Assisted reproductive treatments Artificial Insemination with a Donor (IAD)

Artificial Insemination with a Donor (IAD), like the IAC, is a safe and easy to apply treatment that is not very discomforting.

The Artificial Insemination by using a donor sperm is a human reproduction treatment consisting of introducing the sperm of an anonymous donor in the uterus of the woman at the time of ovulation.

The conditions required to perform the Artificial Insemination with a Donor are:

  • For the woman: a gynecological report, hysterosalpingogram, sonohysterography in order to show the permeability of at least one tube and a blood analysis.
  • The consent to the Artificial Insemination with a Donor, after making an informed decision.

The Artificial Insemination with a Donor is prescribed in the following cases:

  • Male factor: serious seminal alteration preventing an In Vitro Fertilization with ICSI or IMSI.
  • Genetic alteration of the man that may be transmitted to his descendent.
  • Single women wanting to have a child individually.
  • Same sex couple women wanting to be pregnant.

We do not perform an Artificial Insemination with a Donor in the following cases:

  • Bilateral tubal occlusion.
  • High tubal adhesions.
  • Severe endometriosis.

The technique of Artificial Insemination with a Donor:

  • Ovulation induction: from the 3rd day of the gonadotropin cycle (FSH hormone), they undergo a subcutaneous administration on a daily basis in order to stimulate the follicle growth. An ultrasound then helps evaluate the follicle development. When the follicles are ready, we apply another treatment (HCG hormone) to provoke the ovulation.
  • Donor Sperm Treatment to perform the artificial insemination.
  • Artificial Insemination: in the cabinet, and in a practically painless way, we inject the sperms in the uterine cavity via an insemination catheter. From there, they go up to the tube where they fertilize the egg.

After artificial insemination, the patient can lead her normal routine in peace, without needing to rest. The success rate per cycle is around 20-24%, with an accumulative rate over 3 cycles reaching 65%. We recommend using this technique over a period from 3 to 6 cycles, which may be consecutive, because a rest between each cycle is not required. The multiple pregnancy rate is between 8 and 20%

Last Update: 01/08/2014
References:
– Matorras R, Gorostiaga A, Díez J, Corcostegui B, Pijoan J L, Ramón O, Rodríguez Escudero F J. Intrauterine insemination with frozen sperm increases pregnancy rates in donor insemination cycles under gonadotropin stimulation. Fertil Steril 1996; 65: 620-25.
– Hernández J, Marqueta J, Matorras R, Coroleu B, Simón C, Pérez Milán F, Báez D, López Villaverde V, Cabello Y, Romeu A. Registro de inseminaciones (IAC- IAD) año 2000. Sociedad Española de Fertilidad. Rev Iberoam Fértil 2004; 21: 147-52.
– Matorras R, Hernández J (eds): Estudio y tratamiento de la pareja estéril: Recomendaciones de la Sociedad Española de Fertilidad, con la colaboración de la Asociación Española para el Estudio de la Biología de la Reproducción, de la Asociación Española de Andrología y de la Sociedad Española de Contracepción. Adalia, Madrid 2007.