Conception device
Encyclopedia
A conception device is a medical device
Medical device
A medical device is a product which is used for medical purposes in patients, in diagnosis, therapy or surgery . Whereas medicinal products achieve their principal action by pharmacological, metabolic or immunological means. Medical devices act by other means like physical, mechanical, thermal,...

 which is used to assist in the achievement of a pregnancy
Pregnancy
Pregnancy refers to the fertilization and development of one or more offspring, known as a fetus or embryo, in a woman's uterus. In a pregnancy, there can be multiple gestations, as in the case of twins or triplets...

, often, but not always, by means other than sexual intercourse
Sexual intercourse
Sexual intercourse, also known as copulation or coitus, commonly refers to the act in which a male's penis enters a female's vagina for the purposes of sexual pleasure or reproduction. The entities may be of opposite sexes, or they may be hermaphroditic, as is the case with snails...

 or NI
NI
NI is a two-letter abbreviation and may refer to:-Business:* National Instruments, a U.S. producer of automated test equipment and virtual instrumentation software...

. This article deals exclusively with conception devices for human reproduction.

Ovulation predictors

There are many conception devices on the market today that can be used for predicting ovulation so that sperm can be introduced into the reproductive tract of a woman at the appropriate time, whether by sexual intercourse
Sexual intercourse
Sexual intercourse, also known as copulation or coitus, commonly refers to the act in which a male's penis enters a female's vagina for the purposes of sexual pleasure or reproduction. The entities may be of opposite sexes, or they may be hermaphroditic, as is the case with snails...

, including NI
NI
NI is a two-letter abbreviation and may refer to:-Business:* National Instruments, a U.S. producer of automated test equipment and virtual instrumentation software...

 or by artificial insemination
Artificial insemination
Artificial insemination, or AI, is the process by which sperm is placed into the reproductive tract of a female for the purpose of impregnating the female by using means other than sexual intercourse or natural insemination...

. Ovulation
Ovulation
Ovulation is the process in a female's menstrual cycle by which a mature ovarian follicle ruptures and discharges an ovum . Ovulation also occurs in the estrous cycle of other female mammals, which differs in many fundamental ways from the menstrual cycle...

 is the time of the month when the oocyte, or egg, is released by the woman. This is identified as the most fertile time in a woman's menstrual cycle. Introducing semen into the vaginal cavity during the ovulation time, called 'timing of intercourse' or 'timing of artificial insemination
Artificial insemination
Artificial insemination, or AI, is the process by which sperm is placed into the reproductive tract of a female for the purpose of impregnating the female by using means other than sexual intercourse or natural insemination...

', is important for achieving a pregnancy. Where a donor is being used, timining is particulary important because donor sperm which is supplied by a sperm bank
Sperm bank
A sperm bank, semen bank or cryobank is a facility that collects and stores human sperm mainly from sperm donors, primarily for the purpose of achieving pregnancies through third party reproduction, notably by artificial insemination...

 or a fertility clinic
Fertility clinic
Fertility clinics are staffed medical clinics that assist couples, and sometimes individuals, who want to become parents but for medical reasons have been unable to achieve this goal via the natural course...

 is expensive and it is crucial that it be used at the opportune time. Similarly, where a private donor is used, he will usually wish to supply his sperm for artificial insemination
Artificial insemination
Artificial insemination, or AI, is the process by which sperm is placed into the reproductive tract of a female for the purpose of impregnating the female by using means other than sexual intercourse or natural insemination...

 or to inseminate using intercourse at the optimum time of the month.

One type of ovulation predictor is a saliva tester. To use it a woman spits onto a glass slide to observe when salt crystals are forming to identify when she is ovulating. The saliva salt crystal formation is known as "ferning", due to the visual similarity to a fern plant under the microscope as the saliva dries. This will show an increase in estrogen
Estrogen
Estrogens , oestrogens , or œstrogens, are a group of compounds named for their importance in the estrous cycle of humans and other animals. They are the primary female sex hormones. Natural estrogens are steroid hormones, while some synthetic ones are non-steroidal...

 that is related to ovulation.

There are devices that are like wrist watches or patches affixed to sensitive areas of the skin that measure subtle body chemical changes on the surface of the skin to help to identify time of ovulation. Some devices also come with on-line help and support.

A commonly used ovulation predictor is the luteinizing hormone
Luteinizing hormone
Luteinizing hormone is a hormone produced by the anterior pituitary gland. In females, an acute rise of LH called the LH surge triggers ovulation and development of the corpus luteum. In males, where LH had also been called interstitial cell-stimulating hormone , it stimulates Leydig cell...

 (LH) surge urine stick or ovulation predictor stick that helps to identify the time of ovulation
Ovulation
Ovulation is the process in a female's menstrual cycle by which a mature ovarian follicle ruptures and discharges an ovum . Ovulation also occurs in the estrous cycle of other female mammals, which differs in many fundamental ways from the menstrual cycle...

. A woman will urinate on an LH surge stick once or twice a day, starting a few days before suspected ovulation. Often the stick will show two lines indicating that ovulation is 24–36 hours away.

Basal thermometer

A basal thermometer is an ultra sensitive thermometer that tracks the body’s minutest temperature shift. A basal body temperature (BBT) thermometer is often used by women to chart their basal body temperature chart and hence to predict their fertile period or ovulation. A basal thermometer is more reliable and accurate than a simple glass thermometer since glass thermometers are only accurate to .2 degrees Fahrenheit whereas a basal thermometer is generally accurate to .1 degrees Fahrenheit.

The basal thermometer is used to chart a woman's fertile time of the month and is used in connection with a chart. The chart should show low temperatures before ovulation in the follicular phase, and higher ones after ovulation in the luteal phase. Using a basal thermometer in connection with a chart over several months should show the best times when conception can take place and enable the planning of intercourse or artificial insemination. However, times may vary slightly each month so that the user will need to check her temperature continually to ensure that she has the most accurate information. For this reason, some women prefer to use the basal thermometer in conjunction with other methods to ensure complete accuracy.

Artificial insemination

See thefor information about the various methods of artificial insemination. Various devices may be used as follows:

Conception cap

A conception cap assists to protect the semen
Semen
Semen is an organic fluid, also known as seminal fluid, that may contain spermatozoa. It is secreted by the gonads and other sexual organs of male or hermaphroditic animals and can fertilize female ova...

 from the vaginal cavity and allow semen to pool against the cervical os. Around time of ovulation a conception cap or cervical cap is filled with semen and placed it on a woman's cervical os for several hours to maximize the amount of time the semen is available to fertilise a waiting egg. Cervical caps are specially designed for conception and are different from the cervical cap
Cervical cap
The cervical cap is a form of barrier contraception. A cervical cap fits over the cervix and blocks sperm from entering the uterus through the external orifice of the uterus, called the os.-Terminology:...

s used for contraception
Birth control
Birth control is an umbrella term for several techniques and methods used to prevent fertilization or to interrupt pregnancy at various stages. Birth control techniques and methods include contraception , contragestion and abortion...

 although these may also be used as conception devices.

A conception cap may also be used after intercourse or artificial insemination by e.g. a needle-less syringe, and serve to keep the semen in place against the cervix.

Cervical caps are increasingly being used as a delivery system for semen from private sperm donors and have the advantage over the use of needless syringes in that it is not necessary to wait until the semen liquifies before inserting the cap into the vagina. However, a variation is a conception cap to which a narrow tube is attached through which liquefied or frozen and thawed donor semen is inserted by means of a catheter. The narrow tube is then removed. The advantage of this type of device is that it is inserted empty into the vagina and can be positioned around the cervix without risk of seepage of sperm. This device is growing in popularity because its use ensures that the donor's semen is deposited as close as possible to the cervix, and it can be kept there while the woman goes about her normal activities for several hours to aid conception.

Semen collectors

Collection condoms are special condoms primarily used to collect semen during sexual intercourse. Contraceptive condoms are generally made of latex, and are designed for contraception
Birth control
Birth control is an umbrella term for several techniques and methods used to prevent fertilization or to interrupt pregnancy at various stages. Birth control techniques and methods include contraception , contragestion and abortion...

 and preventing spread of sexually transmitted diseases. Collection condoms are sterile and made from silicone or polyurethane, as latex is somewhat harmful to sperm. They are usually non-lubricated and have a teat end or reservoir designed to collect the sperm. Collection condoms may also be used to facilitate the collection of semen by masturbation.

Semen can also be collected by masturbation directly into a sterile container, such as a specimen cup which is usually a clear plastic container with a lid. Some semen collectors have a in-built test tube which allows the collection of the semen without the male having to touch the sample. After collection, the cup portion is removed and replaced by a screw top on the test tube. This device also ensures that none of the sample is lost by transferring it from one container to another.

A male collection kit usually consists of a collection condom, a specimen cup and, if required, a semen transporter. The latter comprises a sealed container for the sperm and a plastic box containing dry ice into which the container is placed so that it can be sent to a recipient. Transmission is generally by courier.

Male collection kits are used for sending semen to a laboratory for analysis, for sending semen to a partner for artificial insemination if the male is absent, and, most commonly, by private sperm donors or sperm donors donating through an agency. A sperm agency will generally supply the male collection kit to donors. The kit allows users to obtain sperm samples privately as opposed to in a fertility clinic, and samples may be obtained by sexual intercourse which usually results in greater fecundity. However, if sperm is being supplied by a donor, the use of a collection kit does not guarantee that the sample actually derives from a particular person.

Needle-less syringe

A needle-less syringe may be used to insert donor or partner sperm into the vagina for ICI inseminations. The syringe may be used by the recipient woman (self-insemination), or by a third party, often a nurse or doctor. With this type of syringe, it is necessary to wait until the semen liquifies before it can be used.

Syringes are also available which are specially designed for DIY inseminations using a donor. These consist of a funnel which is connected directly to the syringe. The donor ejaculates into the funnel allowing the semen to drop directly into the syringe. A plunger is inserted and the syringe is then placed vertically to expel the air. The semen is pushed to the tip of the syringe which may then be inserted into the vagina. This type of syringe has the advantage over the standard needle-less syringe in that semen can be used for an insemination immediately after ejaculation, without having to wait for it to liquify.

Catheter

A specially designed catheter
Catheter
In medicine, a catheter is a tube that can be inserted into a body cavity, duct, or vessel. Catheters thereby allow drainage, administration of fluids or gases, or access by surgical instruments. The process of inserting a catheter is catheterization...

 may be used to insert specially washed sperm directly into the uterus for IUI inseminations. The procedure is normally carried out by a physician and has a better pregnancy rate than ICI
ICI
ICI or Ici may mean:* ICI programming language, a computer programming language developed in 1992* Ici , an alternative weekly newspaper in Montreal, CanadaICI is also an abbreviation which may mean:...

 insemination. This method is commonly offered by fertility clinics using donor sperm because the increased pregnancy rate results in fewer donor samples being used for the same number of pregnancies.

Sperm separator

This invention consists of a sterile, disposable, compartmentalized swim-up column for the swimming-up of spermatozoa, at desired levels of dilution in a suitable media, and a swimming down of spermatozoa into compartments within the column. This device allows for the separation of semen samples in relation to sperm morphology, motility, progressive motility, speed, sperm concentration, fertilisation potential, and sex ratio. The device comprises a hollow, vertically supported column, having a closed lower end, and an open upper end. This device facilitates the use of particular concentrations of sperm for certain uses e.g. IUI or ART
ART
ART is a three-letter acronym that can mean:Medicine* The use of Antiretroviral drugs, in anti-retroviral therapy, for the treatment of HIV* Assisted reproductive technology* Androgen Replacement Therapy...

 and it also allows for fertilisation by the use of gender-separated sperm, although the use of the spearator for this purpose does not appear to be 100% reliable.

Vaginal speculum

A vaginal speculum is commonly used in artificial insemination procedures and are routinely used for IUI inseminations.

The device consists of two shaped flanges which are inserted into the vagina and can be opened and locked in the open position to allow the cervix to be viewed. A syringe containing sperm or a catheter may then be inserted through the open speculum and into the opened vagina. This device enables sperm to be more accurately deposited near to the cervix or, in the case of IUI, directly into the womb.

Disposable catheters are manufactured from plastic, while stainless-steel catheters may be sterilised and re-used.

Sperm-friendly lubricant

Conventional lubricants contain chemicals which may damage sperm. Sperm-friendly lubricants have been developed which specifically aid conception by creating a chemical balance in the vagina which is conducive to fertilisation.

Sperm-friendly lubricants are sometimes sold with an applicator so that the lubricant can be applied directly into the vagina. They are commonly used for inseminations by needle-less syringe, for NI
NI
NI is a two-letter abbreviation and may refer to:-Business:* National Instruments, a U.S. producer of automated test equipment and virtual instrumentation software...

 and for sexual intercourse
Sexual intercourse
Sexual intercourse, also known as copulation or coitus, commonly refers to the act in which a male's penis enters a female's vagina for the purposes of sexual pleasure or reproduction. The entities may be of opposite sexes, or they may be hermaphroditic, as is the case with snails...

 where the partners are attempting to achieve a pregnancy.

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See also

  • Assisted reproductive technology
    Assisted reproductive technology
    Assisted reproductive technology is a general term referring to methods used to achieve pregnancy by artificial or partially artificial means. It is reproductive technology used primarily in infertility treatments. Some forms of ART are also used in fertile couples for genetic reasons...

  • Infertility
    Infertility
    Infertility primarily refers to the biological inability of a person to contribute to conception. Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term...

  • Fertility monitor
    Fertility monitor
    A fertility monitor is an electronic device which may utilize various methods to assist the user with fertility awareness. A fertility monitor may analyze changes in hormone levels in urine, basal body temperature, electrical resistance of saliva and vaginal fluids, or a combination of these methods...

  • Artificial insemination
    Artificial insemination
    Artificial insemination, or AI, is the process by which sperm is placed into the reproductive tract of a female for the purpose of impregnating the female by using means other than sexual intercourse or natural insemination...

  • Sperm donation
    Sperm donation
    Sperm donation is the provision by a man, , of his sperm, with the intention that it be used to impregnate a woman who is not usually the man's sexual partner, in order to produce a child....

  • Sperm bank
    Sperm bank
    A sperm bank, semen bank or cryobank is a facility that collects and stores human sperm mainly from sperm donors, primarily for the purpose of achieving pregnancies through third party reproduction, notably by artificial insemination...

  • Designer babies
  • Surrogacy
    Surrogacy
    Surrogacy is an arrangement in which a woman carries and delivers a child for another couple or person. This woman may be the child's genetic mother , or she may carry the pregnancy to delivery after having an embryo, to which she has no genetic relationship whatsoever, transferred to her uterus...

The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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