Conceptions

 
 
 

At Alma we know that families are created in many different ways. We offer holistic, family-centered care to people wishing to create or expand their families using alternative methods at home or in home-like surroundings.  

We are culturally sensitive, offering individualized care and specialize in working with LGBTQ families. We are happy to serve anyone looking to conceive through alternative methods including single parents by choice, queer, lesbian, gay, transgender, older individuals and many others.  

Inseminations can be completed in our office, or in the comfort of your own home at no additional charge.  

 

What We Offer

At Conceptions, we offer a wide range of holistic fertility services. This includes:

  • Preconception Counseling

  • Fertility Chart Review

  • Counseling on enhancing fertility, including herbal support

  • Intracervical Inseminations (ICIs)

  • Intrauterine Inseminations (IUIs)

  • Option of continuing Prenatal Care and Birth with Alma

 

Conceptions FAQ

+ What forms of payment do you accept?

We accept checks, Visa, MasterCard and cash. Payment is due at the time of service.

+ Does insurance pay for inseminations?

Unfortunately insurance does not routinely pay for inseminations. Check with your individual plan and policy.

+ Do I need to order washed specimens from the sperm bank, or will raw ones do?

If planning an IUI you should order specimens that have been washed and are IUI-ready.

+ Should I do one or two inseminations?

Your plan should be specific to you and your circumstances. However, we recommend doing two inseminations per cycle if you are using frozen sperm, since it lives 24 hours or less in order to cover the entire ovulation window. We find increased chances of success this way.

+ I'm using an ovulation predictor kit (OPK). Once it goes positive, when should I plan my insemination?

Some women ovulate soon after their surge is detected and others not for 36 hours or more. For best timing, OPK results should be interpreted in conjunction with your other fertility signs. Ask your fertility specialist to review your charts if you are unsure. We do advise that you test more than once a day with an OPK when you are approaching your expected ovulation. If you test at least twice a day, you will have a much clearer idea of when the LH surge actually begins and you’ll be better able to plan ahead.

+ What are my chances of becoming pregnant with intrauterine insemination?

Statistics demonstrate an approximate conception rate of 8% when one IUI is performed per cycle or 13-16% when two IUIs are performed per cycle.

+ Can my partner be involved in the insemination?

Yes, we love to involve partners to everyone’s comfort level. Partners often like to depress the plunger of the syringe to deposit the sperm into the uterus. Please let us know how you would like to participate.

+ Is intrauterine insemination painful?

An IUI feels much like a PAP smear. A speculum is used to visualize the cervix and a narrow, flexible catheter is threaded through its opening (cervical os) to the top of the uterus, where the washed sperm is deposited, thereby ensuring that millions of motile sperm can reach the fallopian tube to potentially fertilize an egg. You may experience slight discomfort, and mild cramping is not uncommon, but the insemination should not be painful. We use a gentle technique and we work slowly and patiently with your feedback to make the insemination as comfortable as possible for you.

+ Should I thaw the sperm before the appointment?

No, you should wait until we arrive, as there can be unpredictable factors such as traffic delays or previous appointments running long that may cause us to be late for your appointment. If we are running late, we will let you know. And if you are running late, please let us know.

+ How is it done?

ICIs can be done at home, using a syringe to insert the sperm into the vagina. IUIs require sterile technique, and a special catheter to insert the sperm into the uterus. We can do the insemination in our office or in your home. We can also teach someone (usually your partner) to do IUI inseminations at home, using kits that we put together.

+ What is the difference between an Intrauterine Insemination(IUI) and an Intracervical Insemination(ICI)?

Regular (also known as raw, or ICI) samples are intended for vaginal insemination. IUI-ready or washed samples have been processed before freezing so they can be used for intrauterine insemination. IUI’s must be performed using sterile technique (either in our office or in your home), because a catheter is inserted into the uterus. IUIs usually have a higher pregnancy success rate, up to double that of ICIs.

+ What is the difference between using a known donor and an anonymous donor?

When using an anonymous donor, the sperm goes through a facility that cleans and processes it, as well as screens it for diseases. Fresh sperm is obtained from a known donor, so a relationship of trust should exist between the donor and the family to ensure it is free from disease.

+ Why alternative insemination?

The use of alternative insemination has allowed couples or single individuals who would otherwise be unable to conceive to make the choice to become parents. Many hopeful parents/couples find alternative insemination to be relatively inexpensive compared to other options like in vitro fertilization or adoption. The legalities of going through alternative insemination may be less challenging as well. Sometimes, partners have histories that prevent them from being able to use their own sperm, such as testicular cancer, other fertility-impairing conditions, or other trauma. Using donor sperm can help families experience pregnancy and birth when they otherwise wouldn’t be able to.

 

Our fees are as follows:

  • Fertility and Conception Consultation/ Imsemination planning (60 minutes):$100

    • Includes support via e-mail or text with questions or concerns throughout the insemination process

  • First insemination per cycle: $195

  • Second insemination per cycle: $150

 
 
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