Choosing between IVF and insemination depends on sperm values, ovulation, ovarian reserve, the state of the tubes and previous treatments.
In the video, Prof. Dr. İkbal Kaygusuz goes through the criteria she looks at when choosing between IVF and insemination.
The first criterion is the semen analysis (spermiogram): if the motile sperm count is below 5 million, IVF is planned directly, while within a certain range above this, insemination can be tried. The second is whether ovulation occurs. Women with polycystic ovaries may not ovulate every month; in that case egg development can be supported with ovarian stimulation medication, followed by insemination. If ovarian reserve is markedly reduced and the woman is older, IVF is the first choice; if the reduction is limited, insemination can be tried.
The third criterion is whether the tubes are open: if the tubes are blocked, the treatment is IVF, while if one tube is open, insemination can be considered. Fourth, couples who have had repeated insemination attempts without a result move directly to IVF. Finally, for couples with unexplained infertility or mild endometriosis who have been trying for a child for more than two years, IVF is again the first recommendation.
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The information on this website is for general information only and does not replace a medical consultation.
