Evaluating COH/AI Candidates
For many patients who have had difficulty conceiving on their own, controlled ovarian hyperstimulation (COH) and artificial insemination (AI) can provide an improved chance of becoming pregnant. COH refers to the process of using fertility medications to stimulate the development of ovarian follicles and promote the release of healthy eggs. AI involves inserting sperm, either from a partner or a donor, directly into the woman's uterus, cervix, or fallopian tube. Our doctors have helped many women and couples conceive healthy babies through the use of different fertility treatments, and we can help you determine if you may be COH/AI candidates. Our fertility centers are dedicated to helping our patients overcome infertility issues. If you have had difficulty conceiving and would like more information about COH/AI, please contact our office to make an appointment with one of our caring fertility specialists.
The COH Process
The COH process involves the use of specific fertility medications that are designed to induce ovulation. COH is also the first step in a cycle of in vitro fertilization, and uses the same types of medications. Follicle stimulating hormone (FSH) is administered, often in conjunction with luteinizing hormone (LH), to stimulate the development of ovarian follicles. When the follicles begin maturing, human chorionic gonadotropin (hCG) is administered to encourage the release of a healthy egg or eggs.
Sperm from your partner or a donor will be washed in our laboratory to remove any impurities and enhance the chance of fertilization. After fertility medications are administered and ovulation has occurred, our doctors will introduce the sperm into the uterus (intrauterine insemination) or the cervix (intracervical insemination) through a thin catheter. The procedure is relatively quick and painless, and you can typically return to your daily routine after about 45 minutes.
Determining Your Candidacy
COH and AI treatments are indicated for a number of different causes of infertility. These procedures are commonly recommended for severe male fertility factors because the sperm is introduced directly into the uterus or cervix. This provides a minimally invasive solution for low sperm count and poor sperm motility. COH and AI are also commonly indicated for women who suffer from endometriosis and abnormalities of the reproductive organs. This treatment is effective in these cases because it has the ability to bypass any areas of the reproductive tract that may be causing difficulty with conceiving.
COH and AI procedures are also commonly recommended in cases of "unreceptive cervical mucus." This condition causes the mucus that surrounds the cervix to inhibit sperm from entering the uterus. As a result, the sperm are unable to reach the egg and achieve natural fertilization. AI allows the sperm to pass by the cervix altogether and reach the egg in the uterus or fallopian tube.
Doctors may also suggest COH/AI treatments when the cause of infertility is unknown and other treatments have been unsuccessful.
Make an Appointment
If you have had difficulty conceiving and would like to learn whether COH/AI is right for you, please contact our practice and schedule a consultation with one of our doctors.