Why choose Nova Vita Tallinn?
- Over 25 years of experience in assisted reproduction methods with donated sperm.
- No queuing! Smooth and fast process.
- Fertility treatments up to 50 years.
- Anonymous donors from our own sperm bank. (Read more)
- Excellent results!
- Personal service and satisfied customers.
- Affordable prices. (Pricelist)
What is artificial insemination?
Insemination (Intra Uterine Insemination, IUI) is often the first fertility treatment used in the event of infertility due to the male or infertility due to unknown origin. Insemination is prescribed in case of mild male infertility (problems with the number, motility or shape of sperm cells or the presence of anti-sperm antibodies), infertility due to cervical factor and in the treatment of patients with unclear infertility. In insemination the best motile sperm separated from the semen sample are placed in the woman’s uterine cavity using special catheter at the time of ovulation. Because insemination takes place in the natural environment, the fallopian tube, at least one of the fallopian tubes must be healthy. Successful insemination treatment also requires that the semen sample contains sufficient motile sperm after washing; otherwise, treatment with in vitro fertilization is the treatment option.
Insemination can be carried out according to the woman’s natural menstrual cycle or hormone-timed ovulation. In case of natural menstrual cycle the IUI procedure is timed with an ovulation test that enables to determine the moment of ovulation at home on the basis of urine sample. IUI is carried out 24-36 hours after the positive ovulation test. Insemination is carried out on washed sperm 12 to 42 hours after the positive test, ie as close as possible to the time of ovulation. The best results in insemination are usually achieved when hormone medication is combined with insemination. However, it is important to monitor the treatment properly to ensure that the ovaries do not develop too many follicles, which increases the risk of multiple pregnancy. The ideal number is 1 to 2 ripe eggs. The insemination itself is performed 24 to 42 hours after the hCG injection that produces ovulation.
The semen sample is given on the day of insemination and processed to distinguish the best moving sperm. In this way, sperm antibodies and other impurities that may be present in the semen are reduced and sperm motility and fertility improved. In some cases, pre-frozen semen may also be used for insemination. In addition to standard sperm analysis, Nova Vita also has a sperm oxidative stress test. Oxidative stress means an imbalance between free oxygen radicals and the antioxidants that protect them. Sperm oxidative stress can be measured with the MiOXSYS (Male Infertility Oxidative System) test used in our clinics. In scientific studies, a high MiOXSYS count has been associated with low sperm count and motility, and an increased risk of DNA damage.
The success of insemination treatment is primarily influenced by the age of the woman, but also by the quality of the semen and the success of the timing of insemination. The success rate of insemination, combined with hormone therapy, is at best 10-20% per cycle. Insemination treatments are usually repeated a few times, after which it is advisable to discuss with your doctor other possible treatment options. After the insemination treatment, we usually switch to IVF treatment. You can read more about IVF treatment here.
How does artificial insemination work? Insemination step by step
- Can be done in a natural cycle. The ovulation is confirmed by a home ovulation test. Procedure continues as in steps 3 and 4.
- Alternatively, hormone therapy is used to maturate 1 to 2 egg cells: tablets or injections stimulate follicular growth. Thereafter, ovulation is achieved by hCG hormone injection. Treatment monitoring is important: vaginal ultrasound is done 1-3 times per treatment period.
- The semen sample is delivered in the morning of the insemination. The semen is processed and injected into the uterus later the same day.
- Pregnancy test is done 2 weeks after insemination.
- Pregnancy ultrasound is done 3 weeks after the positive pregnancy test.
Insemination with donor sperm
Insemination treatment can also be performed with donated sperm. In Nova Vita we have our own sperm bank with anonymous Estonian donors. Read more about treatments with donated sperm here.
Our subject matter experts
Dr. Liisa Viirmaa
Dr. Liis Lill
Dr. Peeter Karits
Dr. Elle Talving
Frequently Asked Questions
Q: Is artificial insemination painful?
A: No, insemination is not usually painful. Feeling pain is of course always individual and varies by person to person. Our experienced team of nurses and doctors do their best to make the experience as comfortable and pain free for you as possible.
Q: Can you have artificial insemination with your tubes tied?
A: Unfortunately you can not have artificial insemination with your tubes tied. Artificial insemination takes place in the natural environment: in the fallopian tube of a woman. This means that at least one of the fallopian tubes must be open and healthy. If your tubes are tied the egg won’t be able to pass from the fallopian tube to fertilize. However, you might still be a good candidate for in vitro fertilization (IVF) treatment. Please have a talk with your doctor about your possibilities. You can also read more about IVF treatments here.
Q: How much does it cost to get artificially inseminated?
A: How much is artificial insemination depends on two things. The first thing that needs to be considered is the sperm that is used in the treatment. If the insemination is done with partner’s own sperm, the price is cheaper. If you need donor sperm, you also have to pay for the sperm. It is more affordable to use sperm from our own sperm bank than to order sperm from the other sperm banks.
Insemination with partners sperm is 290€ and insemination with donor sperm from our own sperm bank is 590€. Please, have a look at our Pricelist here.
Q: Does insurance cover artificial insemination?
A: Please contact your insurance company for detailed information.
Q: How to prepare for artificial insemination
A: There is actually not much you can do to prepare for the artificial insemination. You can live normal, healthy life, but be sure to follow your doctor’s and nurse’s orders every step of the way.