Insertion of donated sperm directly into the uterus
Barrier methods
Methods of contraception which physically prevent sperm from reaching an ovum
Contraception
Prevention of fertilisation by physical or chemical methods
Intra-uterine devices (IUD)
Method of contraception which prevents implantation of a blastocyst into the endometrium
In vitro fertilisation (IVF)
Procedure involving fertilisation of eggs by sperm in laboratory containers
Intracytoplasmic sperm injection (ICSI)
Injection of sperm directly into an egg during IVF
Pre-implantation genetic diagnosis (PGD)
Genetic profiling of embryos prior to implantation during fertility treatments
Tubal ligation
Sterilisation procedure in which the oviducts are cut and tied
Vasectomy
Sterilisation procedure in which the sperm ducts are cut and tied
Conception depends on many factors interacting together and can lead to infertility
Our knowledge of the biology of fertilisation can be put to good use when designing treatments for infertility and when developing effective methods of contraception
Continuous fertility
Males are described as being continuously fertile because they produce sperm continuously from puberty onwards
Cyclical fertility
Females have cyclical fertility, due to the variation in both ovarian and pituitary hormones during the menstrual cycle
Females are fertile for only a few days each month
Fertile period
The fertile period lasts for approximately 5 days around the time of Ovulation
Calculating the fertile period
1. Body temperature
2. Cervical mucus
Women show cyclical fertility leading to a fertile period. Men show continuous fertility
Women are only fertile for a few days during each menstrual cycle. Men continually produce sperm in their testes so show continuous fertility
A woman's body temperature rises by around 0.5°C after ovulation and her cervical mucus becomes thin and watery
Infertility
About 10% of all couples are infertile
Stimulating Ovulation
1. Drugs which prevent the negative feedback effect of oestrogen on FSH secretion
2. Drugs which mimic the action of FSH (and to a lesser extent, the effects of LH)
Super ovulation
Condition where multiple follicles develop and multiple eggs are released
Super ovulation can result in multiple births
Artificial Insemination
Semen is collected and inserted into the female reproductive tract using a catheter
Intra-cytoplasmic Sperm Injection (ICSI)
A healthy sperm cell is injected directly into an ovum
In vitro fertilisation (IVF)
Ova are surgically removed, mixed with sperm in a culture dish, and the resulting embryos are screened and implanted into the uterus
2 or 3 viable embryos are placed into the female's uterus to increase the chance of successful implantation
Implanting 2 or 3 embryos can result in multiple births
Pre-implantation Genetic Diagnosis (PGD)
Cells are removed from embryos and tested for genetic abnormalities to identify the most suitable embryos for implantation
Barrier methods
Condom, diaphragm, cervical cap
Intra-uterine devices (IUD)
Small device inserted into the uterus, containing copper or synthetic hormone
Rhythm method
Avoiding intercourse during the fertile period by charting changes in cervical mucus and body temperature
Sterilisation
Vasectomy (males), Tubal ligation (females)
Combination contraceptive pill
Contains synthetic oestrogen and progesterone, suppresses ovulation
Progesterone-only pill
Contains only synthetic progesterone, thickens cervical mucus
Morning-after pill
Contains high doses of synthetic oestrogen and progesterone, suppresses ovulation and prevents implantation