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hey there lesbian mamas AI waffle  

post #1 of 21
Thread Starter 
Hey all
we are starting trying for baby no 3 soon and we have a known donor using fresh sperm at home. I am wondering what others did? Last times we just used a syringe, but I have heard a friend of mine used a catheter to get it right up there

What did others do?

Also I'm curious to know what parts of cycles others did? We did ovulation time both times to maximise pregnancy chances and I have two wonderful boys.

When did you try and what did you have?
post #2 of 21
Hi there! We haven't started ttc #1 yet even, but I do know that if you are using fresh sperm you *can not* put it directly into the uterus! This could cause *severe* cramping and a really nasty infection! You can only put washed sperm suitable for IUI into the uterus via a catheter. If you are using fresh sperm or unwashed frozen sperm you should just do it with a syringe as you did before. Good luck!
post #3 of 21
We used a catheter to get it right into my cervix. No further. Worked like a charm.
post #4 of 21
Hi Witt,

We did IUI with frozen, washed sperm, but most women I know who have used fresh have used the syringe. I do know one couple who used a catheter with fresh lately; a doctor friend showed them how. But no results yet.

I've never heard what lounadoula says about not putting fresh into the cervix, but it would be worth it to do some kind of research.

Good luck!
post #5 of 21
Frozen ICI at home with syringe, at ovulation here. Boychild.

You can put fresh (or thawed ICI style) sperm right up on your cervix but not inside. You would need a sterile catheter/cannula etc to put it inside. And a closed system to ensure you were not pumping air into your uterus too. Otherwise nasty nfectin and possibly embolism could develop.

While it's certianly not impossible to have sterile technique at home, it's not as safe or easy as just squirting it up near/on the cervix and probably not more useful, so long as your sperm motility is okay.
post #6 of 21
Have you read "The Essential Guide to Lesbian Conception, Pregnancy, and Birth"? I cannot recommend it enough. It details why not to put unwashed sperm directly into the uterus via a catheter. Just coating the cervix is enough. If you need to do IUI you need to use washed sperm. I have never heard otherwise. Kincaid? Where are you? :LOL
post #7 of 21
I did AI at home (I coparent my daughter with a gay man). I used a 10cc syringe, with the needle removed of course and the tip cut off. I tried a smaller syringe (3cc) but found it to be too jabby.

Our process was simple... he would go in the other room and produce the goods, and bring them to me in the syringe. I would insert the syringe, using only warm water for lubrication, let the little spermies loose, then lay down for about 20 mins to give them the best start.

My cycle is confusing, but we did AI every 48 hours after the appearance of eggwhite cervical mucous. So I think when we conceived we did it 48 hours before ovulation, and just after ovulation? (Just the morning the EWCM dried up was the last time we tried).

And it worked! My babe is 21 mos old now.
post #8 of 21
Luna is right, you should not use a catheter THROUGH the "os" with unwashed fresh sperm. The os is the small opening of the cervix... basically the hole of the doughnut.
The reason being is that the centrifugation and swim-up washing techniques done on fresh sperm prior to IUI remove the postglandins. If you put the semen in the uterus without the washing and centrifugation, then the postglandins will cause cramping as well as decrease your chances of conception. The cramping can be intense and pretty painful, and they will definately screw with your odds of conception.

The "infection" and "possible death" and "embolism" you hear people frequently warn of are a little extreme, though. I say that because for at least a decade clinic IUI's were done with fresh unwashed sperm. There are lots of folks in the older generation who got pregnant with a fresh, unwashed sperm IUI.... but that is *not* done anymore. Eventually fertility dr's discovered the importance of a process called capication that sperm go through as they pass through the cervix... the cervix isn't just a gateway, it plays a huge role in preparation of sperm for successful fertilization. Sperm have a coating over them that nature provides to outsmart stuff like spermicides, etc. As the sperm pass through the cervix, there are enzymes and grooved channels the sperm go through that act to "wash" the coatings off the sperm as well as remove postglandins. This process is still mainly a mystery even to experts in this area, but they have tried to approximate the washing technique in the lab. Right now, IUI is not that much more statistically successful than plain old sex - even though they are getting the sperm straight up to the egg when the egg is released. I believe that IUI will someday be much more successful as the finer details are perfected... but till then, IVF is getting all the attention.

Anyway, blah blah blah.....

So what you can do is a fresh sperm ICI.... intervcervical insemination is simply depositing the sperm at the "os" or the entrance of the cervix. You would want to use a speculum and a catheter to do this, and only go into the cervix 1/4 of an inch. You are just dropping the swimmers off at the entrance of the cervix, because we know they need to go through the entire cervix route in order to be ready to do the job.

One more thing, some people use a tomcat cath for IVI... intervaginal insemination. As anyone who has stuck a syringe into their who-ha can tell you, size does matter! LOL! It just doesn't go the distance (even on me, who had never had penetrative sex and I am definately a "small" person). You can use the cath to deposit the sperm in the vagina, just more toward the back. The can be reassuring if run-out is a problem or if you just feel like the syringe is going into a black hole.

Warning: using a speculum creates leakage issues all its own, because the vagina spams as it is removed. You can practice all this with a syringe/cath/speculum with just water. Put a paper towel under your butt to see how leaky your technique will be. It is a good test run.
post #9 of 21
Thread Starter 

wow

you guys are knowledgable :LOL
I have two children and know nothing! We did the he was in the other room then used a syringe and I lay down for a while. I didn't use sterile stuff, wonder if I should have?

Did you guys use sterile bowls etc?
I think i'll give the catheter a miss
post #10 of 21
Sterile technique is only an issue if you are penetrating the os into the uterus. People put non-sterile stuff in their vaginas all the time, ya know?
post #11 of 21
Thread Starter 
yeah guess they do :LOL
post #12 of 21
Thread Starter 
have just re read what you wrote kincaid and it is very interesting. Never knew this stuff.

So have decided, I will just stick to my time honoured method, SYRINGES! And forget the catheter.

I have done five AIs (fresh) using a syringe and had three pregnancies, (lost one baby ) so my method is probably ok success wise really. Just when I heard my friend had used a catheter I thought maybe it would be more successful. But it sounds complicated and I think I'll just stick to what I know
post #13 of 21
Wow, so glad this thread is here! I'm hoping to get some pointers on IUI at home. We don't have an ICI option, since we are trying to use the same unknow donor from same bank for #2 and he is an IUI only donor. I know most people have done ICI at home, and IUI's in a clinic. We have such an awesome (crunchy granola women centered 1970's feminist posters on the wall) clinic we are working with. I feel kind of "ungrateful" to want to take the goods home & do it myself instead. Our clinic has a four month average for IUI pregnancies. I have had three months worth of cycles before we got derailed by some infertility issues, I am also wondering if some of my severe reactions to being in medical space might also be impeding our progress.
post #14 of 21
Quote:
Originally Posted by mamimapster
Wow, so glad this thread is here! I'm hoping to get some pointers on IUI at home. We don't have an ICI option, since we are trying to use the same unknow donor from same bank for #2 and he is an IUI only donor. I know most people have done ICI at home, and IUI's in a clinic. We have such an awesome (crunchy granola women centered 1970's feminist posters on the wall) clinic we are working with. I feel kind of "ungrateful" to want to take the goods home & do it myself instead. Our clinic has a four month average for IUI pregnancies. I have had three months worth of cycles before we got derailed by some infertility issues, I am also wondering if some of my severe reactions to being in medical space might also be impeding our progress.
What you end up doing at home will probably actually be ICI, unless your partner is REALLY good at getting that catheter all the way in. The "IUI-only" just means that the sperm is washed and ready for IUI; you can do whatever you want with it! Although we ended up adopting our wonderful daughter, we first did many cycles of ICI/IUI at home (after a little training from our doc. - how great is that?) My partner has very steady hands, and our doctor felt that our odds wouldn't be any improved by doing it at the clinic vs. doing it at home, provided our technique was ok. In fact, it was easier to get the timing right because I didn't have to deal with getting an appointment, plus, as you noted, it's so much less stressful. The one stupid thing was that our sperm bank would only deliver to clinics, so we had to go in and pick up the tank every month anyway.

Good luck -
post #15 of 21
mamimapster, does your clinic send/give you a sterile cannula with each shipment of IUI-prepped sperm?

I don't know of anyone who has done IUI at home but I certainly know people who have done menstrual extraction at home so as long as you have sterile technique and appropriate cannula/syringe setup (or whatever you're using to shoot the stuff in) I don't see why it couldn't be done. Your feminist clinic should probably be happy to give you instruction/pointers if they are all into empowering women.

I'd love to hear more about the details as you proceed, if you don't mind sharing.
post #16 of 21
Well,

warning, maybe just a *little*graphic... so pass on if you aren't familiar with TTC osbessions .


I called the clinic because my HSG dye test came out good ( Happy fallopian tubes yay!). Now I just have to talk to the obgyn since my first test (the deraliment) showed a cyst on on ovary & a uterine polyp, which *might* prevent implantation( I silently think we had a conception that didn't take on insem round #2). The current plan is that our next round will be in september, right around our 5th wedding aniversary IF my obgyn doesn't reccomend surgery first. I'm really hoping she doesn't, and even if she's hesitating I'm hoping to try one more cycle before trying surgery. if the sept. cycle happens, what i want to do is first insem at clinc, and take the other vial home w/equipment to do the IUI. I would want to insert the catheter myself and then Dp would do her usual part (pushing the plunger). My DP sometimes has minor hand tremors as a result of birth trauma, so I know she wouldn't be comfortable with trying to insert the catheter. I know that if I didn't get the catheter in far enough it would basically be just like an ICI, but I feel like I wouldn't hurt our chances too much more medically but doing it at home, and I am cirtain that I would be upping our chances measurably on an emotional level. I want this to be an intimate experience for us just once, instead of a medical experience with a little "smooching & cuddling" involved (yes, I've been reading the book Spiritual Midwifery this weekend). Everything was so easy with our DD. This has been sooo hard, kind of like the Murphy's Law version of TTC . I would soo love of us to be able to "make" & have babe #2 at home.
post #17 of 21
Oh yeah,
This might sount a little confusing because we have two different sets of doctors. We are using a Women's clinic Out-Of-Pocket for the insems, and Our OBGYN for the tests-covered by insurance. This has been part of the problem, there hasn't been enough comunication between the OBGYN's staff & clinc. Our OBGYN is great though, she is actually also a volunteer at the clinic The one good thing about the clinic/insurance mix, is that if the infertility problems persist to a certain extent to where IVF becomes necssary (please G-d No!) then the insurance would kick in totally, this wouldn't work intil after 1year's worth of insems though, and I don't think that financially we can hold out that long before moving on to more "sure" things like my Dp trying again (she is super-fertile, but older than I am), and adoption which has always been on the table as an option. I really want the experience of being Pg etc. though.
post #18 of 21
(((Mamimapster)))

Sending you love through your TTC process. It can be so stressful, on so many levels. I hope for no surgery and that you conceive soon. It sucks when you have to pay for the sperm by the dose, doesn't it? Like fertility stuff isn't stressful enough without being on a budget for it?

Anyway, the one question I'd have with your plan is inserting the cathetar yourself. Not to say it's impossible, but I've never known anyone who did that for any purpose (ME, insem, etc.). You'll have to be able to do so with the speculum in, mirror image view, etc., or course. If you've had cramping when the cathetar goes in with other insem's you know what to expect in that area. I hope you can work something out that feels comfortable to you. I also hate feeling like conception is tied to the medical people. Definitely let us know if you're able to do it at home. That would be very cool.

Good luck!
post #19 of 21
Mamimapster-

Do you have to do IUI? You probably already know, but you *can* use washed IUI sperm and just do intercervical (vaginal) insemination. You can use ICI or IUI sperm to do ICI, but can only use IUI sperm for IUI. Crazy, eh?

Maybe you have to do IUI for personal reasons, but if you don't, you could just use the washed sperm you have from your donor and do it with a syringe at home.

-Beth
post #20 of 21
Also, maybe you could find a midwife in your area to come over and insert the cather for you if you decide to do IUI at home.
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