Success rates for IVF depend primarily on your age, but are around twice that of IUI.
The embryos can then be transferred for potential pregnancy or frozen to use later or to await the results of embryo genetic testing. Then, they’re fertilized in a laboratory using donor sperm, to create embryos. Whereas IUI may be medicated or unmedicated, IVF involves the use of injectable hormone medications that stimulate the ovaries to produce multiple eggs in one cycle.Īfter 8–11 days of medication, the eggs are removed from the ovaries in a minimally invasive surgical procedure known as an egg retrieval. If no pregnancy is achieved with IUI, you may consider moving to IVF ( in vitro fertilization), a more powerful fertility treatment. But, if you’re purchasing sperm for $800+ per vial, the increased chance of success may be worth it. The downside is the cost: an IUI cycle, even without medication, can cost around $1,000. When you do an IUI with a fertility specialist, ovulation is predicted and confirmed using blood tests and ultrasound, so you know you’re doing the insemination on the correct day-the day of ovulation. Success rates for lesbian couples using IUI with donor sperm are around 24% for those under 35 (the sample included both medicated and unmedicated cycles). The main perk of in-office IUI is just that-a higher chance of success. An IUI cycle can either be unmedicated or paired with medication to induce ovulation, further increasing the success rates. During an IUI, sperm that’s “washed” or isolated from semen is inserted directly into the uterus to increase chances of pregnancy. And unless you see a doctor prior to attempting insemination, you really won’t know if there are any other potential obstacles to conception, such as endometriosis or another reproductive disorder.Īn intrauterine insemination or “IUI” is a procedure done by a doctor (typically a reproductive endocrinologist, though some OB/GYNs also offer this service). Additionally, at-home insemination requires you to accurately pinpoint your day of ovulation on your own, assuming that you do ovulate regularly (ovulation trackers such as Natural Cycles can be helpful for this). The cons? At-home insemination has lower success rates-around 10–15% per attempt, according to the Seattle Sperm Bank-which may be undesirable especially if you’re working with donor sperm purchased for $1,000 or more. The only costs involved are the costs of the sperm or sperm testing. You’ll simply use a needleless syringe to draw up the sperm sample and insert it into the vagina, near the cervix. The advantage of at-home insemination is that it’s less expensive and fairly easy.
(If purchasing frozen sperm for at-home insemination, it’s recommended that you buy “ICI” vials, which are unwashed-meaning the sperm are not isolated from the semen.) You can use either fresh or frozen sperm for at-home insemination frozen sperm vials should be allowed to thaw for about 30 minutes before use, depending on instructions from the bank. Sometimes known as the “turkey baster” method, this is the most common LGBTQ fertility treatment. Using a known donor is more legally complicated-contracts drawn up with a lawyer and notarized may be recommended or required-and can come with emotional complications, as well, about the role of the donor in the child’s life.
Known donor free#
The cons of using a known donor are that, unless you have the sperm frozen, tested, and quarantined, you don’t know if it’s healthy or free of STIs, including HIV. It’s also less expensive, although infectious disease and genetic screening is recommended (and, in the case of frozen sperm for an in-office procedure, required) and may come with additional costs. For example, one partner’s brother or cousin may donate sperm to be used in an insemination of the other partner. Many people will prefer a known donor who has a genetic connection to the child. Frozen sperm will need to be screened, and then must be quarantined and the donor retested for HIV after 6 months, before it can be used in an in-office insemination. (More on the differences below.) If you use “fresh” sperm, it won’t be screened for fertility or infectious disease. When working with a known donor, you can use “fresh” sperm for a home insemination, or frozen sperm for an insemination in a doctor’s office. “Known donors” are sperm donors that are not anonymous and are often friends or family members of one of the intended parents.
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