Artificial insemination by husband (A.I.H.)
is a technique in which the sperms are directly deposited in the uterus with the
help of a tube known as fine catheter. Read on to learn more about this
Artificial insemination by husband
(A.I.H.) technique is used when infertility problems are observed in males.
This technique is mostly used when a man is coping with problems like poor
sperm quality, low sperm count or anatomical abnormalities of penis. Let us
take a detailed look at this treatment option used for treating infertility
Why is A.I.H. not very
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 seconds.
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.
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
When is A.I.H. not very
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.
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
What are the requirements for carrying out A.I.H
This technique is
suitable for heterosexual couples. Following are the requirements for this
technique to be successful.
The chances of a successful
conception are usually between 15% to 25% and it also depends on the
fertility clinic in which it is performed, the factors that are causing
infertility and the uniqueness of the
- Age of the women should not be
more than 36 years as the chances of embryo implantation are low in women who
are older than that.
- At least one of the fallopian
tubes must be unobstructed in order to allow the sperms to reach the egg for
the purpose of fertilization.
- The motile sperm concentration of
the husband should contain at least 3 million sperms after it undergoes
How is A.I.H procedure carried
For carrying out the A.I.H procedure
firstly the ovulation is tracked. The doctor
usually asks to use an ovulation prediction kit in order to track the ovulation.
Ovulation prediction kit provides accurate result on when a woman is going to
ovulate. Natural ovulation cycle is followed in case if the woman is getting
menstrual periods regularly. In case if the woman is having irregular menstrual
cycle, doctor may advice the woman to go for mild ovarian stimulation in order
to improve the chances of conception.
The next step is to
collect the semen sample from the husband and process it in the laboratory in
order to remove the elements that may reduce the chances of successful
fertilization of egg. Once the semen sample is ready woman has to
undergo IUI (Intra Uterine Insemination) through which the sperms are put in
her uterus. This process is done while the women is ovulation which is during
her most fertile period.
A.I.H procedure can be carried out
at home as well using insemination kits. However, as the semen sample is not
processed in the laboratory, the success rate may differ as compared to the