artificial insermination
please advise where can we get insemination service in africa and at what cost,
bg, it is done by gynaecologist all over sa. ask your gp to refer your wife to someone in your area. the gynaecologist will be able to tell you whether ai is the correct option for her and what the costs involved are. good luck.
total cost labour only would be around £800-900 if you have any questions please feel free to call adrian to answer this question we have to take into account several aspects. 

the first of these is the assessment of the male factor. when we speak of oligoazoospermia we refer to a low concentration of sperm in the semen. we consider an altered concentration when there are less than 15 million spermatozoa per milliliter (ml) of ejaculate. 

but although 15 million per ml is the reference parameter for talking about oligoazoospermia, when we assess the seminogram we must take into account the degree of deviation from that normality. that is, a concentration of 13 million/ml, where we would speak of a mild oligoazoospermia, is not the same as 1 million/ml, where we would speak of a severe oligoazoospermia. in addition we must also assess the other parameters of the study of the semen (total volume, motility). 

in order to group all the important parameters of the seminogram into a single value that will help us decide which assisted reproduction technique to use, the concept of msc (mobile sperm count) is established. this tells us the number of spermatozoa with good motility in each milliliter of ejaculate after the training of the semen in the laboratory. 

it is considered that in order to perform an artificial insemination (ai), the msc must be over 3 million spermatozoa. 

therefore, as far as the male factor is concerned, it will depend on the severity of the oligoazoospermia and how it influences the msc whether the technique of choice is an ai or, on the contrary, we have to opt for a more complex technique, such as in vitro fertilization (ivf). 

the second aspect to take into account is the female factor. in this case we are presented with a woman with a polycystic ovary syndrome (pcos). pcos is an endocrine pathology that is often difficult to achieve ovulation. when a woman is unable to ovulate, she will not be able to become pregnant and the clinic that most women with pcos consult for will appear, which is the absence of menstruation. 

thus, what we must do with this patient is to give her medication to help her achieve, first, follicular development and, later, ovulation. once ovulation is achieved, the semen sample should be added either by ai or by directed intercourse. one option or the other will depend on the quality of the semen. 

to achieve ovulation in a patient with pcos we perform an "ovulation induction" treatment. for this we have several therapeutic options. as first-line drugs we would have the drugs for oral administration (clomiphene citrate and letrozole) and, as second-line treatment, we would have the drugs for subcutaneous administration (gonadotropins). 

even so, before considering ovulation induction treatment in a patient with pcos, we should assess the patient's age. the main reason for this is that ovulation induction treatments end with ai or directed intercourse. it is known that women over 38 years of age do not benefit from these techniques due to poor egg quality. in such cases, the first option should be an ivf. 

therefore, and in response to the initial question, the most likely treatment of choice for this couple is ai with ovulation induction, but before indicating such a technique we must take into account other parameters such as emr and the age of the patient. i agree w/ the pp. have him evaluated for free at &quot;early intervention&quot;. intrauterine insemination (iui) procedures are performed at 24 to 36 hours after hcg trigger shots are given with ovary stimulation medication. patients diagnosed with unexplained infertility may benefit from earlier iui procedures, which helps in increasing their fertility levels during ovulation with gonadotropins. first of all, your wife has very high level of thyroid, sugar and cholesterol. these need to be controlled before starting the treatment. also, doctor will perform certain fertility tests on both of you to check whether you are eligible for ivf or not. the cost of ivf in india varies from rs. 1,50,000 to rs. 3,00,000 depending upon case to case. yes, we do offer this service via "malcolm agency services". 

[see here for further details and to get a quote.](https://malcolm.app/services) hey there 😊 sorry for the delay! this might be a bit tricky as we are unable to ship you a sim card that you would need to use our service there.if you are able to have someone visit one of our stores and purchase a sim starter kit ($20) and activate it on our $40/month simply prepaid plan then ship you the sim card, you can place the sim in any t-mobile compatible phone and use our service. just so you are aware, it is $1.49/min for incoming and outgoing calls and text messages are $0.50 to send, $0.10 to receive so you will need to add extra funds to your account to be able to use your service there. also, please be aware that while the plan comes with 3gb of high-speed data, you will not be able to use data services while roaming in another country with this plan. i do not think that the advertising anywhere says that it is free.. there is a $20/yr fee for the service.. the first year is included with the purchace of the device..   

  

calls to the US/CAN are included international calls need to be prepaid for... there is no hack to allow you to make free calls internationally, and even if there was, this would be theft of service and illegal..   

  

<http://voipbuster.com> will allow you to make free calls to puerto rico, spain and many other destinations... calls to   

chile are 1c/min   

brazil 3c/min   

united kingdom 1c/min   

[http://www.voipbuster.com/en/calling-rat...](http://www.voipbuster.com/en/calling-rates.html#letc)   

  

MJ international rates for   

spain are 2.2c/min   

united kingdom 2.2c/min   

chilie 4.4c/min   

brazil 5.4c/min   

<http://www.ymaxcorp.com/clec_rates.html> (ymax is MJ parent company)   

there are no rates for PR so calls to PR should be included... Unfortunately, your question requires a lot of work and cannot be done for free.   
Submit it with all requirements as an assignment to our control panel and we&#039;ll assist you. Please post your code so that we can help you.