Obstetrics and Gynecology Specialist Op. Dr. İhsan Atabay gave information on the subject.
Vaccination (intra uterine insemination – IUI) is basically the process of obtaining concentrated sperm from the semen by going through some processes and leaving it in the uterine cavity close to the tubes with the help of a special catheter. The aim here is to leave as many healthy sperm as possible in an area close to the tubes (hence the egg), thereby increasing the chance of pregnancy.
In vaccination, semen undergoes some processes. Thanks to these processes, semen fluid is obtained that is healthy, contains high motility and concentrated sperm, is cleaned from prostate fluids, and is free of toxins and bacteria.
If the woman’s age and ovarian reserve are suitable, the function of the fallopian tubes is normal, and sperm parameters are also suitable, vaccination may be the first choice in the treatment of infertility.
In which cases is vaccination done?
- In case of unexplained and unexplained infertility,
- In case of infertility due to mild male factor,
- In the presence of cervix (cervical) factors,
In cases such as vaginismus or erection problems, vaccination treatment can be applied.
What are the tests that should be done before vaccination?
A good medical history should be taken from couples before vaccination treatment. In women, pelvic and ultrasound examination should be performed, and whether the tubes are open should be evaluated with uterine film. At the same time, ovarian reserve tests should be performed at the beginning of menstruation in women, and ovarian reserve status should be revealed. Sperm analysis should be performed in men and it should be evaluated whether they are suitable for vaccination.
How is the timing of vaccination done?
For vaccination, the time of ovulation should be determined. For this, an ultrasound examination is usually done in the first days of menstruation in the month of vaccination, and then fertility drugs are used to stimulate the growth of the eggs. Then the ovaries are taken under ultrasound follow-up. When a sufficient size and sufficient number of eggs are developed, the cracking needle is made. After the cracking needle, the vaccination is completed by using the concentrated semen prepared for vaccination within the appropriate hour interval.
What are the factors affecting the success of vaccination?
As the age of the woman increases, the ovarian reserve decreases and the chance of conception decreases. In men, if the sperm parameters are severely impaired, the chance of vaccination is low.
The cause of infertility is also one of the factors affecting success. Depending on the underlying cause of infertility, the success of vaccination may be higher or lower.
Therefore, the success rate in vaccination varies from person to person.
If pregnancy cannot be achieved with vaccination treatment, vaccination treatment can be tried a few more times depending on the age, ovarian reserve, and underlying cause of the person. Sometimes, it is possible to switch to in vitro fertilization treatment after trying vaccination once or twice, or without resorting to vaccination treatment at all.
In the treatment of infertility, which treatment method will be tried how many times or which treatment method will be preferred may vary according to the age, health status, ovarian reserve, underlying cause of infertility or the preference of the person.