Vaccination (Intrauterine Insemination)

The question of what is vaccination is a question that couples who cannot have children naturally search for the answer. The vaccination method is an assisted reproduction method applied to couples who apply with a diagnosis of infertility.

Intrauterine Insemination, i.e. vaccination method, is the process of washing the sperms taken from the man in the laboratory environment, selecting the sperms with the highest mobility and transferring them to the uterus of the mother-to-be during the ovulation period with the help of a thin catheter. Thanks to this process, the sperms with higher motility and better morphology are delivered directly into the uterus in a higher concentration by passing the cervix factor. It can be performed by ovarian stimulation (stimulation of the eggs with drugs) or naturally (without drugs).

How is vaccination treatment done?

We can answer the question of how vaccination is done to have a baby by explaining the process step by step;

Stimulation of the ovaries

The uterus and ovaries are evaluated by ultrasound performed on the 2nd or 3rd day of menstruation and if there is no obstacle to start treatment, the patient is started on egg enlarging drugs and the growth of the eggs is monitored with intermittent controls. The number of eggs, the patient's age, weight and height, and previous treatments are taken into consideration when adjusting the drug dose.

The medicines used are oral medicines or injections containing low dose hormones. The desired result is the growth of 1 egg.

Sometimes vaccination can also be performed in the natural cycle (without medication, only follicle monitoring).

Giving the Ovulation Injection (HCG)

When 1-2 growing eggs reach a diameter of 17-20 mm, the patient is given a hatching injection.

(If more than 3 eggs are formed, the treatment should be cancelled considering the health of the patient, since the risk of multiple pregnancy is on the agenda. In order to prevent pregnancy, the patient should be warned not to have intercourse).

Preparation of Semen

34-36 hours after the injection, sperms with better movement and morphology, which are prepared at the same time, taken from the man by masturbation method and washed in the laboratory, are placed in a transfer catheter.

Intrauterine Insemination

In the meantime, the expectant mother is taken to the gynaecological examination table, and after the cervix is visualised with a speculum, the spermatozoa are released directly into the uterus bypassing the cervix through the catheter in which it is located, under ultrasound guidance.

To whom is vaccination treatment applied?

To whom is vaccination treatment applied in case of inability to have a child naturally? If the sperm count of the man is low or low, if the sperm movement is lower than normal, in infertility with no cause, in endometriosis diagnosed at an early stage, if the woman has ovulation problems and pregnancy has not been achieved with egg follow-up, vaccination treatment can be applied to couples who want to accelerate the achievement of pregnancy for social reasons. It is not always necessary to try the IVF method directly in couples who only have sperm morphology problems, depending on the extent of the morphological problem, these couples can also try the vaccination method.

To whom is vaccination treatment recommended?

• Couples withunexplained infertility (In case no underlying cause is found with the examinations performed)
• In mild sperm disorders (sperm count or motility decreased but above a certain level)
• At least one tube must be open for vaccination.
• Stage 1-2 endometriosis patients
• Women with cervical (cervical) factors (women who have undergone surgery and scar tissue, cervical disorders due to infection or anomalies)
• In cases where sexual intercourse cannot be performed due to reasons such as vaginismus, premature ejaculation, erectile dysfunction and the passage of sperm through the cervix is prevented, vaccination treatment may be appropriate.

What to do for vaccination to work?

The things to be considered after vaccination can be listed as follows;

• The vaccinated person should not lift heavy objects.
• After vaccination, sudden movements should be avoided and you should rest if possible.
• You should not make sudden movements and sports on the day of vaccination and the following days.
• Stress and sadness should be avoided.
• Medicines prescribed by the doctor should be taken on time.
• After the vaccination and for 3 days afterwards, you should not take a bath or swim in the sea or pool.
• The expectant mother should eat healthy during this period.

How can I tell if the vaccination is successful?

How can you tell if the vaccination is successful? We can understand that the sperm placed in the uterus with vaccination initiates pregnancy, in other words, that pregnancy occurs after vaccination treatment, with menstrual delay and known pregnancy symptoms. When a woman who has undergone vaccination has a delayed menstrual period, a pregnancy test can be performed in the blood and it can be easily understood whether the vaccination treatment has held or not. In women who eventually become pregnant through vaccination, the fact that the vaccination has been successful can be recognised by the delayed menstrual period, known pregnancy symptoms and a blood test.