IN UTERO INSEMINATION(IUI) OR INTRA UTERINE INSEMINATION (male partner ke semen ko uterus yani bachey dani ke ander dalna masnoi (artificial) tareeqey se bagair intercourse(natural sex) key.)
Ye method un couples ke leye ha jin mai wife mai koi masla nai hota pregnancy karne ke leye magar husband mai problem hota he. Wo problem kuch bhi ho sakta he jaise
1) male impotent ho yani sex ke salahiyat na rakhta ho
2) uska semen bohat kam ho
3) uske sperm kam hon number mai ya kharab hon ya sperm ke harkat kum ho
4) uske semen mai koi aisa chemical ya toxin ya infection ho jo sperm ko kharab karta ho ya aurat ke uterus mai ja kar pregnancy na honey dey.
Iss method ke leye bohat zarori ha k aurat ke tubes (uterus aur ovary ke beech mai nail jo inn ko aapis mai milati ha wo khuli hon yani thek hon) patent hon/open hon.
Female ka monthly cycle periods ka thek ho aur wo aik egg atleast 1month mai apni aande dani(ovary) se produce karti ho . ye check karne ke leye ultrasound keya jata he aur hormone ke level daikey jate han.
Procedure:
1) husband ka semen leya jata he . phley usko btaya jata he key 3days tak sex nai karna phir masturbation ke zareye uska semen leya jata he
2) semen ko prepare(tayar) karte han laboratory mai yani usko concentrate(thick) kya jata he by swim up technique aur cool ya freeze kya jata he.
3) Iss tarah sirf good sperms reh jate han semen mai aur wo chemicals jo semen ke ander hon aur sperm ko nuksan daiti han unke tadad khatam ho jati ha.
Ab wife ka monthly cycle closely observe kya jata he by ultrasound and hormones level
1) jab wife ke ovary ke ander eggs size mai increase kartey han tu unko ultrasound ke madad se observe kya jata he.
2) jab egg release hony ka time aney lagta he tu husband ka phley se leya huwa aur tayar kya huwa semen aura ke uterus ke ander needle ke madad se dala jata he. Vaginal opening se syringe under daal kar semen uterus mai dalte han.
3)Iss tarah good quality sperms jate han uterus mai aur jab egg release ho kar uterus mai ata he tu fertilization(baby formation) uterus ke ander ho jati ha.
Advantage
This is a simple technique and less costly.
Disvantage
Failure rate is high.
IVF in vitro fertilization (test tube babies)
Iss method mai eggs aur sperms ko female ke body ke bahir mix kr k fertilization kei jati ha aur phir eggs ko uterus ke andar rakha jata he.
For infertile females this method is mostly used yani wo females
1) jin ka monthly cycle normal nai ha
2) unkey eggs produce nai hote monthly
3) jin females ke tubes(uterus ke nail) band han
4) ya wo females jin ko aisi infection ha k wo uterus ke ander fertilization nai honey daita.
5) HUSBAND may or may not be infertile. Agar husband bhi infertile ho tub hi ye method use kar sakte han.
Procedure
1) husband semen is collected and made good by the technique same as IUI
2) females ke egg khud drugs aur hormones day kar release karwaye jate han ovary se
3) female ko menses cycle ke 2nd day par drugs dei jati han aur atleast 10 day tak drugs use karma hoti han. Ye cycle of drugs may be repeated for 2-3 cycle of menses if required.
4) Phir ultrasound ke madad se ovaries ko monitor kya jata he jab eggs size mai barey ho jate han tu vaginal opening mai syringe dal kar 3-4 eggs ko baher nikala jata he.
5) Inn eggs ko husband semen ke sath body temp ke mutabik aik glass plate mai for 2-3 days rakha jata he yahan tak ke ye mix ho jayen(incubated at 37 degree celcius for fertilization) aur inka size mazeed increase ho(6-8 cells size)
6) Then these eggs (fertilized) atleast 3 of them are put into female uterus to develop.
Advantage
v.high success rate
3 or more eggs are placed inside uterus atleast 1 of them do survive
females with no eggs production can take donated eggs
disadvantage
costly
more than 1 baby like twins and triplet may for
ovaries of female r too much affected by drugs.
IUI vs IVF
1) female has to be fertile and completely normal in body functions (producing eggs and tubes open) related to reproduction for IUI male being infertile. In IVF however female may not be fertile or her eggs can be produced by drugs and even her tubes can be blocked , male partner may or may not be infertile.
2)in IUI fertilization(baby forming) occur inside uterus like naturally. In IVF fertilization is carried outside body and fertilized egg are kept out for sometime till they get big
3)in IUI single pregnancy occurs most of the time . in IVF more chances of twins and triplets.
4)in IUI only semen of husband taken and processed and put into uterus . in IVF however the female eggs are also to be taken out of body and semen also taken and processed
5)natural ovulation(egg release) is used in IUI. In IVF egg production is introduced by drugs or hormones.
6) ICSI is step ahead of IVF same as IVF bt sperm are injected into egg by artificial means. In IVF both are kept to mix naturally. ICSI is more effective.
IUI and IVF both are allowed in islam IF husband semen is used none other than that.IVF is much costly and time consuming than IUI bt more successful.
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