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Vaginal inseminations can be done with washed (IUI) or raw (ICI) vials. We will ship vials to your home. Retrieving and thawing the vials • Before retrieving the vial(s), please put on protective gloves of some kind (latex, gardening, or dishwashing gloves), as the vial(s) will initially be too cold to touch with your bare hands. • Each vial will be labeled with the donor number, date of ejaculate, and the initials TSBC—please check to confirm that you’ve received the desired sample(s).

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• To thaw the vial, let it sit at room temperature for thirty minutes. Once thawed, the contents of the vial will be liquid. Warm the vial to body temperature in your hands or under your arm before inseminating. • Please note: once you have thawed a vial, you cannot refreeze the sperm. (And please do not store the vial in your refrigerator or freezer prior to thawing—a standard freezer is not sufficiently cold to keep sperm frozen.) Doing a Vaginal Insemination If you are planning on inseminating at home we will provide you with a needle-less syringe for vaginal insemination.

Remove the syringe from the plastic wrap, and pump the plunger in and out a couple of times to break the seal. Shake the thawed vial well before removing its lid, then insert the tip of the syringe into the vial and draw the semen into the syringe by pulling the plunger up (be careful not to pull the plunger all the way out of the syringe). There’s sufficient suction in the syringe that you can put a full syringe down without the semen coming out. Do not clean the syringe before using it; even rinsing the syringe with plain water could kill sperm.

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Get comfortable and lie down with your hips elevated on pillows. You may want to put a towel beneath you, as you will leak seminal fluid (but not sperm) after inseminating. Reach to the back of your vagina to locate your cervix, which should feel round and smooth, like the tip of your nose. Insert the full syringe, directing its tip toward the top of your cervix, remove your fingers, and depress the plunger.

Remain lying down with your hips elevated for about fifteen minutes to half an hour. It can also be helpful to have an orgasm after insemination (provided no penetration is involved), as the uterus will lift up, causing the cervix to dip down into the pool of sperm, while the contractions of orgasm will help move the sperm up into the uterus. Other Types of Inseminations You can also use vials of donor sperm for Intrauterine Inseminations (IUI) or In Vitro Fertilization (IVF). Please call for more information or contact your Medical Professional. At Home IUI Inseminations (Bay Area) • Andrea Ruizquez CPM: Fertility Support and in home IUIs • with Midwife Michelle Edgar: In home conception assistance • with Midwife Michelle Borok: Home Insemination and Fertility Services • Home Insemination and Fertility Services.