physical strain from hormone therapy
• Mild risk of infection
• Emotional stress, particularly if treatment is prolonged

An unfulfilled desire to have a baby is already a big challenge for most couples. Hormone therapy can lead to depressive moods that increase the emotional burden.We understand that infertility can be emotionally exhausting. That’s why we offer psychological support throughout your journey.