Insemination with partner sperm

The Carl von Linné Clinic can help with insemination of partner’s sperm if the couple has an unexplained infertility, a mildly impaired sperm count or if the man has problems with ejaculation. Inseminations can be done In a natural cycle or combined with ovulation stimulation treatment. In couples where the man has a normal or nearly normal sperm count, generally, insemination is only done for couples where the woman is under 36-37 years. This is because, at a higher age, good quality eggs are ovulated less frequently and it can take a long time to pregnancy even with insemination. Overall, IVF is a much more efficient treatment than insemination, and this difference is greater as the woman ages.

Insemination with donated sperm

The Carl von Linné Clinic can help with insemination with donated sperm for women who are single, lesbian couples or heterosexual couples where the man does not produce any sperm.  As yet, we do not have permission to do IVF with donated sperm. However, currently there is a political movement to change the law so that private IVF clinics in Sweden may soon be allowed to do IVF with donated sperm.

All women/couples who are interested in insemination with donated sperm will meet with a counselor and a gynecologist. A psychosocial evaluation will be performed. Usually, it is enough with one to two visits with the counselor and two with the gynecologist. The counselor and gynecologist will also go through Swedish rules and regulations. Basically, all parents to children from donated sperm are to inform their children about their origins preferably from an early age.  Experience has shown that young children who are informed at an early age don’t have any problems accepting this. However, if children are informed at an older age, this can be quite traumatic. Additionally, the gynecologist will perform a basic diagnostic investigation regarding fertility and assess chance of pregnancy.  Please see here for further information.

Once the psychosocial and the diagnostic procedures are finished, you will be ready to begin. If you don’t have a partner, the doctor will choose an appropriate donator for you. If you are a couple, the gynecologist will choose a donor who closely matches your partner for ethnicity, hair color, eye color and height. Please see below for how the insemination is done.

About the donators

All donators are open. Anonymous donators are not allowed. This means that a child, as an adult, will be able to receive information including the name of the person who donated the sperm and general information that could possibly be of interest (occupation, family, hobbies, family medical history, etc.). This information is stored for 70 years. The sperm donator is not allowed to receive information about the identity of the patient/couple or the child. Likewise, the patient/couple is not allowed to receive information about the identity of the donator.

The Carl von Linné Clinic uses donator sperm from the European Sperm Bank. All donors have made an active choice to be an open donator. The donator receives a small fee for his donation to cover costs such as time off work. All potential donators undergo a rigorous screening procedure that includes counseling, genetic screening, blood and urine tests for hereditary diseases and infectious diseases, testing for sperm quality and resilience to freezing, etc.  The donator has no legal rights or obligations to a child. If you are a couple, when the partner not undergoing insemination has signed a consent form, s/he has agreed to take on all the legal rights and obligations as a parent.

Swedish regulation allows each donator to become a biological father for at most six Swedish families. In order to insure this, a family right fee is charged. Please see price list. When you become pregnant, you will also need to decide if you would like to reserve sperm from the same donator for potential siblings. If so, you will need to contact European Sperm Bank.

Number of treatments needed

The number of treatments needed is individual and even affected by chance. Generally, more than 60 % who do six inseminations become pregnant. However, women over 35 years of age may need more attempts. If the inseminations do not result in a pregnancy, one can consider switching to IVF treatment.

Natural cycle

This is the most common method for insemination and works well for women with regular menstrual cycles. Most commonly, ovulation occurs about 14 days before your next period. Once the investigation is complete, you may start by testing your urine for ovulation. Ovulation test kits can be purchased  at a pharmacy. Begin testing for ovulation kit 17 days before the first day of your next expected period.  Phone us the day your test is positive for ovulation. We will book a time for the insemination. If you are using your partner’s sperm, he will need to leave a sperm sample a couple of hours before the insemination.

Letrozol

1. If you have been prescribed Letrozol, please take it day 3-7 in your menstural cycle.

2. An ultrasound examination may be prescribed about cycle day 10-14 to determine if the stimulation has worked as intended.

2. Begin testing your morning urine starting on about cycle day 13 with an ovulation test which measures the ovulation hormone LH in the urine. These tests can be bought at a pharmacy. Please call us when the test indicates ovulation is eminent. Sometimes an ovulation injection (Ovitrell or Pregnyl) is given to make certain ovulation occurs.

3. When you call you will be given a time for an appointment often the following day. The man will leave a sperm sample on the day of the insemination. The lab will then prepare a pure sample of the best sperm. This solution will be then inserted in the woman’s uterus through a thin catheter. The sample can be produced outside the clinic such as within your private home if it can be brought to the clinic within 2 hours.

4. If you do not have a period, please take a pregnancy test. If it is positive, you should contact the clinic to book an ultrasound appointment after two weeks.  

5. If your period comes, contact us so we can plan a new treatment cycle.

FSH stimulation

This is done most often if the patient does not ovulate. It is usually combined with insemination only if several treatments have not resulted in pregnancy.

1. Injections are taken each evening usually beginning cycle day 2-5.

2. An ultrasound is done day 11-12 in the menstrual cycle.

3. An ovulation injection will be prescribed when the follicle is mature.

4. The insemination will be done within two days (please see above).

4. If you do not have a period, please take a pregnancy test. If it is positive, you should contact the clinic to book an ultrasound appointment after two weeks.  

5. If your period comes, contact us so we can plan a new treatment cycle.

The insemination procedure

If you are using donated sperm and have a partner, please make sure that s/he has given you a signed written consent form if s/he cannot be present at the insemination. This is important because, by signing the consent form, s/he has agreed to take on all the legal rights and obligations as a parent. Usually the insemination is a quick and painless procedure. The gynecologist will insert a thin catheter in your uterus and thereafter inject the sperm. Afterwards, you should continue life as usual. A pregnancy test should be done after 2 weeks.