Spermicides are a type of birth control you can use with or without condoms. They come in many different forms, including:. Instead, they stop the semen from moving, which decreases sperm motility. Female condoms with spermicides are 70 to 90 percent effective. Even when used correctly and consistently, spermicide alone is only 82 percent effective. Shop: Purchase creams , gels , and foams. Also shop for condoms. Read more: Do spermicide condoms work?
Once ejaculation occurs during intercourse, the sperm travels from the vagina through the cervix and into the uterus. From there, contractions of your uterus help pull the sperm toward your fallopian tubes.
The first of the sperm may enter your tubes in just minutes. The closer you are to ovulation , the easier the journey becomes for the sperm. In order for pregnancy to occur, your cervical mucus must be favorable. If your cervical mucus is thick or dry, the journey is much more difficult. Motility may matter as much as sperm count when it comes to getting pregnant. Are there any complications?
Side effects or complications from I. You may experience slight cramps or spotting or light bleeding after the procedure; this may last days due to minor irritation of the endometrium lining of the uterus.
Why is I. Studies have shown that the chances of pregnancy are not improved by doing more than one insemination per cycle when this system of timing is used. When I. How Successful is I. Studies have shown that the pregnancy rate from I. It should ideally be 12 hours before or after the egg has released for the best chances.
Practically, if you are looking to get pregnant, you want to ignore the 5 days life span or any upper limit. I, myself had believed in the 5 day rule until recently. Ugh, my IUI was yesterday at noon Follie was sitting there at 18 just waiting The fluid above the pellet contains the seminal fluid and can be poured out.
Finally, the sperm pellet is dissolved by adding some fresh sperm wash media and mixing thoroughly. The specimen is now ready for insemination. When the woman arrives at the office, she is taken to a procedure room and she undresses from the waist down. She will lie down on an examination table and cover herself with a drape sheet. She will place her legs in stirrups and a speculum is inserted into the vagina.
This is the same process she would go through if she were having a pap smear. The physician draws the washed sperm specimen into a catheter attached to a syringe. The catheter tip is threaded through the vagina and cervix and into the uterus. The plunger on the syringe is pressed and this causes the sperm specimen to flow through the catheter into the uterus.
The catheter is then withdrawn and the speculum removed. The patient removes her legs from the stirrups and relaxes for about 5 minutes. After the intrauterine insemination is completed, the patient can get dressed and resume any activities that she likes for the rest of that day. There is no advantage to bed rest in the IUI procedure.
Sometimes, it will be difficult to pass the IUI catheter all the way into the uterus. There are several ways that this problem can be dealt with. First, there are IUI catheters that contain a flexible wire inside.
This wire allows the physician to bend the catheter into a shape that will follow the path if the cervix more easily. It also gives a little bit more rigidity to the catheter which is normally very soft and floppy. Often this is all that will be needed to allow the IUI catheter into the uterus.
In other cases, an instrument called a tenaculum can be used to grab a hold of the cervix. The physician performing the insemination can tug on the cervix and thus straighten the angle between the cervix and uterus. This will also make it easier to pass the IUI catheter.
Having the patient fill her bladder before the procedure can also help straighten the angle. Finally, ultrasound can be used to help the physician guide the catheter into the uterine cavity. Usually, an IUI does not cause much discomfort for a woman. Most women say that it is about the same as having a pap smear. There can be some cramping afterward, but most of what is felt is probably due to ovulation rather than from the IUI itself.
As indicated above, there is little that a woman might do after an IUI that will influence the chance for achieving pregnancy. She can return to work or exercise if she likes. It is o. In fact, for men who have very low sperm counts, having intercourse in addition to the IUI will increase the total amount of sperm in the uterus and may imporve the chance for pregnancy.
It is possible that woman may feel some fluid leaking out of the vagina after an IUI. Sometimes some of the fluid inseminated into the uterus will leak back out through the cervix. This is called reflux.
Reflux may also occur because the uterus can contract a little bit causing some of the fluid inside to get squeezed out. In most cases, there will still be plenty of sperm that stayed in the uterus to produce pregnancy.
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