Artificial Insemination

AI refers to the process of placing sperm directly into the woman’s uterus via a long sterile catheter. It is a relatively simple and painless procedure that is performed in the office.

Intrauterine Insemination (IUI)

The most common type of Artificial Insemination is intrauterine insemination (IUI).

An intrauterine insemination is scheduled the day after a positive color change with the ovulation predictor kit or by a confirming ultrasound.  On the morning of the insemination, a fresh semen sample is collected by the male and then prepared by the andrology technician.  The insemination begins with an ultrasound to determine which ovary is ovulating.  Sperm is directly inserted into the uterus via a catheter directing the sample towards the ovary that is ovulating.  If there is clear evidence of ovulation, we do a single insemination.  If ovulation has not yet fully occurred, we will schedule a second insemination the next day.  After your insemination, there are no specific restrictions regarding activity or intercourse.

The goal of IUI is to increase the number of quality sperm at the fertilization site, at the optimal time.

Intrauterine Insemination w/ Gonadotropin Stimulation

Gonadotropins are used to stimulate the growth of follicles.  At our office, we use Follistim.  Follistim contains the active ingredient follitropin beta made using recombinant DNA technology.  This hormone is the same as the follicle-stimulating hormone (FSH) produced by the pituitary gland, which plays an important role in human fertility and reproduction.  It is administered as a subcutaneous injection starting typically on day 8 of menstrual cycle, and continuing approximately 5-7 days, until the follicles reach their target size.  Ovulation is then initiated with hCG 10,000 units or Ovidrel.  An intrauterine insemination is scheduled the day following the hCG injection.

On the morning of the insemination, a fresh semen sample is collected by the male and prepared by the andrology technician.  The insemination begins with an ultrasound to determine which ovary is ovulating.  Sperm is directly inserted into the uterus via a catheter directing the sample towards the ovary that is ovulating.  If there is clear evidence of ovulation, we do a single insemination.  If ovulation has not yet fully occurred, we will schedule a second insemination the next day.  After your insemination, there are no specific restrictions regarding activity or intercourse. The goal of IUI is to increase the number of sperm at the fertilization site, at the optimal time.

Intrauterine Insemination w/ Donor Sperm

Using an outside donor sperm bank, the patient selects their donor sperm and the sample is sent to our office.  The sample is thawed and prepared for your insemination.