Intra Cervical Insemination (ICI) is a commonly used fertility treatment that involves inserting washed and concentrated sperm directly into the cervix. This procedure is gaining popularity as a viable option for women with retroverted uterus and unexplained infertility. In this blog post, we will delve into the details of ICI, its benefits, and why it is a suitable option for women facing these specific challenges.
Firstly, let’s understand what a retroverted uterus is. A retroverted uterus, also known as a tipped or tilted uterus, is a condition in which the uterus tilts backward instead of forward towards the bladder. This is a common condition that affects approximately 20% of women. While it does not usually cause any symptoms or complications, it can sometimes make it difficult for sperm to reach the egg, leading to infertility.
Unexplained infertility, on the other hand, is a diagnosis given when a couple has been trying to conceive for at least a year, but no specific cause for their infertility has been identified. It can be a frustrating and emotionally taxing experience for couples who are trying to start a family.
So, how does ICI help in these situations? Let’s find out.
ICI is a minimally invasive and relatively simple procedure that can be performed in a doctor’s office or fertility clinic. It involves the use of a thin catheter to insert washed and concentrated sperm into the cervix, close to the opening of the uterus. This increases the chances of sperm reaching the egg and fertilizing it.
One of the main benefits of ICI is that it bypasses the cervical mucus barrier. Cervical mucus is a natural barrier that sperm must pass through to reach the uterus. However, in women with retroverted uterus, the angle of the cervix makes it difficult for sperm to pass through this barrier. With ICI, the sperm is deposited directly into the cervix, eliminating this barrier and increasing the chances of fertilization.

Moreover, ICI requires a smaller amount of sperm compared to other fertility treatments such as intrauterine insemination (IUI) or in vitro fertilization (IVF). This is beneficial for couples who have a low sperm count or quality, as it reduces the pressure on the available sperm to reach the egg. Additionally, ICI is a less expensive option compared to other fertility treatments, making it a more accessible choice for couples.
ICI also has a higher success rate compared to timed intercourse, where couples attempt to conceive during the woman’s fertile window. This is because ICI ensures that the sperm is deposited at the right place and time for fertilization to occur. In cases of unexplained infertility, where the cause of infertility is unknown, ICI can be a more effective option compared to timed intercourse, as it eliminates any potential barriers that may be hindering fertilization.
Furthermore, ICI can be combined with other fertility treatments, such as mild ovarian stimulation, to increase the chances of pregnancy. This makes it a versatile option for couples with different fertility challenges.
It is important to note that ICI is not suitable for all types of infertility. For instance, if the woman has blocked fallopian tubes or her partner has a low sperm count or quality, other fertility treatments may be more appropriate. It is always recommended to consult with a fertility specialist to determine the best course of action based on individual circumstances.
In conclusion, ICI is a viable option for women with retroverted uterus and unexplained infertility. It bypasses the cervical mucus barrier, requires a smaller amount of sperm, has a higher success rate compared to timed intercourse, and can be combined with other fertility treatments. It is a minimally invasive and cost-effective option that offers hope to couples struggling with these challenges. If you are facing these issues, consider discussing ICI with your fertility specialist to determine if it is the right option for you.
In summary, Intra Cervical Insemination (ICI) is a fertility treatment that involves inserting washed and concentrated sperm directly into the cervix. It is a suitable option for women with retroverted uterus and unexplained infertility, as it bypasses the cervical mucus barrier and requires a smaller amount of sperm. ICI has a higher success rate compared to timed intercourse and can be combined with other fertility treatments. However, it is not suitable for all types of infertility, and it is important to consult with a fertility specialist to determine the best course of action.








