WHAT IS EVIE: SLOW RELEASE INSEMINATION (SRI)
Slow Release Intra-Uterine Insemination (SRI) treatment makes use of Evie, a small single-use pump, which slowly releases sperm into the uterus over four hours via a balloon catheter and an insemination syringe.
Unlike standard
Intrauterine Insemination (IUI), which propels the sperm solution into the uterus immediately, EVIE mimics nature by slowly and gently releasing the sperm which maximises the opportunity for the sperm to reach the egg and achieve fertilisation.
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Increased pregnancy rates: Clinical trials have shown EVIE, via slow release insemination, more than double the chance of pregnancy compared to standard IUI (for women under 35 years of age).
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Cost-effective, with a fraction of the cost of an IVF cycle
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Reduced risks of lost sperm discharging into the pelvic cavity
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Less invasive compared to more complex procedures such as IVF
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Reduced risks of polyspermia and immunological reactions
WHY DOES SRI IMPROVE SUCCESS RATES?
- Increased duration of potential contact between sperm and egg
- Decreased risks of sperm flowing back into the vagina
- Decreased risks of sperm discharging into the abdomen via fallopian tubes
- Avoids risk of possible polyspermia (when the ovum has been fertilized by more than one sperm, which leads to a non-viable zygote). This may occur because of stronger sperm competition with bolus IUI as the sperm are too efficient at reaching and fertilizing the ovum.
- Avoids risk of triggering an immune reaction
WHO IS EVIE-SRI SUITABLE FOR
EVIE may be recommended as a first line
fertility treatment in Singapore if one or more of the following apply
- A couple with unexplained infertility
- Your male partner has mild male sub-fertility
- You have Endometriosis (grade1 or 2) and have intact fallopian tubes
- Female has cervical mucus problem
- Your male partner has anti-sperm antibodies
- Ejaculation not possible due to impotence or vaginismus
- Retrograde ejaculation (where the semen travel backwards in the bladder)
For more information on EVIE IUI please contact our clinic for a consult
For more information on EVIE click on this link
http://fertiligent.com/
PRIOR TO THE VISIT
When you leave the clinic, the EVIE device will be strapped to your right thigh. Whilst it is small and discreet, it may be visible and uncomfortable if clothes are tight-fitting. We recommend a knee-length loose skirt/dress as well as larger and looser style briefs to avoid discomfort with the catheter. Tights should be avoided.
In the interest of your comfort, we recommend you visit the bathroom prior to having your EVIE device fitted.
DURING THE VISIT
The sperm (from your partner or a donor) will be prepared in advance for your treatment by the time you arrive. Sperm preparation can take around an hour and your actual procedure will take around 15 minutes.
It is recommended to book an appointment slot as each clinic duration varies.
EVIE is similar to a regular IUI procedure or other routine examinations like a smear. It is less invasive than other fertility treatments in Singapore such as IVF and ICSI.
A thin catheter is placed into the uterus and is generally a quick, simple process. You may experience mild cramping, as with other similar procedures. Your doctor may suggest that you take mild pain relief to minimise this. Once the device is in place, the doctor will note the “Start Time” and “End Time” and will talk you through the simple process of removing the device after four hours. You will be given a copy of the start and end times as well as instructions for removal.
AFTER THE VISIT
The procedure with EVIE is simple, quick and convenient. You can leave the clinic soon after your EVIE device is in place and activated.
Whilst you are free to drive and walk around, we recommend that you relax in a comfortable position for the duration of the four-hour treatment. You should try to avoid sudden vigorous movement of the device or catheter whilst the EVIE process is in progress. You can visit the bathroom but avoid bowel movements to minimise any risk of infection, if possible. Physical exercise and intercourse should be avoided until the device has been removed.
The doctor will explain the process to you and provide a copy of the “Instructions for Removal”.
Step 1: After four hours, push Button 2 firmly until it moves inward. The button should remain depressed for a few seconds or you should press it several times. By pressing this button you are ensuring that all of the sperm is used.
Step 2 (Important): Open the stopcock on the catheter to deflate the balloon at the end of the catheter. Removing the catheter with the balloon inflated may cause pain. A small amount of fluid previously used to inflate the balloon will be released. This is nothing to worry about and should not be confused with sperm.
Step 3: Slowly and gently withdraw the catheter.
Step 4: Once you have removed the catheter you can release the leg strap and remove the device.
Step 5: Place the entire device, including the catheter and leg strap, into the disposal bag supplied. Discard in the normal household waste. The device and catheter should not be put with waste for recycling.
In the unlikely event if you do experience any issues during the use or removal of your EVIE device, you should contact the clinic for advice.
In the unlikely event you do experience any issues during use or removal of your EVIE device, you should contact the clinic for advice.
Any side effects are likely to be very minor. These may include spotting and mild cramping. There is a very small risk of infection following any procedure of this nature. If you notice any bleeding (other than spotting) or if you feel unwell, you should contact the clinic for advice.
Contact Us Today
Considering SRI treatment? Speak to our fertility doctor in Singapore to discuss your options at 6472 7988.