Fertility
Fertility: Why no one talks about ICI
ICI is being brought back by Béa Fertility in an attempt to level the playing field
Equal and equitable access to fertility care remains a challenge for the over 48 million couples struggling to conceive. We meet Tess Cosad, co-founder and CEO of Béa Fertility, and deep dive into the world of ICI.
IVF treatment is booming all over the world and according to the European Society of Human Reproduction and Embryology (ESHRE), IVF has even started to play a role in demographic analyses.
Since the world’s first successful cycle, the global IVF market has grown and is currently valued at around US$15bn.
But while IVF and IUI remain the most popular forms of assisted conception, they are not the only ones out there.
Intracervical insemination, known as ICI, is a form of home insemination treatment that, unlike IVF where the egg is fertilised with sperm in a laboratory, uses a silicone cap to hold the sperm against the cervix for an extended amount of time.
“ICI used to be the de facto fertility treatment, but when IVF and IUI came along, it fell out of favour,” says Tess Cosad, co-founder of Béa Fertility.
ICI is now being brought back by Béa in an attempt to level the playing field when it comes to assisted conception and provide access to affordable fertility treatment.
“The human, exciting journey of creating a family often becomes the source of stress, shame, struggle and desperation,” says Cosad. “Our idea is to empower people with something that they can do in the comfort, safety, privacy, intimacy of their home because that family-building journey should start in your home not in the clinic.
“For us, the very nature of the product is such that we hope it is a less stressful experience. In addition to the kit we provide, we’re also building a digital product to support people’s mental health and give them access to coaches who can be there for them and answer their questions.”

According to the World Health Organisation (WHO), between 48 million couples and 186 million individuals struggle with infertility globally.
But while vital for some patients, IVF and similar treatments currently account for less than three per cent of infertility services, deepening global inequalities in fertility care.
“The delta between who is getting IVF and who really is struggling to create a family is so significant because most people can’t afford it,” explains Cosad.
“In the US there are 510 fertility clinics as of this year. That’s about 10 per state which means that some would have to travel for more than 24 hours to get to a fertility clinic.
“Because going through fertility treatment can be deeply stressful, our goal is to take out some of the stress by allowing people to use the kit in the privacy of their home as well as taking out the financial stress.”
Currently, IUI, although less expensive than IVF, is estimated to be between four to six times the cost of ICI.
Analysis suggests that procedures including egg freezing, IVF and surrogacy have become a top workplace perk as companies try to attract talent and remain competitive in a tight labor market.
However, Cosad is hopeful that, by expanding access to fertility care to everybody who needs support, Béa will make a difference in this space.
“The clinics know that they’re not helping enough people,” says the founder. “They’re looking for ways to reach out and support more families and we’re one of those ways.
“We won NIHR funding from the National Institute for Health Research and that is the beginning of us starting to do the trials needed to get into the NHS. But we are also looking at partnering with clinics to be able to support our users if the treatment doesn’t work for them.
“There are so many other countries in the world where there’s a lot of cultural shame and stigma around fertility care and I believe we can really support them.
“We’re launching in the UK next year,” Cosad continues. “Nine months after that, hopefully the first baby will come along and in five years, I hope we will be able to proudly look back at the number of people we’ve helped.”
Insight
IVFmicro raises £3.5m to boost IVF success
IVFmicro has raised £3.5m to advance its microfluidic device designed to improve IVF success rates in routine clinic use.
The Leeds-based spinout from the University of Leeds, founded in 2024, aims to increase the quality and number of embryos in an IVF cycle.
IVF, or in vitro fertilisation, combines eggs and sperm in a lab before transferring embryos to the womb. A microfluidic device is a chip with tiny channels that move very small volumes of fluid.
The company says its device could raise the number of viable embryos available for transfer and the likelihood that an embryo will implant.
Currently, IVF leads to a successful pregnancy in about 30 per cent of cases for women under 35. A single cycle typically costs around £5,000 in the UK.
“My career has focused on understanding the reproductive biology of eggs and embryos, how they develop and, crucially, why things sometimes go wrong,” said IVFmicro co-founder and scientific director Helen Picton.
“At IVFmicro, we are harnessing years of research into reproductive biology to create a practical, accessible solution that can improve outcomes for patients undergoing fertility treatment. Our goal is to make IVF more effective, more predictable, and ultimately more hopeful for those striving to start a family.”
The investment was led by Northern Gritstone, with support from Innovate UK’s Investment Partnership Programme.
“IVFMicro is a brilliant example of the world-class innovation emerging from the Northern Arc’s universities, combining scientific excellence with a clear commercial vision to tackle the societal challenge of infertility,” said Northern Gritstone chief executive Duncan Johnson.
“Millions worldwide require fertility treatment, but new solutions are needed to overcome the high costs involved and low success rates. We are especially proud that IVFMicro’s journey has been supported through our NG Studios programme and our Innovation Services, which exist to help founders like Virginia and Helen turn pioneering research into real-world impact.”
Features
University of Leeds IVF spinout raises £3.5m
University of Leeds IVF spinout IVFmicro has raised £3.5m in pre-seed funding.
The investment is led by Northern Gritstone, with support from Innovate UK Investor Partnerships Programme, and will be used by IVFmicro for its next verification and validation phase, leading to trials on human embryos in fertility clinics.
Helen Picton is scientific director and co-founder of IVFmicro.
She said: “My career has focused on understanding the reproductive biology of eggs and embryos, how they develop and, crucially, why things sometimes go wrong.
“At IVFmicro, we are harnessing years of research into reproductive biology to create a practical, accessible solution that can improve outcomes for patients undergoing fertility treatment.
“Our goal is to make IVF more effective, more predictable, and ultimately more hopeful for those striving to start a family.”
Globally, 1 in 6 couples will face fertility issues, yet IVF success rates are suboptimal, with only 25-30 per cent succeeding in women under 35 years of age.
This is due in part to limitations of the embryo culture process, which typically involves repetitive handling, subjective selection of the best embryo, and the expense of highly skilled operators.
IVF is an expensive process, costing on average £5,000 for a patient in the UK for one cycle, accompanied by long NHS waiting lists that have selective criteria.
IVFmicro provides the first microfluidic device (a device for safely managing embryo culture and handling with very small amounts of nutrient-rich fluid) that can be used in any IVF treatment cycle.
This precision-engineered solution improves both the number of viable embryos available for transfer and the likelihood that an embryo will implant and result in a pregnancy.
IVFmicro provides a 10-15 per cent improvement in embryo quality and quantity, a significant leap that increases the potential to fall pregnant.
IVFmicro was founded in 2018 by Virginia Pensabene, Ph.D, and Helen Picton, Bsc, Ph.D., both professors at the University of Leeds.
Pensabene has published scientific advancements in microfluidics and brings her technical and scientific expertise to the product design.
Picton is a non-clinical expert in female reproductive biology and embryology, and has generated over £8m in research grant income.
IVFmicro recently took part in the NG Studios life sciences programme, which supports pre-seed life science businesses, and is delivered by accelerator KQ Labs, the Francis Crick Institute, and Northern Gritstone.
Virginia Pensabene, CEO and co-founder, IVFmicro, said: “As a biomedical engineer, I began exploring the potential of this technology in 2017, when Helen and I first met at the University of Leeds.
“From the start, our goal was to translate our research into a real solution for patients.
“Thanks to the combination of grant funding and Northern Gritstone’s support — both through investment and its innovation programmes — we have been able to grow our team in Leeds and take a major step toward bringing this precision-engineered IVF solution to market.”
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