Intracervical insemination (ICI)
The intracervical insemination procedure (ICI) may be recommended if the female partner does not ovulate regularly and needs to take fertility drugs. Monitoring of the cycle by ultrasound scans and hormone blood tests is important to check the development of the follicles and the lining of the womb (endometrium); the sperm should be of good count and quality. There should be no cervical mucus hostility. This is performed when the couple can not afford the preferred intrauterine insemination (IUI) treatment.
Timing of intracervical insemination
When the leading follicle measures 18 mm or more and the endometrium is well developed, an hCG injection is given and insemination is usually performed about 36-44 hours later.
The intracervical insemination procedure
Intra-cervical insemination is a relatively simple procedure and takes about five minutes to perform. The patient lies on the examination table, a doctor or a nurse inserts a speculum into the vagina, the semen sample is then placed into the cervix with a plastic catheter. Sometimes a sponge or cap is placed into the vagina before removing the speculum to keep the sperm near the cervix and can be taken out about 6 hours later.
Success rates of intracervical insemination
Success rates rates for the intracervical insemination treatment are in the region of 5-10% per treatment cycle.