Transuterine Intratubal Insemination (TUTI) is similar to IUI with the difference that the Husband’s sperm are placed directly into the fallopian tubes instead of the uterus. The sperm has a better chance of fertilizing the eggs and producing a pregnancy.
TUTI is not for everyone facing fertility difficulties and is the least commonly-performed type of artificial insemination because it is more invasive than other types & has much higher costs. The procedure is mostly performed when only one uterine tube is open and functional. The sperms are injected into the healthy tube. Rarely performed, it may be a good option if other methods of AI do not help to conceive.
Intracervical Insemination (ICI) is a painless and quick procedure that increases the chances. Sperm are deposited directly into the cervix and will swim through uterus to fallopian tubes, where they will fertilize an egg. The hostile vagina is avoided. Couples are typically fertile and have no underlying problems with their reproductive organs. The woman is ovulating naturally or ovulates as a result of fertility drugs. ICI is of particular benefit to couples where the male partner has difficulty in ejaculating during sexual intercourse, as in this procedure the sperms are placed inside the woman artificially. Specially prepared washed sperms can help to boost the success with ICI. Sperm washing is a preparation method used to weed out slower and less healthy sperm cells. ICI procedure is associated with good success rates and is non-invasive, painless, and relatively inexpensive. It is relatively straightforward, and can be performed in less t han ten minutes.
Intravaginal Insemination (IVI) is the first AI technique introduced many years ago when other methods of ART were not even heard of. IVI is usually reserved only for couples facing specific fertility issues but the female partner is healthy and fertile. It is a method that can be used to help increase the chances of pregnancy if for some reason the couple has difficulties in performing sexual intercourse or the male partner is having difficulty ejaculating during intercourse. It is also done with donor insemination and surrogacy.
IVI is a non-surgical and minimally invasive procedure that because of its simplicity can often be performed anywhere.Though now less commonly performed in established fertility clinics than the other types of artificial insemination, IVI is a valuable procedure. Sperms are placed directly inside the vagina.
Its exact incidence in unknown because of self performance and by paramedics and traditional birth attendants the world over. It is probably not the best treatment for women experiencing difficulties with regular ovulation;
It is important to use sperm that has good motility and morphology. "Raw," or unwashed, sperm is safe to use in IVI, however, it may reduce the chances of pregnancy as raw samples may contain lower-quality sperm. By using sperm that is prepared through sperm washing, chances of pregnancy increase, as the procedure separates any dead or slow sperm cells. There are two main methods of IVI:
- Syringe Method can be performed at home or at fertility clinic. It uses a sterile, needleless syringe to deposit the sperm inside the vagina. The semen or prepared sperm sample is drawn into the sterile syringe. Woman lies down in a comfortable position; the syringe is slowly placed inside of vagina, until it reaches the cervix. The semen sample is deposited near the cervix.
- Cervical Cap Method involves using a specially-fitting cervical cap to insert the sperm specimen close to the cervix. The cervical cap is filled with the sperm sample. After folding the cervical cap in half, insert the cervical cap into the vagina. The cervical cap should be left in place for two to three hours.
Orgasm sometimes helps the sperm to travel up into the uterus once the cervical cap is in place.
Success Rates associated with IVI quite high equaling the natural fecundity when AIH is performed where there is coital difficulty due to male or female partner or ejaculation failure but the male and female fertility are otherwise normal. These are also high if Donor sperms of fertile male are used.
In other situations success is not that high because sperm must still travel through the cervix, into the uterus, and up into the fallopian tubes. IVI typically provides a 10% chance of pregnancy with each cycle. Using washed sperm or ovulation-inducing medication success rates can reach 30% per treatment cycle.