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Intra-tubular artificial insemination (ITI)

Intra-tubular artificial insemination (ITI)



If you and your partner want to do fertility treatment, you may want to try artificial insemination. This can help you increase your chances of conception, as it helps you to place sperm directly inside the reproductive tract. A lesser-known artificial insemination technique, called intra-tubular insemination, places sperm directly inside the uterus, where they can fertilize the egg. Although this procedure is rarely performed, it may be an option worth considering if you are considering artificial insemination.
Artificial insemination
Artificial insemination is a class of fertility treatments used to help couples improve their chances of conceiving.

In artificial insemination, sperm are placed inside the reproductive tract by methods other than sexual contact. If for some reason the male partner has problems with ejaculation during sexual intercourse, artificial insemination may be helpful in having a pregnancy. There are currently 4 types of artificial insemination:
  • IUI (intrauterine insemination)
  • ICI (intracervical insemination)
  • IVI (intra-vaginal insemination)
  • ITI Intratubal artificial insemination
    Intratubal insemination
    ITI is the least frequent type of artificial insemination. This is because it is more invasive than other types of artificial insemination and is associated with much higher costs. ITI is currently performed by placing the sperm of your partner or of a donor directly into the uterus. Here, sperm have a better chance of fertilizing the egg and producing pregnancy.
    indications
    ITI is not for all people who have difficulty fertilizing. It is best suited for couples who have had difficulty conceiving using other types of artificial insemination such as IUI. Women who have cervical mucus that impede conception can also choose this procedure. ITI is sometimes used even in the case of:
  • unexplained infertility
  • ejaculatory dysfunctions
  • ovulation problems.
    How to do it
    The appointment
    Like other types of artificial insemination, ITI should be performed in such a way as to coincide with the time of ovulation. You will perform urine and blood tests to measure the amount of luteinizing hormone in the body. When this hormone reaches a peak, the procedure will be performed on the first or the next day.
    Intra-tubular insemination procedures
    There are currently two main types of ITI. Depending on your existing fertility problems and preferences, you can choose one of these methods.
  • Intrafalopian insemination:
    Intrafalopian insemination (IFI) is a fairly invasive procedure, which should be performed in the fertility clinic. It is performed by an endocrinologist who specializes in reproduction:
  • sperm are collected from your partner or donor
  • at the fertility clinic you will be given local anesthesia
  • a catheter is inserted through the vagina and cervix, inside the uterus and then into one or both uterus
  • semen is ejected from the syringe through the catheter; it is stored in the fallopian tubes.
  • Intrafalopia sperm transfer (SIFT):
    SIFT is a much more invasive and time-consuming procedure that needs to be done in the fertility clinic or in a hospital. It involves the use of laparoscopic surgery to insert a catheter into the uterine tube:
  • the semen sample is collected from your partner and prepared for transfer
  • You will be given local or general anesthesia before surgery
  • make a small incision in your abdomen through which a small chamber is inserted into the pelvic cavity
  • Using a sterile syringe, the sperm sample is pushed through the catheter and stored inside the uterine tubes.
    Effectiveness
    There have been some debates about how effective ITI is today. ITI seems to offer a success rate similar to that of IUI - usually between 5% and 30% per cycle. However, some fertility specialists claim that this procedure is much more successful. More research is needed to confirm the current success rate.
  • Tags Artificial insemination costs