Intra Cervical Insemination (ICI) is a common fertility treatment used to help couples who are struggling with recurrent pregnancy loss. This procedure involves placing sperm directly into the cervix, making it easier for the sperm to reach the egg and increasing the chances of conception. If you are considering ICI as a potential treatment option, it is important to know what to expect during the procedure. In this blog post, we will discuss everything you need to know about ICI and what you can expect during the procedure.
What is Intra Cervical Insemination (ICI)?
Intra Cervical Insemination (ICI) is a non-invasive fertility treatment that involves placing washed and prepared sperm into the cervix using a thin catheter. This procedure is often used as a first-line treatment option for couples struggling with fertility issues, such as unexplained infertility, cervical mucus issues, or low sperm count. ICI is also commonly used for same-sex couples or single women who are trying to conceive.
How does ICI work?
ICI works by bypassing the cervix and placing the sperm directly into the cervical canal, closer to the fallopian tubes where fertilization occurs. This increases the chances of the sperm reaching the egg and fertilizing it. The sperm used in ICI can either be from a partner or a donor, depending on the individual situation.
What to expect during the ICI procedure?
Before the procedure, your doctor will perform a thorough evaluation of your medical history and conduct various tests to determine the best course of treatment. This may include blood tests, ultrasounds, and a semen analysis. Once the initial testing is complete, the ICI procedure can be done in the doctor’s office and does not require anesthesia.
During the procedure, you will be asked to lie on an exam table with your feet in stirrups, similar to a pelvic exam. The doctor will then insert a speculum into your vagina to keep it open and visible. A thin catheter will then be inserted through the cervix and into the cervical canal. The prepared sperm will then be injected through the catheter and into the cervix. The entire procedure usually takes less than 15 minutes, and you can go home immediately after.
Is ICI painful?

Intra Cervical Insemination and Recurrent Pregnancy Loss: What to Expect During the Procedure
ICI is generally not a painful procedure, and most women report little to no discomfort during the procedure. However, you may experience some cramping or spotting afterward, which is normal. If you experience severe pain or bleeding, it is essential to contact your doctor right away.
What happens after the ICI procedure?
After the ICI procedure, you will be asked to lie down for a short period to allow the sperm to reach the fallopian tubes. You can resume your normal activities immediately after, but it is recommended to avoid strenuous exercise or sexual intercourse for 24 hours. Your doctor may also prescribe progesterone supplements to support the uterine lining and increase the chances of implantation.
How effective is ICI?
The success rate of ICI varies depending on individual factors such as age, fertility issues, and the quality of the sperm used. On average, the success rate for ICI is between 15-20% per cycle. It is important to note that ICI may not be effective for everyone, and multiple cycles may be needed to achieve pregnancy.
Risks and side effects of ICI
ICI is a relatively safe and low-risk procedure. However, as with any medical procedure, there are some potential risks and side effects. Some women may experience mild cramping, spotting, or discomfort during or after the procedure. In rare cases, there may be a risk of infection or damage to the cervix. It is essential to discuss any concerns or potential risks with your doctor before undergoing ICI.
In conclusion, Intra Cervical Insemination (ICI) is a non-invasive fertility treatment that can help couples struggling with recurrent pregnancy loss. The procedure involves placing prepared sperm directly into the cervix, increasing the chances of conception. It is a quick and relatively painless procedure, with minimal risks and side effects. If you are considering ICI as a treatment option, it is important to discuss it with your doctor and understand what to expect during the procedure.
Summary:
Intra Cervical Insemination (ICI) is a non-invasive fertility treatment that involves placing prepared sperm directly into the cervix to increase the chances of conception. The procedure is quick, relatively painless, and has minimal risks and side effects. It is commonly used for couples struggling with recurrent pregnancy loss or for same-sex couples and single women trying to conceive. Before the procedure, a thorough evaluation is done, and the procedure itself takes less than 15 minutes. Afterward, it is recommended to avoid strenuous activity and sexual intercourse for 24 hours. The success rate of ICI varies, and multiple cycles may be needed to achieve pregnancy.






