They are different techniques, and each one is recommended in specific cases. Artificial Insemination is simpler and involves placing sperm that has been selected and improved in a laboratory in the woman's uterus at the time of her ovulation.
In Vitro Fertilisation is more complex. It involves puncturing the woman's ovaries to retrieve the eggs, which will then be fertilised by sperm in a laboratory. After being left to develop in a special incubator for 2 to 5 days the resulting embryos are then placed in the uterus with the hope that the natural process of pregnancy will continue.
These techniques are not especially painful. If an ovarian puncture is required to collect the eggs the patient will be treated under conscious sedation, so that without being anaesthetised, she does not feel any pain. You can undergo these techniques as an out patient.
For Artificial Insemination:
You will have to have 3 to 5 check-ups during the cycle. The duration of these check-ups tends to be about 15 minutes. On the day of the Artificial Insemination the husband or partner, if there is one, must deliver a sperm sample at least 2 hours before the technique is carried out. The Artificial Insemination is a process that takes another roughly 15 minutes, and which does not require the patient to rest more than usual, neither on that day nor on the next days, meaning she can continue to work as usual, making sure to avoid strenuous activities. Thanks to our long opening hours you can have the check-ups and the Artificial Insemination carried out outside your working times.
For In Vitro Fertilisation:
The woman will need to have 3 to 7 check-ups, depending on the guidelines used. The duration of these check-ups tends to be about 15 minutes. On the day of the egg collection, the husband delivers a sperm sample and the woman undergoes 30 minutes of surgery, during which she is conscious and after which she may go home. 48 hours later the woman must return to the clinic for the embryo transfer. This will take 15 minutes and she is advised to rest for about 24 hours afterwards. Thereafter, she may go on working as usual until establishing whether she is, or is not, pregnant (about 15 days later).
** If attending the clinic from outside of Madrid, you should know that it is not necessary for you to spend a single night in Madrid. The check-ups during the cycle can be carried out at our centre or by a gynaecologist who knows the treatments in your own province, so that you are only required to come to Madrid on the day of the egg collection and of the embryo transfer.
It is important for you to know that all the punctured follicles do not necessarily contain an egg and that some of the eggs obtained will not be suitable for fertilisation. The number of eggs obtained will depend on each individual case. In some cases hardly any eggs are obtained and in others a very high number is obtained, depending on factors like the woman's age, pathology and response to the treatment. For women under the age of 35 the average number of eggs or oocytes obtained is 5 to 10 and embryos fertilised is 3 to 6. Even if we transfer just one embryo to the uterus you have a chance of becoming pregnant, so you should not worry if the number of eggs obtained, or embryos fertilised, is low.
The assisted reproduction techniques are complex processes that condition many aspects of your personal life and your life as a couple. You may have doubts and fears at the same time as feeling excited and impatient. Ginefiv has a patient support team (SAP) that is in charge of dealing with and resolving any queries that may arise during the treatment and which provides couples with advice and support based on its extensive experience in the field of reproduction. If required, this team will organise for you to see a psychologist (Dr Beatriz Arana) who psychologically prepares patients to face the treatments with a positive outlook, teaching them relaxation techniques and techniques to minimise anxiety.
We try and make sure that you are, but taking into account the fact that the visits/check-ups can fall on any day of the week, including on weekends, and at fixed times, it might not be possible for you to see the same gynaecologist every time.
Therefore, the progress of your case is discussed at periodic team meetings.
The main Assisted Reproduction techniques are Artificial or Intrauterine Insemination and In Vitro Fertilisation. In Vitro Fertilisation can be divided into In Vitro Fertilisation on its own and the Intracytoplasmic Sperm Injection. For more information visit our Treatments section.