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INTRACYTOPLASMIC SPERM INJECTION (ICSI)

Intracytoplasmic Sperm Injection or ICSI is a procedure for males with infertility. Your doctor may perform ICSI treatment as a part of in vitro fertilization (IVF). IN ICSI, the fertility doctor directly injects sperm into the egg.

What are the indications of ICSI?

Your fertility doctor may prescribe ICSI in the following cases:

  • Low sperm count
  • Abnormal sperm morphology
  • Abnormal sperm morphology
  • Poor sperm motility
  • The history of little or no egg fertilization during previous IVF cycles
  • When doctors need to collect sperm surgically from your testicles or epididymis. The epididymis is a narrow tube where maturation and storage of sperms occur. The indication of surgical collection of sperms are:
    • History of vasectomy
    • Presence of a blockage preventing sperm ejaculation
    • Low sperm count
  • If the doctors are using frozen sperm, not of the highest quality
When could ICSI treatment not help in treating fertility problems?

If a female partner has a history of poor-quality eggs causing problems in fertilization, then ICSI may not help.

How successful is ICSI?

If talking about ICSI alone, ICSI itself is a very successful procedure. But, since the doctors do it as a part of IVF, we cannot rule out the factors in IVF determining a successful pregnancy. So, the chance of success in ICSI is very similar to IVF and depends on factors such as the woman’s age.

How do doctors do ICSI?

ICSI will be the same as routine IVF except for one difference. In ICSI, instead of mixing the eggs with the sperm for fertilization, your embryologist will inject sperm directly into the egg. By doing this, the embryologist overcomes the inability of the sperm to get into the egg.

What are the common risks associated with ICSI?
  • • While injecting sperm eggs can damage
  • • According to some studies, ICSI treatment may cause some long-term health issues for the child. But these findings are still debatable.
  • • The boy born with ICSI may inherit some of the infertility factors from his father.
What choice will I have in case ICSI did not work?

Your doctor may advise you to wait for two to three months before trying again. This break will give you time to recover from the stress during ICSI. If you feel there are reasonable chances of success, you can again try for ICSI. Alternatively, you can discuss other options with your doctor.

Services

ICSI (Intra Cytoplasmic Sperm Injection) is a process of IVF that helps to introduce sperm cells into the egg. Like the IVF process, ICSI also has many cycles, and each has a different price. The duration of your treatment also affects the cost of ICSI. So, it is better to consult a doctor about the cost before treatment.

IVF (In-Vitro Fertilisation) and ICSI (Intra-Cytoplasmic Sperm Injection) work similarly. There are no significant differences between them. Both methods help to introduce a sperm cell into the egg or embryo. The success rate for a live birth of ICSI & IVF is similar. According to the study, IVF has a higher success rate than ICSI.

Various methods are available for infertility treatment, like ICSI, IVF, and IUI. With these methods, a woman can conceive a baby. According to the study, babies born with ICSI and IVF experience fewer health problems. In other words, babies born through ATR methods are normal without any health problems like a natural process.

After ICSI treatment, a woman can have twins, but it is dangerous for both mother and baby. The doctor can transfer two healthy embryos to the uterus through ICSI treatment. But having twins can be complicated for a mother and baby. It is better to take advice from your doctor.

According to the research, the IVF with the ICSI has a higher success rate than the IVF only. With the help of ICSI, the success rate of fertilization of the eggs is around 50% to 80%. But it is essential to know that no process takes a 100% guarantee of success.

Usually, it takes around two months. You can get pregnant fast and take a shorter period if you are younger than 35 years. Under the age of 35, you can get pregnant through IVF in a month.

It is hard to say that particular age is the best for IVF. However, based on the success rate, you should get it in your 20s or 30s as it starts reducing gradually in 40s.

You may have to take an injection every day for 8-12 days. Sometimes, the injection period might base on your health conditions and other allied factors. Talk to an experienced doctor to know how many injections you might have to take.
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