Intra-cervical insemination or ICI is the procedure by which a woman is able to conceive. This procedure is akin to artificial insemination. Insemination is a tedious process. It can happen in different ways. Read on to know more about the procedure.
ICI or intra-cervical insemination is similar in concept to
the IUI or intra
uterine insemination but different in procedure. This is an artificial
insemination process that can help the woman conceive a child when the couple
has certain medical conditions that bar her from experiencing the joy of
motherhood. In this process the sperm is artificially placed inside the vagina
of the woman. Insemination happens in four ways:
insemination or ICI
inside the cavity of the womb that is the IUI or intrauterine
inside the pelvis that is at an area adjacent to the tubes and ovaries.
The medical term for this procedure is intraperitoneal insemination.
Barring the first one, the other three are artificial
procedures and nowadays in majority of the clinics the husband or the male
partner is asked to be present in the room where the procedure takes place.
This way he can feel connected with the woman during the insemination
How is Intra-Cervical
Insemination (ICI) carried out?
Follicle - In ICI, the insemination is carried out during the natural or
the stimulated cycle. If it is through a stimulated cycle, it will require the
administration of fertility
drugs in order to trigger the stimulation of the ovaries of the woman. The
objective is to cause the production of two or three follicles instead of the
usual one follicle.
- Physicians always make it a point to make the patient completely aware of the
risks involved in this hyper-stimulation process. This means that there are
possibilities of the woman experiencing certain discomfiture and side effects
that are associated with the process itself.
- As a usual practice it is found that woman who experience normal ovulation
cycles, require an offering of four to six donor insemination cycles. In such
cases the entire process of medically stimulating the ovaries can be done away
with. This in fact is considered perfect as there is a natural reduction in the
risk of the formation of multiple
pregnancies. Thereby the other associated risks of such a situation are
also safely avoided.
Cervical Area - The Intra-cervical Insemination as a procedure is quite
painless and is a simple one. The patient or the woman is asked to lie on her
back on the examination table at the clinical laboratory. The procedure is
carried out by the physician or the nurse and as said earlier the male partner
is often allowed to be present during the process. At first the nurse inserts a
speculum inside the vagina in order to visualise the cervix and the cervical
Insemination of Sperm
- Then the sperm that is a frozen state is thawed. It is placed under sterile
conditions inside the cervix or the neck of the womb of the woman. This entire
action is carried out with the help of a fine plastic catheter that has a
syringe attached to it as well. At times the physician might prefer to use a
sponge or a cap inside the vaginal wall prior to the removal of the speculum.
This procedure is done to ensure the positioning of the
sperm near the cervix. The patient is advised a short rest before leaving the
clinic and the couple can even carry out intercourse soon after the procedure.
After a gap of six to eight hours the woman is instructed to remove the cap at
ICI is carried out at the ovulation
time. The timing is determined through blood and/or urine and hormone tests
to monitor the LH surge. Ultrasound scans also help. The insemination can be
carried out once or twice every month. If pregnancy does not result after 6
cycles, other treatment options might be considered. Pregnancy test is
performed a couple of weeks following insemination.