Artificial Insemination in Madrid

Simple, safe and effective fertility treatment

If you are considering becoming a mother and are looking for information about artificial insemination, it is natural to have questions about what this treatment involves and how it can help you achieve pregnancy. At FIVMadrid, we have a medical team specialising in assisted reproduction, with over 30 years’ experience, who will support you closely and professionally at every stage of the process.

What is artificial insemination?

Artificial insemination is one of the simplest and least invasive assisted reproduction techniques. It involves introducing the semen from the partner or a donor, previously prepared in the laboratory, directly into the uterus using a fine cannula, timed with ovulation. It is a low-complexity treatment, very similar to the natural fertilisation process, as it respects the physiological environment of the gametes and does not require complex interventions or anaesthesia. Artificial insemination is indicated when the fallopian tubes are open and the sperm sample has a Mobile Sperm Recovery (MSR) higher than 3 million. Before the treatment, the semen is analysed to assess its quality and concentration, and it undergoes strict health controls, ensuring it is free of infections such as HIV, hepatitis, or syphilis.

Types of artificial insemination

There are two main types of artificial insemination, depending on the source of the semen:
  • Conjugal artificial insemination (IAC): the semen is from the partner.
  • Artificial insemination with donor sperm (IAD): the semen comes from a carefully selected donor bank and is subject to rigorous medical controls.
At FIVMadrid, the medical team will assess with you which option is most suitable based on your personal situation, your needs, and your reproductive project, supporting you so you can form the family you choose.

What is the success rate of artificial insemination?

The success rate of artificial insemination depends on several factors, with the age of the woman being one of the most important. After 38 years of age, the chances of pregnancy progressively decrease. Artificial insemination closely mimics the natural conception process, with the added benefit of sperm capacitation, a laboratory procedure that improves sperm quality and increases the chances of pregnancy. As a guideline, the average pregnancy rate per cycle is:
  • Approximately 15% in artificial insemination with the partner’s semen.
  • Around 25% in artificial insemination with donor sperm.

Artificial insemination: a step-by-step guide

The treatment begins with the start of a new menstrual cycle. From that moment on, an ultrasound monitoring of ovulation is performed to determine the most appropriate time for insemination. This monitoring can be done through:
  • Natural cycle, controlling spontaneous ovulation without medication.
  • Stimulated cycle, administering gonadotropins to promote the development of one or two high-quality ovarian follicles, which allows for better control of the cycle and higher success rates.
This phase lasts between 8 and 15 days and usually requires two or three ultrasounds. When the follicles reach the appropriate size, hCG hormone is administered to induce ovulation and, approximately 36 hours later, insemination is scheduled.
On the same day as insemination, the semen sample is prepared in the laboratory. In the case of the partner’s semen, the sample is obtained after a period of sexual abstinence between 3 and 5 days. The sample undergoes a washing and sperm capacitation process, selecting the sperm with the best motility and highest fertilising capacity. When using donor semen, the sample is thawed and prepared following the same procedure.

Artificial insemination is carried out on the day of ovulation, at the optimal time to maximise the chances of pregnancy. It is a simple, quick and painless procedure that does not require sedation.

The procedure takes between 5 and 10 minutes and, once it is over, the patient can resume her daily routine as normal.

Following insemination, there is a waiting period of approximately two weeks. During this time, treatment with progesterone administered orally or vaginally is usually prescribed to promote the implantation of the embryo in the endometrium.

Pregnancy is confirmed by means of a pregnancy test or a blood test for the hormone beta-hCG, which allows for a more accurate determination of whether pregnancy has occurred.

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FAQs

Frequently Asked Questions about Artificial Insemination

No. Artificial insemination is a quick and painless procedure that does not require anaesthesia or sedation. Most patients describe it as similar to a routine gynaecological examination.

The full course of treatment usually lasts between 4 and 6 weeks, from the start of the menstrual cycle until the pregnancy test is carried out.

Between 3 and 4 cycles are usually recommended, although the number may vary depending on age, diagnosis and response to treatment. The medical team will assess each case on an individual basis.

Yes. After artificial insemination, you can resume your normal daily routine, provided you avoid strenuous physical activity on the day of the procedure.

Complete bed rest is not necessary. A quiet lifestyle is recommended, but there is no need to stay in bed or make significant changes to your usual activities.

Artificial insemination is a simpler and less invasive technique, recommended in certain cases. IVF is a more complex treatment that is recommended when artificial insemination is not suitable or has not been successful. The medical team will recommend the most appropriate technique for each patient.

Artificial insemination may be recommended for women with patent fallopian tubes, couples with mild infertility, women without a male partner, or female couples, always following a prior medical assessment.

Yes. Artificial insemination using a donor (AID) is a common option. Donors come from sperm banks and undergo strict medical screening, ensuring the highest level of safety.

If pregnancy is not achieved, the medical team will review the case and consider the following options, which may include repeating the treatment or exploring other assisted reproductive techniques.

The risk is low, particularly when the number of follicles is carefully monitored during ovarian stimulation. The aim is always to achieve a single, healthy pregnancy.

The pregnancy test is carried out approximately 14 days after insemination, using a urine test or a blood test for the hormone beta-hCG.

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