Logically, IUI can be combined with a low dosage hormonal stimulation of the ovaries, which significantly increases the chances of success. In addition, it is possible to double the chances of pregnancy in patients under 36 years old, as the uterine contractions and insemination can be optimally synchronised using a special technique.
The actual methods of artificial fertilisation, which takes place outside the woman’s body in our embryological laboratory, are “normal” in vitro fertilisation (IVF) and “advanced” in vitro fertilisation with a micro-injection of sperm into the egg cell (ICSI = intracytoplasmic sperm injection). The former is an option for women with blocked fallopian tubes or endometriosis, while the latter is useful in the case of a significant reduction in semen quality.
For this method, the woman is given a high dosage of hormonal treatment by injection, and then after ovulation the ovarian follicle formed must be removed via the vagina. This minor routine procedure is carried out under full anaesthetic by our colleague Professor Habler’s experienced anaesthetic team.
On the same day, the fertilisation process is carried out using sperm from the male partner and the egg cells from the female partner. While with normal IVF, the quality of the sperm is such that many mobile sperm are simply grouped around the egg cell in order to achieve fertilisation, with ICSI one optimal, mobile sperm is inserted into each egg cell using a microscope. This is how fertilisation can be achieved with reduced sperm quality in order to create human life.
On the day of egg collection, we will inform you directly of the number of egg cells collected from you and the quality of the sperm analysis. The very next day, we can see how many egg cells have been fertilised - and at this stage, with prior agreement, some of the fertilised eggs can be frozen.
The transfer of the embryos that grow from the egg cells (embryo transfer, ET) takes place without anaesthetic between three and five days after removal of the egg cells. We determine the exact timings and number of cells with you.
After the transfer, you begin an important phase lasting around two weeks, during which time we all hope that the desired pregnancy occurs. Generally, only the daily administration of progesterone in various dosage forms is required before a pregnancy test can then be carried out.