WHAT IT MEANS: ARTIFICIAL INSEMINATION

<div class="MsoNormal"> <b><span style="font-size: 14.0pt; line-height: 115%;">Artificial insemination<o:p></o:p></span></b></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     It is the deposit of sperm with the help of an insemination catheter into the uterus or womb of the woman. Is the controlled stimulation of the ovaries to produce up to 3 follicles simultaneously to increase the possibility of pregnancy. the growth of follicles are monitored and when they reach an optimum size causes ovulation. Just on that day insemination program to facilitate and synchronize the meeting of egg and sperm. There are different types of artificial insemination as the site of the deposit of sperm, however Intrauterine artificial insemination is the most used, and you get the best results. The other types are used only if no possible passage of the catheter through the cervix. It is a simple, minimally invasive do not require anesthesia. It can be done with sperm collected the same day of the procedure or previously frozen.<o:p></o:p></span></div> <div class="MsoNormal"> <b><span style="font-size: 14.0pt; line-height: 115%;">artificial insemination with donor sperm:<o:p></o:p></span></b></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">    In cases where there is the use of sperm from the couple possible, insemination can be performed with semen donor, which is cryopreserved in our sperm bank and comes from donors who have gone through a series of tests to rule genetic diseases and sexually transmitted infections. Donors are also subjected to psychological evaluations and drug tests.<o:p></o:p></span></div> <div class="MsoNormal"> <b><span style="font-size: 14.0pt; line-height: 115%;">In vitro fertilization<o:p></o:p></span></b></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Is the controlled stimulation of the ovaries to produce several eggs simultaneously and synchronously. The follicles are monitored until they reach maturity and before ovulation occurs are recovered in a procedure called follicular aspiration in the operating room, which is performed under light sedation and the patient recovers in a couple of hours later. Aspirates eggs are passed to the in vitro fertilization laboratory where they are cleaned and evaluated. Subsequently cultured in vitro in conjunction with spermatozoa to facilitate conception. The embryos are grown from two to five more days and those embryos that have shown better development and therefore better potential for pregnancy, they are transferred to the woman's uterus in hopes that at least one implant producing pregnancy .<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Intracytoplasmic sperm injection, or ICSI of<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">ICSI (intracytoplasmic sperm injection English) is performed similarly to the in vitro fertilization, except that fertilization of oocytes is through injection of a sperm into the egg using a fine glass micropipette. ICSI is indicated in cases where semen parameters are severely altered in cases where IVF has failed or where sperm are obtained by testicular biopsy<o:p></o:p></span></div> <div class="MsoNormal"> <b><span style="font-size: 14.0pt; line-height: 115%;">ICSI or physiological PICSI :<o:p></o:p></span></b></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     It is a variant of ICSI, where sperm selection is based on own sperm biochemical markers indicating the sperm is mature. The selection of sperm by this method increases the likelihood of choosing a better sperm DNA integrity, therefore the chances of achieving pregnancy are improved and decreases the chances of abortion.<o:p></o:p></span></div> <div class="MsoNormal"> <b><span style="font-size: 14.0pt; line-height: 115%;">Test Sperm DNA Fragmentation<o:p></o:p></span></b></div> <br /> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     It is a special test that applies only in patients with severe sperm abnormalities in cases where there varicocele or in cases where they have failed in vitro fertilization (IVF) or intracytoplasmic injection espermatzoides (ICSI). This test assesses the percentage of sperm with damage to the integrity of the DNA, is a useful tool in the management of male infertility as it indicates who need pretreatment to perform an assisted reproduction technique. In these cases the prior preparation is vital and helps increase the probability of achieving pregnancy. <o:p></o:p></span></div>

artificial insemination WHAT IT MEANS: ARTIFICIAL INSEMINATION

Artificial insemination      It is the deposit of sperm with the help of an insemination catheter into the uterus or womb of the woman. I...

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Artificial insemination with donor, a modern alternative for parenting

<div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     The wonderful experience of being a parent does not have to be forbidden for those Dominican couples who can not conceive.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">And is that infertility has been increasing among Dominican couples.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">"At present, about 20% of the general population has infertility problems," says Dr. Magda Álvarez, a member of the San Rafael Maternity Institute medical team.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">It indicates that of this percentage, 50% is of female cause, 40% is attributed to male factors and 10% is of unknown cause.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The most frequent causes of female infertility are: absence or disease of the fallopian tubes, cervical factors, hormonal disorders and endometriosis ??, explains Alvarez.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">While in the male case, he adds, it is related to a low production of spermatazoids, a decrease in their movement and morphological alterations.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">the alternative<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Interested in offering infertile couples the opportunity to conceive, the San Rafael Maternity Institute created the First Unit of Sterility and In Vitro Fertilization in the country.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">They carry out the artificial donor insemination program (IAD), which consists of the placement of male semen (usually obtained by masturbation) in a part of the female genital tract, specifically in the neck of the womb.<o:p></o:p></span></div> <div class="MsoNormal"> <br /></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">"This procedure is performed at a time in the menstrual cycle that is close to or coincident with ovulation," says Magda, manager of the new unit.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Semen can be obtained from the husband, in most cases, or from a donor, in case of male infertility.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">In the latter case, the IAD is the simplest alternative to achieve fertility if they do not wish to opt for adoption.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The ethical side<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The Sterility and In Vitro Fertilization Unit will be governed by the ethical regulations that have been established internationally for this type of procedure.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The first rule consists of the anonymity of the donor and the strict confidentiality of the information and the procedure.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Under no circumstances will we accept the express identity of the donor, much less patients or friends of the couple ??, says Álvarez.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">For this they will use a semen bank, located in the United States.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">It is established with strict ethical criteria for donor selection, including psychological profile, study of genetic and communicable diseases.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">It has a regularly updated catalog listing the physical characteristics of donors (height, weight, skin color) and other data (profession, skills).<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Professor Ami Amit, founder of the in vitro fertilization unit at Israel's Ha-Kiriah Hospital, a pioneering establishment and leader in its specialty, and Dr. Yona Barak, who is in charge of embryology specialization at the University of Bar- Ilan and heads the in vitro fertilization laboratory at Herzliah Medical Center in Israel, as well as the renowned Dominican gynecologist Dr. José Plácido Montero, reported that the average age of the group of patients undergoing treatment was 34.6 years (range: 23-44) .<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Patients suffered from tubal (mechanical) factor, endometriosis, male factor and low hormonal response, so they were candidates for in vitro fertilization. In some of them, intracytoplasmic sperm injection (ICSI) was used to ensure fertilization of the patient's eggs.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Among the IRIP medical team, Professor Joseph Lessing, Dr. Israel Yovel, director of the in vitro fertilization unit of Herzlyia Medical Center; Dr. Abraham Kogosowski and Dr. Amnom Botcham, among other trained specialists, who have extensive experience since Israel is the only country in the world to provide these services for free.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The IRIP also offers the advantage to Dominican couples resident in the country and abroad, as well as to those belonging to neighboring countries, that treatment costs a third of the cost in the United States, as well as the facilities in the management Financing with local banks.<o:p></o:p></span></div> <br /> <div class="MsoNormal"> <br /></div>

artificial insemination Artificial insemination with donor, a modern alternative for parenting

     The wonderful experience of being a parent does not have to be forbidden for those Dominican couples who can not conceive. And is th...

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ARTIFICIAL INSEMINATION WITH DONOR SPERM

<div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">  <o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">                       <b> INSEMINATION WITH DONOR SPERM</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Sperm donation is a valid alternative in cases where the man has no sperm in the ejaculate or has significant sperm abnormalities, suffers from a genetic disease that does not want to transmit to their offspring, it is a sero-discordant couples for HIV or is 0 positive man and woman is negative and 0 have severe Rh sensitization. <o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">in recent years has increased the use of donor sperm in women 'alone' or partner with other women.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The donor sperm can be used for artificial insemination (intracervical or intrauterine) or in vitro fertilization (IVF-ICSI).<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Inseminations can be performed in a spontaneous cycle (using some method to synchronize with ovulation) or ovulatory cycle stimulation with drugs that promote fertility. This decision will depend on the presence or absence of normal ovulation and age and gynecological / reproductive women characteristics. <o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The success rates of inseminations of this type are around 15% per attempt, so it may be necessary to perform several inseminations to achieve pregnancy. Given this success rate, we would expect that most patients become pregnant within the first 9 months. The most important reasons for failure among patients participating in a program of insemination with donor sperm include abandonment and abnormalities of fertility thereof.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>Artificial insemination with donor sperm is an assisted reproductive technology (ART) which is indicated in</b>:  <o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     Couples who have a serious or irreversible sperm disorder.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Couples in which the husband presents a risk of spreading disease to their offspring.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Women without male partner who desire pregnancy.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The selection of sperm donors is the responsibility of sperm banks. Before being accepted donors are subjected to a rigorous examination in order to avoid the possible transmission of enfernedades to offspring. This test also includes the study of semen (semen), a genetic study (karyotype) and a study of infectious diseases (hepatitis, syphilis, AIDS ...).<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Generally they performed up to six cycles of insemination. When a cycle is not successful it is important to review it and make the necessary changes (change the dose, stricter controls ...). If you still no pregnancy is achieved should consider the possible existence of other anomalies and / or the desirability of using other assisted reproduction techniques. (TRA).<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">In some cases it is advisable to use a stimulatory treatment with oral tablets ovulation or subcutaneous (ovulation induction) in order to ensure that ovulation occurs correctly. These treatments, although they may produce some complications, intended to ensure that ovulation occurs correctly in order to increase the chances of getting pregnant.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">sted reproduction   >   donation and assisted reproduction   >   Donation Semen<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>Donor Selection</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     First, any man who wishes to become a sperm donor has to be clear that this is a voluntary, anonymous and altruistic act consisting of the delivery of their sperm, where his genetic material, so they can be used later in treatments of assisted reproduction with intent to achieve a pregnancy and thus the birth of a baby.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">We have divided the article in 3 different points. Then you have an index: you can read the full article or scroll the page by clicking on the links that interest you.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">The selection of sperm donors follow a very strict criteria established by law. In fact, only one in 15 young people who undergo screening tests finally gets to be a donor.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>Selection criteria for sperm donation</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     For a guy can act as a sperm donor, you must meet a number of criteria regulated by law discussed below.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Age: between 18 and 45 years.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">No family or personal chronic or serious illness that can affect offspring and no history of birth defects in your family history. So it can not be adopted because their history not known.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Anonymity and altruism donors are financially compensated for their activity, that is, you are given a symbolic amount of money for the inconvenience of the process, missing work or travel.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Absence of hereditary diseases.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Absence of infectious diseases.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">adequate physical and psychological health.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Absence of risk practices.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">negative serology HIV, hepatitis B and C, syphilis, etc.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Absence of sexual diseases as diseases like chlamydia and gonococcus.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Suitable values discussed in seminal seminogram both before and after freezing.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Dismiss liver disease.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Serology at 6 months by the HIV window period.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">normal karyotype.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;"><b>Medical tests on the donor</b><o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     In addition to interviews with professionals and a psychological study, the donor has to undergo various medical tests to ensure that it meets the requirements for donation.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">One of the most important tests that the donor undergoes is the study or analysis of important seminal values for fertilization by a full semen analysis .<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">To be accepted as a donor, it is necessary seminogram unveil an excellent semen quality, with adequate mobility, morphology and sperm concentration . In addition, it freezes and thaws a small part of the sample to check the survivability before freezing, which is essential. It is what is known as evidence of thawing .<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Moreover, the following tests are performed:<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Microbiological culture of the sample to rule out genital infections.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Blood count and biochemical blood count to rule out liver disease.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">detailed physical examination.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Blood tests to rule out infections, serious illnesses and determine the blood type and Rh factor.<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">a study of chromosomes (karyotype) is also made in order to determine whether there are chromosomal abnormalities such as deletions or translocations.<o:p></o:p></span></div> <div class="MsoNormal"> <br /></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">     If the donor exceeds these medical tests, both the CBC and serology are repeated after 6 months from acceptance and start in the sample reservoir, to check the values ​​and safely discard the presence of HIV (period of this virus window is 6 months).<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Award the donor to a patient<o:p></o:p></span></div> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">Since the donation is anonymous, when a woman or a couple need donor sperm is clinical or reproductive center which makes the award of semen donor taking into account the compatibility of blood group and phenotypic characteristics such as race, weight , height, hair color and eye.<o:p></o:p></span></div> <br /> <div class="MsoNormal"> <span style="font-size: 14.0pt; line-height: 115%;">If a woman or partner is pregnant with semen from a particular donor, it is possible to book semen doses of the same donor for use in a reproduction treatment in the future when a second child desired.<o:p></o:p></span></div>

artificial insemination donor sperm ARTIFICIAL INSEMINATION WITH DONOR SPERM

                           INSEMINATION WITH DONOR SPERM      Sperm donation is a valid alternative in cases where the man has no sper...

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