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Fertility treatment progression

Artificial insemination: progression of individual treatments

In our clinics, fertility treatment is always based on a thorough examination. The doctor (or reproduction specialist) will have an in-depth consultation with you to become familiar with your individual case, so that any possible treatment can be aligned exactly to your needs. It may therefore turn out that your treatment varies from the example of an artificial insemination plan represented below.


The first step in artificial insemination – the preparation phase

As soon as we have answers from the examinations and have planned a treatment, the process can start. Please get in contact with us by phone or email at the beginning of your next menstrual cycle, so that we can together begin with the fertility treatment.


Ovarian stimulation for follicle maturation

To increase the treatment’s chances of success, we will start with hormone treatment within the first three days of your cycle. The follicle stimulating hormone (FSH) stimulates follicle growth, so that several eggs mature in the ovaries at the same time. Hormone treatment is administered once a day by injection and continues for11–13 days, depending on egg maturation. If high-purity or biotechnologically produced FSH is used, you can easily administer the injection yourself at home. Our doctors will gladly advise and instruct you in this regard. After approximately seven days of treatment, the size of the eggs are checked with an ultrasound and the hormone dose is adjusted if necessary. In addition, the optimal time for ovulation can also be established with this examination.


Triggering ovulation in mid-cycle

If the eggs have matured sufficiently and are capable of being fertilized, treatment with FSH and – where applicable – GnRH analogues is ended. Ovulation is triggered through an hCG injection. This you will administer yourself at home after instructions from us.


Extraction of the eggs and artificial insemination

Approximately 36 hours after ovulation, the matured eggs can be extracted from the ovaries. Under anaesthesia, the follicle is pierced with a fine needle through the vagina and the eggs extracted. You will remain with us for a few hours for observation. The extracted eggs are fertilised in our laboratories on that same day. For this we need a fresh semen sample or a frozen egg. With the IVF method, the sperm must penetrate the eggs on their own in the nutrient solution. We monitor this process in the laboratory and transfer any fertilised eggs to the incubator for further development.


Transfer of the embryo after artificial insemination

If at least one embryo has matured the day after artificial insemination, we will arrange an embryo transfer date with you. We transfer at most two embryos at a time to the womb or fallopian tube. The transfer is carried out with a thin, flexible catheter and is usually painless.
After the artificial insemination, we continue to provide you with care in our clinics. Hormones are often administered in the form of hCG or progesterone injections to support implantation and embryo development. You should always perform a pregnancy test. If the test is positive, you can arrange an appointment with us for the first ultrasound examination approximately two weeks later. If it is negative, then we will together discuss further plans.

What you should bear in mind during treatment

Allow yourself to relax: The artificial insemination process entails a lot of waiting, which can be stressful. We know how hard it is not to put yourself and your body under too much pressure. You should nevertheless try to continue going about your normal everyday life and not use up all your energy thinking about fertilisation.
Sport, swimming, and sexual intercourse: Especially after the transfer of embryo’s, it is important to avoid strenuous sports, but regular exercise and daily life is fine. You should avoid swimming in a pool or the sea on the same day as your embryo transfer to avoid the risk of infections. You can resume having sexual intercourse without risk.