SHOULD I CONSIDER INSEMINATION AT HOME?
A woman may want to consider insemination for a variety of reasons. You may be single and still want a family, or you may be married and just can’t conceive. She may decide on an alternative lifestyle or not want to pass on genetic issues from her partner. Whatever the reason may be it is an important decision that requires research. It is recommended that an artificial insemination be performed by a physician. The cost of an Intrauterine Insemination can be over $500.00. For this reason many are considering taking on the risks of performing an insemination at home without the help of a physician. If you are going to perform an insemination at home with a fresh sample of sperm you MUST only perform two of the three types of insemination. Only an Intravaginal insemination or an Intracervical insemination should be considered at home using a fresh sample of semen or thawed ICI donor sperm.
During an intracervical insemination (ICI) the semen is placed near or in the cervix. The canal of the cervix is is approximately 1.6 inches long and it leads to the uterus. The length of the cervical canal varies from female to female. A fresh sample of semen or thawed ICI donor sperm is never placed higher than the cervix into the uterus. As sperm swim through the canal of the cervix the additional chemicals in the semen are removed naturally. The chemicals in the raw semen contain are called prostaglandins. Prostaglandins can cause the uterus to contract, sometimes violently, therefore prostaglandins must be removed if the sperm is to be placed inside the uterus. This is why fresh ejaculated semen or thawed, unwashed ICI sperm should NEVER be placed beyond the cervix.
HOW TO PERFORM INSEMINATION AT HOME
Disclaimer: This page is not intended to serve as medical advice and does not take the place of consulting with a doctor. Before following the instructions on this page, you should read through and discuss this technique and all the risks with a qualified medical professional.
The following items are suggested:
Sterile ICI Catheter·
Sterile Semen Collection Cup·
Sterile vaginal speculum·
Preseed personal lubricant·
1. Remove the syringe and insemination catheter from their individually wrapped packages.
2. Attach the insemination catheter to the top of the syringe.
3. Lay on a flat, comfortable surface like a bed. It is helpful for her hips be elevated by placing two to three pillows underneath her bottom. Her legs should be bent at the knee in a comfortable, relaxed position similar to having a pelvic exam at the gynecologist.
4. The individual performing the insemination should lubricate the vaginal speculum with Preseed personal lubricant. Preseed is one of the only products on the market that is “sperm friendly” and will not kill the sperm inside of the vaginal cavity.
5. Gently insert the vaginal speculum inside of the vaginal cavity. Open the speculum once it is comfortably in placing, enlarging the vaginal cavity.
6. Shine the light inside of the vaginal cavity. The objective in this step is to locate and examine the cervix. As ovulation approaches, the mouth of the cervix will be open and typically egg white cervical mucus will be surrounding it. Typically, insemination should be performed 24 to 36 hours after the detection of an LH surge.
7. After the cervix has been found then the person performing the insemination should use the syringe and catheter to retrieve the semen specimen. If you are using frozen donor ICI sperm make sure to follow the sperm bank’s instructions for proper thawing techniques.
8. Once you have filled the syringe and catheter with the semen then gently insert the catheter into the vaginal. Continue to insert the catheter until it reaches the outside of the cervix.
9. Gently squeeze the semen filled syringe into or very close to the base of the cervix mouth. Be sure to extract the semen very slowly so it falls and pools onto the cervix. It is advisable to take at least 30 seconds from the time you start squeezing the syringe until the time you finish injecting the semen. Squeezing it quickly may cause the semen to squirt and bounce of the cervix away from the opening where your fertile mucus resides.
10. After semen extraction then gently remove the catheter and syringe from the vaginal cavity.
11. After the catheter and syringe have been removed then the speculum can be closed and gently removed.
12. The woman should remain in this position with her legs and bottom elevated on pillows for fifteen minutes after the insemination has been performed.