Intra Cervical Insemination: A Gentle and Effective Fertility Treatment for Women with Ectopic Pregnancy History
Ectopic pregnancy, also known as tubal pregnancy, is a condition in which a fertilized egg implants itself outside of the uterus, typically in the fallopian tubes. This can be a serious and potentially life-threatening issue for women, as the fertilized egg cannot develop properly outside of the uterus. Unfortunately, women who have experienced ectopic pregnancies may also struggle with fertility issues, making it difficult for them to conceive.
For these women, intra cervical insemination, or ICI, may be a gentle and effective fertility treatment option. In this blog post, we will explore what ICI is, how it works, and why it may be a good choice for women with a history of ectopic pregnancy.
What is Intra Cervical Insemination?
Intra cervical insemination is a fertility treatment in which washed sperm is placed directly into the cervix using a catheter. The goal of this procedure is to increase the chances of fertilization by delivering the sperm closer to the egg. This is different from the more commonly known intrauterine insemination (IUI), in which the washed sperm is placed directly into the uterus.
How Does it Work?
ICI works by bypassing the cervix and placing the sperm directly into the cervical canal. This allows the sperm to reach the uterus and fallopian tubes more quickly and easily, increasing the chances of fertilization. The procedure is typically performed in a doctor’s office and is relatively quick and painless.
First, the sperm is collected and washed to remove any impurities and to concentrate the healthy sperm. The woman then lies on her back with her feet in stirrups, similar to a pelvic exam. The doctor will insert a thin catheter through the cervix and into the cervical canal, then the washed sperm is injected through the catheter into the cervical canal.
The procedure itself usually takes around 10-15 minutes and is relatively painless. Some women may experience mild cramping, but this usually subsides quickly.
Why is it a Good Choice for Women with Ectopic Pregnancy History?

For women who have experienced ectopic pregnancies, ICI may be a good fertility treatment option for several reasons.
Firstly, ICI is a gentler and less invasive procedure compared to other fertility treatments such as in vitro fertilization (IVF). IVF involves extracting eggs from the ovaries and fertilizing them in a laboratory before transferring them back into the uterus. This process can be physically and emotionally taxing for women, especially those who have experienced ectopic pregnancies in the past.
Additionally, ICI allows for the sperm to bypass the fallopian tubes, which may have been damaged or blocked due to previous ectopic pregnancies. This increases the chances of fertilization and reduces the risk of another ectopic pregnancy.
Furthermore, ICI is a more cost-effective option compared to other fertility treatments. IVF can be quite expensive and may not be covered by insurance, making it inaccessible for many women. ICI, on the other hand, is a less expensive procedure and may be more accessible for those with limited financial resources.
What are the Success Rates of ICI?
The success rates of ICI vary depending on various factors such as the woman’s age, overall health, and the quality of the sperm being used. On average, the success rate of ICI is around 10-15% per cycle. However, this success rate can increase with multiple cycles of ICI.
It is also important to note that ICI success rates may be lower for women with a history of ectopic pregnancies. However, studies have shown that ICI can still be a viable option for these women, with success rates of up to 10% per cycle.
Are There Any Risks or Side Effects?
ICI is generally a safe procedure with minimal risks and side effects. However, as with any medical procedure, there are some potential risks to be aware of. These may include mild cramping, spotting, or infection.
Some women may also experience emotional stress or frustration if ICI is not successful in achieving pregnancy. It is important to discuss any concerns or anxieties with your doctor beforehand and to have a support system in place during and after the procedure.
In summary, ICI is a gentle and effective fertility treatment for women with a history of ectopic pregnancies. It allows for a less invasive and less expensive option compared to other fertility treatments, with a relatively high success rate. However, it is important to consult with a doctor to determine if ICI is the right choice for individual circumstances.
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