A.I.H. is inappropriate treatment
for the vast majority of infertile couples. Most men have their own very
adequately functioning "natural syringe" with which to deposit sperm around
the cervix after which the sperm enter the cervical mucus in a matter of
There are, therefore, very few situations
to carry out A.I.H.
For whom is A.I.H.
Some men have problems of impotence, premature ejaculation and anatomical abnormalities of the penis. In such
cases, the men usually have a normal sperm count but are unable to deposit
the sperm in the vagina. They can, however, produce a semen sample by masturbation
which can subsequently be introduced by A.I.H. If this is the couple's
only infertility problem, the success of treatment by A.I.H. is high.
In the previous section, the technique
of split ejaculation A.I.H. was mentioned for men with oligospermia. However,
it is essential that test show that the sperm count per ml in the first
part of the ejaculate is very much higher than would have been the count
per ml for the whole semen sample.
When is A.I.H.
not very helpful
A.I.H. is sometimes advocated for
men with poor motility and low sperm counts in the hope that introducing
the sperm directly into the cervical canal or uterus will save them part
of their journey to reach the egg. Unfortunately the success rates for
A.I.H. make no difference in such cases.
A.I.H. is also sometimes considered
for couples who have shown the presence of a cervical mucus hostility factor.
Here too, the results have been disappointing.
A.I.H. imposes quite a strain on
the couple. Various types of applicators are available that allow A.I.H.
to be carried out by the patient at home.
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- The Indiaparenting Team