Blog Post Title: Male Factor Infertility and Intra Cervical Insemination: A Step-by-Step Guide
Summary:
Infertility is a common issue that many couples face, with approximately 1 in 8 couples experiencing difficulty conceiving. While there are many factors that can contribute to infertility, male factor infertility is often overlooked and misunderstood. In this blog post, we will delve into the causes and treatment options for male factor infertility, specifically focusing on Intra Cervical Insemination (ICI).
Male factor infertility refers to any fertility issue that is caused by problems with the male partner’s sperm, such as low sperm count, poor sperm motility, or abnormal sperm morphology. It accounts for about 30% of all infertility cases and can be a result of various factors such as hormonal imbalances, genetic disorders, or lifestyle choices.
One of the most common treatments for male factor infertility is Intra Cervical Insemination (ICI). This is a relatively simple and non-invasive procedure that involves placing sperm directly into the cervix, increasing the chances of conception. In this blog post, we will provide a step-by-step guide to ICI, including the preparation, procedure, and success rates.
Step 1: Preparation
The first step in the ICI process is to undergo a thorough evaluation with a fertility specialist. This will include a comprehensive medical history, physical examination, and semen analysis. The semen analysis will assess the sperm count, motility, and morphology to determine the severity of male factor infertility.
If the semen analysis shows low sperm count or poor sperm motility, the fertility specialist may recommend certain lifestyle changes or medications to improve the sperm quality. This may include quitting smoking, reducing alcohol intake, and taking supplements such as folic acid, zinc, and vitamin C.
Step 2: Timing
Timing is crucial for ICI to be successful. The procedure is usually performed during ovulation, when the egg is released from the ovary and is most likely to be fertilized. Ovulation can be tracked through various methods such as ovulation predictor kits, basal body temperature charting, or ultrasound monitoring.

Male Factor Infertility and Intra Cervical Insemination: A Step-by-Step Guide
Step 3: Collection of Sperm
On the day of the procedure, the male partner will be asked to provide a fresh semen sample at the fertility clinic. The sample will then be washed and prepared in the laboratory to remove any impurities and concentrate the healthy sperm.
Step 4: Insertion of Sperm
Once the sperm sample is ready, the procedure will begin. The female partner will lie on an examination table, similar to a pap smear, and a speculum will be inserted into the vagina to visualize the cervix. The prepared sperm will then be inserted into the cervix using a thin, flexible catheter. This process is painless and usually takes only a few minutes to complete.
Step 5: Post-Procedure Care
After the procedure, the female partner will be asked to lie down for about 15-20 minutes to allow the sperm to reach the cervix and increase the chances of conception. It is also recommended to avoid any strenuous activity or sexual intercourse for the next 24 hours.
Success Rates of ICI
The success rates of ICI vary depending on the severity of male factor infertility and other factors such as the age of the female partner. On average, the success rate ranges from 10-15% per cycle, with a cumulative success rate of about 50% after six cycles.
If ICI does not result in a pregnancy after six cycles, the fertility specialist may recommend other fertility treatments such as Intrauterine Insemination (IUI) or In Vitro Fertilization (IVF).
In Conclusion
Male factor infertility can be a challenging issue for couples trying to conceive. However, with advancements in fertility treatments, such as ICI, many couples can still achieve their dream of having a child. If you and your partner are struggling with male factor infertility, consult with a fertility specialist to determine the best treatment option for you. Remember to stay positive and have patience as it may take a few cycles for ICI to be successful.







