Following medical and halachic consultation, some cases of ovulation prior to immersion can be resolved with at-home insemination. This type of insemination is suitable only when there are no problems with the husband’s sperm, and no additional fertility issues.
When necessary, insemination is generally permitted during niddah. This follows the view that conception during niddah is viewed negatively only when it is accomplished through prohibited relations.
At-home insemination has the benefit of being more informal and private for the couple. However, the likelihood of conception is lower than with intra-uterine insemination (IUI) for two main reasons. First, it does not include a sperm-washing procedure to help maximize the odds of conception. Second, it inseminates the semen into the upper vaginal canal, and not directly into the uterus.
The likelihood of conceiving with at-home insemination in a given cycle is also somewhat lower than that of conceiving with intercourse.
To perform at-home insemination:
- Collect semen into a sterile cup. (Learn more about semen collection here.)
- Draw semen into a 2-5cc syringe.
- Insert the syringe into the vaginal canal and release the semen.
- Lie down with the pelvis raised at an angle for fifteen to twenty minutes.
When at-home insemination is performed during the clean days, it extends their counting, delaying immersion.
A day on which a woman expels semen cannot be counted as one of the seven clean days, but does not cancel out the clean days that have already been counted. From a halachic standpoint, semen is considered viable for 72 hours, after which it has no further halachic significance. Therefore, a woman who performs at-home insemination during the seven clean days will need to delay immersion by four days. For example, if insemination takes place on Monday, which should have been the fifth day of the clean days, she might expel semen on Monday, Tuesday, Wednesday, or Thursday. She skips those four days. Friday thus becomes the new fifth day, and she can immerse on Sunday night.