Insemination, homologous

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Iatrogenic introduction of possibly processed native sperm (e.g. 1st fraction of a split jaculate) of the husband in front of the Portio vaginalis uteri (in special cases also intrauterine) on the ovulation date to achieve pregnancy. The method is sometimes ethically controversial, but today it is a very common method in the therapy of sterile couples who wish to have children. Pregnancy rates are about 20% over several cycles (depending on the initial findings).

Indication
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Strongly reduced male fertility, sperm allergy, impotentia coeundi (lack of ability to sleep together) as well as immunological sterility factors in wives who wish to have children. It is also sometimes used in cases of a pronounced desire for children in HIV-positive male partners, as the risk of infection for the woman can be minimised by special cleaning procedures.

Literature
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  1. Aboulghar MA et al (2003) Diagnosis and management of unexplained infertility: an update. Arch Gynecol Obstet 267: 177-188
  2. Bollmann W et al (1987) New possibilities of insemination treatment in practice. Progress in fertility research 16: 334-339, Grosse Verlag Berlin
  3. Hepp H et al (2003) Science and law in assisted reproductive medicine -- two sides of the same token. Gynaecological Obstetrics Round 43: 1-5
  4. Nist GC et al (2007) Human seminal plasma allergy--a rare cause of recurrent anaphylaxis. J Dtsch Dermatol Ges 5: 34-35
  5. Schreiber HL (2003) The legal situation regarding assisted reproduction in Germany. Reprod Biomed Online 6: 8-12

Outgoing links (2)

Impotentia coeundi; Semen allergy;

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Last updated on: 29.10.2020