[Artificial heterologous insemination].
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Simultaneous occurrence of bilateral extrauterine pregnancy and hyperstimulation syndrome of the ovary following artificial heterologous insemination, meaning difficulty in the differential diagnosis, is described. In connection with the case the protocol of induction of ovulation used regularly by the authors is presented and the necessary monitoring model is described. If the observation is suitable the emergency operation of a patient in bad physical condition can be avoided in the opinion of the authors. The close correlation between the hyperstimulation of the ovary and early-pregnancy as well as the favourable spontaneous healing disposition of the cystic alteration is highlighted. It is held important that a laparotomy performed in connection with acute abdominal symptoms should be conservative for the genitals--possibly even in case of extrauterine pregnancy--in order to maintain the chances for a later fertility.
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An artificial insemination with donor program was used in 92 couples. Twelve patients abandoned treatment. Seventy nine couples concluded, at least one year treatment. Pregnancy rate was 68% (62 pregnancies). Ten patients had previously been pregnant with the same method.
Fourteen female patients married to infertile men were artificially inseminated with the semen of unknown donors within 1985-1987. Over 150 inseminations (no complications except sporadic pain) produced 7 pregnancies out of which 5 were finished with the delivery of healthy babies, one was terminated in the seventh week with abortion. Fate of the remaining pregnancy is unknown. Ethical-legal implications of AID, the problem of donors and classification of semen, and necessity to store the semen at the temperature of liquid nitrogen due to the risk of AID are emphasized.
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The indications for insemination, the selection of donor, consultation with the recipient parent and the technique will be described, based on our four-year experience. A description of the examination before the insemination and the results from a small collection of cases will be discussed.
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