What Is Artificial Insemination with Husband’s Sperm (AIH)?

By (embryologist), (gynecologist), (embryologist), (embryologist), (embryologist) and (psychologist).
Last Update: 03/21/2022

Artificial insemination by husband and wife (AIH) is a type of artificial insemination in which the husband's or partner's semen is used.

AIH is one of the simplest and least invasives assisted reproduction techniques available and, therefore, its cost is low. Each IAH cycle has an approximate price of 1000-1700$.

Their success rate is not very high, around 10% calving rate per cycle. However, the cumulative rate of AIH can increase to approximately 50% after four attempts have been made.

Requirements indications

In general, spousal artificial insemination is recommended for young couples with a mild cause of infertility who, after one year of unprotected sexual intercourse, have not yet achieved pregnancy.

For the treatment to be successful, it is recommended that the woman is not older than 36 years and that her ovarian reserve is good. In addition, it is imperative that:

  • The woman has patent fallopian tubes.
  • The male presents semen with acceptable quality.

If these requirements are met, AIH could be the reproductive solution for patients.

The most common indications for AIH are discussed below:

You can read more about it here: Basic requirements for intrauterine artificial insemination.

How is the AIH process?

As we have already mentioned, the artificial insemination procedure is very simple and consists of the different steps:

Controlled ovarian stimulation
a gentle stimulation is performed so that only one or two ovarian follicles develop.
Semen training
the man gives a semen sample obtained by masturbation on the day of the artificial insemination. This semen sample is processed in the laboratory to remove the seminal plasma and keep only the progressive motile sperm.
Artificial insemination
about 36 hours before insemination, the woman is administered a drug to induce ovulation. Then, on the day of insemination, the partner's capacitated semen is introduced into the woman's uterus with an insemination cannula.

If you want more detailed information on the steps of artificial insemination, you can consult this article: How is artificial insemination performed step by step?

Percentage of success

Since it is one of the simplest assisted reproduction treatments, the success rates of artificial insemination are also not very high. According to the latest report published by the Spanish Fertility Society (SEF) with the results of Spanish assisted reproduction centers in 2019, the success rates of AIH were as follows:

Pregnancy rate
15.3% (insemination pregnancies)
Delivery rate
11.9% (insemination births)
Single birth rate
91.4% (single deliveries per total number of deliveries).
Multiple birth rate
8.6% (multiple births per total number of births)
Abortion rate
22.1% (miscarriages per number of pregnancies).

One of the most important factors determining the success of artificial insemination is the age of the woman. The younger the woman, the higher the pregnancy rate and delivery rate.

In case of a negative result with the first cycle of AIH, it is advisable to perform another cycle to increase the probability of success, as AIH has a cumulative pregnancy rate of 50-60% after 4 attempts.

According to Dr. Gorka Barrenetxea:

In artificial inseminations there is a cumulative success rate, it can be 60% in conjugal inseminations, it can be 80% in donor sperm inseminations, after 4 or 6 attempts.

Logically, the cumulative rate is the information that we must give to the woman when she starts an insemination treatment. Look, we are going to do this treatment that consists of this procedure, your chances of pregnancy per cycle are so many, but in 4 attempts this is the chance of pregnancy that you have. You should know that some get pregnant on the first try, others get pregnant on the fourth, and a percentage do not get pregnant even after 4 attempts.

In the case of AIH, a fifth insemination cycle is not recommended because pregnancy rates no longer increase. These couples will have to resort to in vitro fertilization (IVF) to have a better chance of becoming parents.

If you need more information about IAC success rates, you can consult this article: Artificial insemination results.

How much does it cost?

AIH is the most economical assisted reproductive technique compared to the rest. Its price varies between 1.000 and 1.700$, although this depends on the clinic and the specific state.

It should also be noted that the price of medication for ovarian stimulation and endometrial preparation is not usually included in the AIH budget. This may involve an additional cost of about €100-600, depending on what kind of fertility drugs are used per cycle.

Therefore, it is very important to compare several quotes between clinics and resolve all possible doubts before starting any treatment. Some clinics offer discounts after the second attempt or other promotions.

Assisted procreation, as any other medical treatment, requires that you rely on the professionalism of the doctors and staff of the clinic you choose. Obviously, each clinic is different. Get now your Fertility Report, which will select several clinics for you out of the pool of clinics that meet our strict quality criteria. Moreover, it will offer you a comparison between the fees and conditions each clinic offers in order for you to make a well informed choice.

On the other hand, in the case of artificial insemination by Social Security, it is essential to comply with all the requirements demanded by the public system. Normally, the criteria for access to fertility treatment covered by insurance are usually an age under 40 years and no previous children with the same partner. However, each insurance company has its own particular requirements.

FAQs from users

Is artificial insemination by husband the same in serodiscordant couples and in healthy couples?

By Mark P. Trolice M.D., F.A.C.O.G., F.A.C.S., F.A.C.E. (reproductive endocrinologist).

Due to advances in sperm washing techniques and large medical studies, HIV serodiscordant couples can be offered IUI (intrauterine insemination) provided the semen sample from a HIV positive man is prepared in a reproductive laboratory capable of appropriate preparation of the specimen in order to maximize the reduction of HIV transmission to the woman and baby.

What are the main steps in the AI process?

By Andrea Rodrigo B.Sc., M.Sc. (embryologist).

The processes of conjugal and donor artificial insemination are practically the same. The main steps are as follows:

  • Gentle ovarian stimulation
  • Ovulation induction
  • Thawing of the donor semen sample and sperm capacitation (if it was not already capacitated). Donor samples are usually frozen already capacitated.
  • Insemination (semen sample introduction)
  • Pregnancy test

Read more

By Sara Salgado B.Sc., M.Sc. (embryologist).

No, it is not possible. When a woman is married or in a civil relationship, the clinic needs her consent and her husband's approval to proceed with the fertility treatment of choice, either AI or IVF. In case of divorce, consent would be required as well.

It is possible, however, if the couple is divorced or separated and the woman wants to get pregnant through IUI with donor sperm, as the man would not be considered to be the legal father of the child, that is, he would have no legal right or responsibility to the baby.

What tests does the husband have to pass in order to do the AIH?

By Patricia Recuerda Tomás B.Sc., M.Sc. (embryologist).

The previous studies to be performed by the male for the performance of an artificial insemination are the following: Negative serologies for HCV, HBV (HBsAg, HBsAc, HBcAc), HIV 1 and 2, RPR.

In addition, a normozoospermia result in the seminal sample of the male with a motile sperm recovery higher than 5 million in previous seminograms.

If you want to continue reading more about artificial insemination treatment, we recommend you to access the following post: Advantages and disadvantages of artificial insemination.

You may have some doubts about the choice of the most appropriate treatment. For this reason, we recommend the reading you will find here: Differences between artificial insemination and in vitro fertilization.

We make a great effort to provide you with the highest quality information.

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References

Ibérico G, Vioque J, Ariza N, Lozano JM, Roca M, Llàcer J, Bernabeu R (2004). Analysis of factors influencing pregnancy rates in homologous intrauterine insemination. Fertil Steril;81:1308 – 1313.

Sociedad Española de Fertilidad. Registro Nacional de Actividad 2019-Registro SEF (see)

The ESHRE Capri Workshop Group (2009). Intrauterine insemination. Human Reproduction Update; 15 (3): 265–277.64

FAQs from users: 'Is artificial insemination by husband the same in serodiscordant couples and in healthy couples?', 'What are the main steps in the AI process?', 'Can I undergo artificial insemination without husband's consent?', 'What tests does the husband have to pass in order to do the AIH?', 'Can I undergo artificial insemination with my husband's sperm if he is dead?', 'AIH vs. AID, what's the difference?', 'Can I get started with IUI even though my husband's traveling?' and 'What are the benefits of using your husband's sperm cells to get pregnant?'.

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Authors and contributors

 Andrea Rodrigo
Andrea Rodrigo
B.Sc., M.Sc.
Embryologist
Bachelor's Degree in Biotechnology from the Polytechnic University of Valencia. Master's Degree in Biotechnology of Human Assisted Reproduction from the University of Valencia along with the Valencian Infertility Institute (IVI). Postgraduate course in Medical Genetics. More information about Andrea Rodrigo
 Gorka Barrenetxea Ziarrusta
Gorka Barrenetxea Ziarrusta
M.D., Ph.D.
Gynecologist
Bachelor's Degree in Medicine & Surgery from the University of Navarra, with specialty in Obstetrics and Gynecology from the University of the Basque Country. He has over 30 years of experience in the field and works as a Titular Professor at the University of the Basque Country and the Master's Degree in Human Reproduction of the Complutense University of Madrid. Vice-president of the SEF. More information about Gorka Barrenetxea Ziarrusta
License: 484806591
 Marta Barranquero Gómez
Marta Barranquero Gómez
B.Sc., M.Sc.
Embryologist
Graduated in Biochemistry and Biomedical Sciences by the University of Valencia (UV) and specialized in Assisted Reproduction by the University of Alcalá de Henares (UAH) in collaboration with Ginefiv and in Clinical Genetics by the University of Alcalá de Henares (UAH). More information about Marta Barranquero Gómez
License: 3316-CV
 Patricia Recuerda Tomás
Patricia Recuerda Tomás
B.Sc., M.Sc.
Embryologist
Bachelor's Degree in Biology from the University of Alcalá de Henares. Master’s Degree about the Theoretical Basis and Laboratory Procedures in Assisted Reproduction from the University of Valencia (UV). Extensive experience working at several Assisted Reproduction laboratories. More information about Patricia Recuerda Tomás
License: 19882M
 Zaira Salvador
Zaira Salvador
B.Sc., M.Sc.
Embryologist
Bachelor's Degree in Biotechnology from the Technical University of Valencia (UPV). Biotechnology Degree from the National University of Ireland en Galway (NUIG) and embryologist specializing in Assisted Reproduction, with a Master's Degree in Biotechnology of Human Reproduction from the University of Valencia (UV) and the Valencian Infertility Institute (IVI) More information about Zaira Salvador
License: 3185-CV
Adapted into english by:
 Cristina  Algarra Goosman
Cristina Algarra Goosman
B.Sc., M.Sc.
Psychologist
Graduated in Psychology by the University of Valencia (UV) and specialized in Clinical Psychology by the European University Center and specific training in Infertility: Legal, Medical and Psychosocial Aspects by University of Valencia (UV) and ADEIT.
More information about Cristina Algarra Goosman
Member number: CV16874

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