Your doctor may recommend a treatment next. Various treatments include: timed intercourse, Intrauterine insemination (IUI), or in vitro fertilization (IVF).
Niddah:
Find out from your doctor what these treatments involve. If catheters are used, find out the sizes. Present this information to your Rav in order to determine whether these procedures make you nidda.
Be open with your doctor and your Rav about nidda before and during your cycle. Doctors can manipulate cycles to ensure that you are tehora when you need to be.
If you anticipate having trouble with being tehora during your treatment, ask your doctor if he recommends freezing a backup sample from your husband. Ask your Rav if this is mutar.
If you are having an IUI done with a frozen sample and you anticipate still being in zayin nekeyim during the IUI, ask your Rav if you should go to the mikvah before having the IUI for the sole purpose of being tehora min hatorah during the procedure. This enables any child conceived during the procedure to not be a ben niddah. If your Rav allows this, you are still considered niddah with regards to your husband until you complete zayin nekeyim and tovel at the right time. Going to the mikvah early does not effect your status with regard to your husband. You must still complete zayin nekeyim and go to the mikvah again in order to be tehora.
Husband’s Help with Injections:
Injections can be scary. Ask a Rav if your husband can help you with injections when you are nidda. If the Rav says that your husband can help you, ask your Rav, what the best method is for your husband to help you. To avoid having these sheilos, A TIME publishes a list of female nurses across the United States who can help you with your injections if you are too scared to do them yourself. Centers can also recommend injection services or nurses who can come to your house to give you injections.
Hashgacha:
Find out from your Rav if you need hashgacha for the planned treatment. Find out if A TIME offers hashgacha in your area. Ask your Rav what you should do if you need hashgacha and it is not offered in your area.
Producing the Husband’s Sample:
Ask a Rav how it should be done. If you are told to use a perforated condom, you can use a clean, sterile, subcutaneous needle (any needles used with lupron, menopur, gonal f, or follistim) to perforate the condom the doctor gives you.
Ask the doctor if you are allowed to produce the sample at home. If so, be careful to transport the sample at body temperature (in your pocket, close to your body, etc) and give it to the lab as quickly as possible. Usually labs recommend getting the sample to the lab within an hour or two.
If the doctor requires you to produce the sample onsite, please check with a Rav whether this is permissible (either in terms of your husband producing it by himself or in terms of producing it together onsite). Pleading and begging with the doctor can work. If that does not work, you can tell the doctor that you can’t produce it onsite for religious reasons and if you can’t produce it at home, you will have to cancel the cycle. Good luck. 🙂
If you are getting the husband’s sample by a biopsy or procedure (TESE, PESA, or MESA), please ask a Rav before performing the procedure.
Finding Meaning in the Journey: 