Artificial insemination in Tunisia

Starting a family and settling down for the nice quite suburban life is many people’s dream, and it’s only natural that everyone would want so have children at some point in their lives.

Unfortunately, not everyone is able to have a child in the traditional way, and there are many factors that could cause that such as your age, eggs or sperm count or just genetics in general.

None the less, it could be a very bad reality for many to know that they are unable to have children and can be the cause of many mental issues such as depression and anxiety.

But not to worry, because MedEspoir is here to always guide you and help you with all of your medical and cosmetic needs.

And for the problem of infertility we offer you the artificial insemination in Tunisia.

With our highly trained and skilled medical team, you will be able to have the artificial insemination procedure in a highly safe and relaxing environment, and you will be able to achieve your dream of starting your family.

How much does artificial insemination in Tunisia cost ?

You can start your family and have children while also saving 70% on the price of having your artificial insemination.

MedEspoir has been in the field of medical and aesthetic treatment for more than 10 years, during this time we have dedicate our resources to becoming a beacon of beauty, elegance and absolute professionalism.

And to achieve our mission of offering all our patients the most relaxing and stress free experience, we have create the lowest and most affordable prices for having medical and aesthetic surgeries.

This is thanks to ou all-inclusive package that allows you to have the artificial insemination procedure at the most affordable and cheap price possible.

Our all-inclusive package covers:

• The hotel room at a high-end establishment during your visit to Tunisia.
• All the necessary medical tools that will be used during or after the operation.
• The doctor’s payment.
• All operation related transportation.
• The post-operative care and medication.

What is artificial insemination ?

Artificial insemination in Tunisia is one of the techniques used by reproductive medicine when there is a fertility problem and which consists of placing a sample of sperm, previously prepared in the laboratory, inside the uterus of the woman in order to increase the potential of the sperm and the possibilities of fertilization of the ovum.

In this way, the distance separating the sperm from the ovum is shortened and makes it easier for the two to meet, thus increasing the chances of obtaining the desired pregnancy.

Unlike in vitro fertilization, it is not necessary to first extract the eggs from the woman. After the initial diagnosis, ovarian stimulation is scheduled and endometrial monitoring is performed to determine the ideal time to perform artificial insemination.

What are the types of the Artificial insemination?

Intrauterine Insemination (IUI):

Intrauterine insemination, often abbreviated as IUI, represents a pivotal advancement in reproductive technology, offering a targeted approach to aiding conception. This procedure involves the careful insertion of washed and prepared sperm directly into the uterus, bypassing potential barriers that may impede natural conception.

Such barriers could include issues with sperm motility, cervical mucus quality, or even minor structural abnormalities within the reproductive tract. IUI is often recommended in cases where there may be mild to moderate sperm abnormalities, unexplained infertility, or difficulties with timed intercourse.

It provides a strategically orchestrated opportunity for sperm to meet the egg, increasing the likelihood of successful fertilization and subsequent pregnancy. Furthermore, IUI boasts advantages such as being less invasive than some alternative techniques, offering a relatively simple and quick procedure that can typically be performed within a clinical setting.

Patients undergoing IUI can also benefit from a reduced risk of multiple pregnancies compared to more intensive treatments like in vitro fertilization (IVF), making it an appealing option for those seeking a balance between effectiveness and safety.

Intracervical Insemination (ICI):

Intracervical insemination (ICI) represents a nuanced approach to artificial insemination, specifically targeting the cervix as the site for sperm deposition.

This technique involves the introduction of washed and prepared sperm directly into the cervical canal, capitalizing on the natural pathways through which sperm navigate to reach the uterus and fallopian tubes.

By circumventing potential obstacles such as hostile cervical mucus or low sperm motility, ICI provides a strategic advantage in optimizing the chances of successful fertilization. While ICI may be considered less invasive than some intrauterine procedures, it still requires precision and expertise to ensure accurate placement of sperm within the cervical canal.

This method may be recommended for individuals or couples facing challenges related to sperm quality or cervical factors that may impede sperm transport. Furthermore, ICI offers a sense of empowerment for patients, as it can often be performed in the comfort of one’s home with the use of specialized kits designed for this purpose.

This aspect of self-administration can foster a greater sense of control and intimacy throughout the insemination process, enhancing the overall experience for individuals or couples on their fertility journey.

Intratubal Insemination (ITI):

Intratubal insemination (ITI) epitomizes the intersection of precision and innovation within the realm of assisted reproductive technology, offering a targeted approach to bypass potential barriers to conception.

This advanced technique involves the direct introduction of washed and prepared sperm into the fallopian tubes, where fertilization typically occurs.

By delivering sperm directly to the site of fertilization, ITI optimizes the chances of successful conception, particularly in cases where factors such as impaired sperm motility or tubal issues may hinder natural fertilization.

ITI requires a high level of technical expertise and specialized equipment to ensure precise placement of sperm within the fallopian tubes, underscoring the importance of seeking treatment from experienced fertility professionals.

While ITI may offer advantages in terms of efficiency and effectiveness, it is typically reserved for individuals or couples with specific fertility challenges that necessitate such targeted intervention. Furthermore, ITI may be combined with techniques such as ovarian stimulation to further enhance the chances of successful fertilization, offering a comprehensive approach to addressing underlying fertility issues and achieving the goal of conception.

Intravaginal Insemination (IVI):

Intravaginal insemination (IVI) represents a fundamental approach to artificial insemination, leveraging the natural anatomy and physiology of the female reproductive system to facilitate conception.

This technique involves the introduction of washed and prepared sperm directly into the vaginal cavity, allowing for the sperm to navigate through the cervix and into the uterus on their journey towards the fallopian tubes where fertilization occurs.

While IVI may be considered less invasive than intrauterine or intratubal approaches, it still requires careful coordination and timing to optimize the chances of successful conception. IVI is often recommended for individuals or couples with mild fertility issues, such as low sperm count or cervical factors that may impede sperm transport.

Additionally, IVI may offer a more accessible and cost-effective option for those seeking fertility treatment, as it can often be performed with minimal medical intervention and may even be self-administered in the comfort of one’s home using specialized kits.

This aspect of convenience and flexibility can empower individuals or couples to take an active role in their fertility journey, fostering a sense of agency and control throughout the insemination process.

Intratubal Embryo Transfer (ITET):

Intratubal embryo transfer (ITET) signifies a remarkable advancement in reproductive science, offering a precise and targeted approach to facilitating conception in cases where traditional methods may prove challenging.

Unlike conventional forms of artificial insemination, ITET involves the direct transfer of pre-fertilized embryos into the fallopian tubes, bypassing potential barriers within the reproductive tract and optimizing the chances of successful implantation and pregnancy.

This technique is typically recommended for individuals or couples undergoing in vitro fertilization (IVF) who may face difficulties with embryo implantation due to factors such as uterine abnormalities or recurrent implantation failure.

ITET requires specialized expertise and equipment to ensure the accurate placement of embryos within the fallopian tubes, underscoring the importance of seeking treatment from experienced fertility professionals. By targeting the site of natural fertilization and early embryonic development, ITET offers a strategic advantage in overcoming obstacles to conception, ultimately increasing the likelihood of a successful pregnancy.

Furthermore, ITET may be combined with techniques such as embryo cryopreservation to optimize the timing of embryo transfer and maximize the chances of achieving a healthy pregnancy, offering individuals or couples a comprehensive approach to assisted reproduction and family building.

Intracytoplasmic Sperm Injection (ICSI):

Intracytoplasmic sperm injection (ICSI) represents a groundbreaking technique within the realm of assisted reproductive technology, offering hope to individuals or couples facing significant barriers to conception due to severe male factor infertility or other complex fertility issues.

This highly specialized procedure involves the direct injection of a single sperm into the cytoplasm of an egg, bypassing natural fertilization processes and facilitating the formation of an embryo in cases where conventional methods may prove ineffective.

ICSI requires a high level of technical expertise and precision to ensure successful fertilization, making it essential to seek treatment from experienced fertility professionals with a proven track record of success. By circumventing obstacles such as low sperm count, poor sperm motility, or abnormal sperm morphology, ICSI offers a ray of hope for individuals or couples who may have previously felt discouraged by their fertility challenges.

Furthermore, ICSI may be combined with techniques such as preimplantation genetic testing to screen embryos for chromosomal abnormalities or genetic disorders, offering a comprehensive approach to assisted reproduction and family building.

Despite its complexities and potential risks, ICSI has revolutionized the field of reproductive medicine, opening doors to new possibilities for those on their fertility journey.

Intravascular Insemination (IVAI):

Intravascular insemination (IVAI) signifies a cutting-edge approach to artificial insemination, harnessing the power of advanced imaging technology to facilitate targeted sperm delivery within the female reproductive tract.

This innovative technique involves the real-time visualization of the uterine cavity and fallopian tubes using techniques such as hysteroscopy or laparoscopy, allowing fertility specialists to precisely guide the placement of washed and prepared sperm for optimal fertilization.

By combining the advantages of direct sperm delivery with the precision of imaging technology, IVAI offers a strategic advantage in overcoming potential barriers to conception, particularly in cases where traditional methods may prove ineffective. IVAI requires specialized equipment and expertise to perform, making it essential to seek treatment from experienced fertility professionals with a thorough understanding of reproductive anatomy and imaging techniques.

Additionally, IVAI may be combined with other assisted reproductive techniques such as ovarian stimulation or embryo transfer to further enhance the chances of successful conception, offering individuals or couples a comprehensive approach to fertility treatment.

Despite its complexities and potential risks, IVAI represents a promising frontier in the field of assisted reproduction, offering new hope to those on their journey towards parenthood.

Who is artificial insemination is indicated for ?

• Couples of patients with infertility of unknown origin and with a young age.
• Couples in which the woman has ovulation problems that affect her fertility.
• In cases where the patient has an alteration in the cervix.
• Couples in which the man has mild or moderate sperm defects in sperm concentration or motility. These patients may need to perform a testicular biopsy.
• The ideal date is chosen according to the calendar of the menstrual cycle, and a model of ovarian stimulation and gynecological follow-up is stipulated by ultrasound.

How to prepare for artificial insemination ?

The first thing to do is a preoperative consultation to determine the most appropriate fertility treatment for you.

The gynecologist determines whether it is better to perform artificial insemination or in vitro fertilization.

The doctor will also run some tests to see if you are in good health and don’t have any medical problems that can affect you negatively during your pregnancy.

The doctor will look at your medical history to see if you have done any previous procedures or if you are taking any medication that needs to be stopped.

You will of course have to quit smoking and drinking alcohol before a month from the day of the operation.

What are ovarian stimulation and ovulation induction ?

This procedure is necessary to increase the chances of success and thus achieve pregnancy, since naturally a woman produces only one follicle – and therefore an egg – in each menstrual cycle.

In addition, for successful artificial insemination, at least one of the tubes must be permeable, and the male’s sperm must contain a minimum concentration of motile spermatozoa to allow the technique to be performed with guaranteed success.

This phase consists of stimulating the ovary by intramuscular injection of hormones to produce more eggs in the natural cycle, and its duration varies from 10 to 12 days.

During this phase of the treatment, serial ultrasounds will be performed, and the level of estradiol in the blood will be checked to verify that the growth and evolution of the follicles are within normal limits.

When we verify by means of vaginal ultrasound that the follicles have reached the right quantity and size, we plan the artificial insemination just about 36 hours after the administration of an HCG injection which must be administered to the patient at the time and on the day indicated by the doctor.

This is recommended, and it induces oocyte maturation and therefore ovulation.

Sperm preparation.

The preparation of sperm in artificial insemination consists of selecting and concentrating the spermatozoa with the best mobility.

To do this, the samples are processed by seminal formation or preparation techniques that allow the elimination of dead, immobile or slow-moving spermatozoa and optimize the quality of the sample that will be used for insemination.

This phase is accelerated when the patient needs donor sperm.

In these cases, the most suitable donor is selected for each case, and the sample is prepared until it is used.

Insemination.

The artificial insemination procedure is performed after inducing ovulation.

Unlike in vitro fertilization, sedation or a visit to the operating room is not necessary.

About 2 hours before, a sperm sample should be delivered to the andrology laboratory for preparation and training.

After placement of a speculum, the cannula is passed through the cervix allowing the sample to be introduced along with the semen inside the uterus.

After the process, the patient rests for a few minutes during the consultation, gets dressed and will be fixed about the date to perform the pregnancy test.

What happens after artificial insemination ?

After the operation you will be given gonadotropins which are mainly hormonal drugs that can help to stimulate the growth, development and ovulation of more of the egg.

Make sure that you follow a healthy diet and not do any physically demanding activities.

What are the results of artificial insemination in Tunisia ?

To achieve the expected result of artificial insemination, it is essential to meet the minimum requirements.

Otherwise, artificial insemination will not be effective and, therefore, will not allow the long-awaited reproductive process.

It is possible that during the first artificial insemination pregnancy will not be achieved, but during the second, third or fourth attempt. This is called the cumulative rate.

Among the factors that most influence the success or failure of the artificial insemination technique:

Women’s age.

The success rate decreases drastically from 37 to 39 years old.

The cause and duration of infertility.

Not in all cases where it is difficult to achieve pregnancy, artificial insemination is recommended.

The quality of the man’s sperm.

For artificial insemination, there must be enough sperm and they must move correctly to reach the egg.

The thickness of the endometrium.

Must be between 7 and 10 mm to ensure implantation.

Ovarian stimulation.

Not all women react the same way to hormonal drugs, and it is important to find the right drug and the right protocol.

The number of previous attempts.

The pregnancy rate increases with the number of attempts until the fourth insemination.

It has been seen that uterine contractions during insemination increase the likelihood of success.

The probability of pregnancy also increases if the insemination is done with donor sperm.

In a woman under 35, the pregnancy rate varies between 15 and 20% with the couple’s sperm, while in an artificial insemination donor (AID) the chance of success is greater than 30%.

What are the risk of artificial insemination ?

The patient who has undergone artificial insemination is also carefully monitored with blood tests and ultrasound to measure the growth of the ovary.

For this reason, the risk is very low, however, all medical procedures do carry some risk factor to them.

Artificial insemination in Tunisia is simple and very unlikely to cause problems.

However, this involves a previous process of ovarian stimulation that can lead to negative consequences such as:

• A multiple pregnancy, which is more risky than the single one.
• Ovarian hyperstimulation syndrome due to an excessive response to drugs.
• Allergies.
• infections.

The doctor will discuss these potential risks with you in much more details and will instruct you on how to be avoid them, they will be with you through out your whole journey so you can contact your doctor when ever you want.