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Intracytoplasmic Sperm Injection (ICSI) Tips

IVF Specialist in Mumbai

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri

If you have been trying to conceive for long time now, but there is no success. Your gynecologist may advice you for an IVF treatment.  Here are some famous IVF specialists in Mumbai. IVF treatments can increase your chances to have a baby. Infertility problems are very common in both men and women these days. It can be because of stress, lack of physical activity, poor eating habits, environmental pollution, PCOD or due to aging issue. 

In such cases IVF is a trusted and effective treatment of infertility. Below is the list of the 10 best IVF specialists in Mumbai:

1. Dr. Kaushal Kadam

MD - Obstetrics & Gynaecology, DGO, MBBS

Consultation fees: ₹1500

Dr. Kaushal Kadam, in 19 years of her experience has treated many cases of infertility. She has a high success rate in IVF treatments and is known for specialisation in ART and embryo transfers. She has also handled many high risk pregnancies in her career.  Currently she is working as a medical director at Corion Fertility Clinic, Mumbai and  is known for a warm and welcoming nature, which is very important in IVF treatments.

2. Dr. Jayanti Kamat

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility

Consultation fees:  ₹600 - 800 

Dr. Jayanti Kamat is a reputed name in her field. She has more than 25 years of experience and is currently affiliated with multiple clinics as a senior gynecologist. She specializes in sperm wash, embryo & sperm donor program, vitrification, IVF, embryo transfer etc. An active member of ISAR, FOGSI, MOGS, AFG and AMC, she has represented India at many international conferences. She can be visited at Srishti IVF Clinic, Shrishti Test Tube Baby Center and Dr. Kamat Hospital.

3. Dr. Sonali N Tawde

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility

Consultation fees:  ₹500

Dr Sonali N Tawde has more than 14 years practice and is a reputed gynaecologist and fertility specialist. She specializes in Reproductive Endocrinology (Infertility), IVF (In Vitro Fertilization) . She is currently practising at Bapat Urology Centre and Bavishi Fertility Institute. She has been awarded many times for paper and poster presentations at various CMEs. She is also an active member of  many associations like AMC, FOGSI, IMA and MOGS.

4. Indira Ivf Centre - Kandivali East,  Mumbai

Consultation fees: ₹500

Indira IVF clinic is amongst the old chain of fertility clinics with 40 years of experience and 33 centers across India. The Mumbai center has some of the reputed doctors like Dr. Amol Lunkad. The center is equipped with the latest and advanced methods to treat infertility. Some of the various treatments provided here are assisted reproductive technologies like IUI, IVF/ICSI, IMSI. The team here consists of best gynecologist, sonographers, embryologists, nurses and counselors that provide a holistic approach. 
 
5. Dr. Veena G. Shinde

MBBS, MD - Obstetrics & Gynaecology, DGO, PG in Assisted Reproductive Technology

Consultation fees: ₹1000

Dr. Veena G. Shinde a renowned gynecologist with 25 years of practice. She is a postgraduate in Assisted Reproductive Technology. Her areas of specialization are treating cases of infertility as well she has treated several cases of precancerous diseases like cancer of the cervix. Her treatment for basic gyanc related issues like urinary tract infection, amenorrhea, dysmenorrhea, hormonal problems and breast problems is quite effective.

6. Dr. Bhavini Shah

DNB - Obstetrics & Gynecology, MBBS, DGO

Consultation fees: ₹1000- 1500

Dr. Bhavini Shah is a Obstetrician and Gynecologist in Parel, Mumbai and has an experience of 11 years in her field. She is affiliated with multiple clinics like Dr. Bhavini Shah Balakrishnan clinic, Masina Hospital and Momma's Clinic, Mumbai. She is known for her treatment of gynae and obstetric problems. She has done many laparoscopic surgeries. She also specializes in sperm wash, embryo & sperm donor program and embryo transfer etc.

7. Dr. Geetanjali Gariema

MS - Obstetrics & Gynaecology, MBBS, FMAS, DMAS

Consultation fees: ₹1000

Dr. Geetanjali Gariema is an infertility specialist who is practicing from last 15 years. She is currently practicing at GlobalStar Fertility & Women Care Centre, Mumbai. She has done advanced training in Gynec Endoscopy and Reproductive Medicine from Germany. Her areas of keen interest are In-Vitro Fertilization (IVF) treatment. She also specialises in Infertility Evaluation & Management, and ART techniques like Intra-uterine Insemination (IUI), Intracytoplasmic Sperm Injection (ICSI), Egg Freezing, Sperm Donor Program, Donor Insemination Surrogacy

8. Dr. Suyash Bhandekar

MBBS, MS - Obstetrics & Gynaecology, MBBS

Consultation fees: ₹700

Dr. Suyash Bandekar is a consultant gynecologist, with 10 years of practice. He has also done DNB, DFP, FCPS, DGO. He is currently practicing at his own clinic-  EVACARE. He is known for his counselling skills and operative gynecology services like laparoscopy, urogynecology and pelvic floor repair surgeries. He is also known for the treatment of infertility case and family planning counselling.

9. Dr. Sulbha Arora

MBBS, MD, DNB (OBG), Fellowship in Basic & Advanced Assisted Reproductive Techniques (Israel)

Consultation fees: ₹1500

Dr Sulbha Arora is a Gynaecologist and Fertility Specialist with over 20 years of experience. She specializes in IVF and Assisted Reproductive Techniques. She is a life member of AMC, AFG, MOGS, FOGSI and ISAR. She is a very reputed name and has played a major role in establishing IVF centres in Mumbai. Her focus area are ultrasound, fertility medicine, third party reproduction and fertility preservation. She currently practices at Nova IVI Fertility.

10. Dr. Jagdip Shah

MD - Obstetrics & Gynaecology, DGO, MBBS, MCPS

Consultation fees:  ₹1000

With over 35 years of experience, Dr. Jagdip Shah is a trusted and renowned name in the field of Gynaecology in Mumbai. He is associated with many clinics, across parts of Mumbai like Pooja Maternity and Nursing Home in Ghatkopar West, Parakh Hospital in Ghatkopar East, and Ageless Medica Health Management Pvt. Ltd. In Powai. His areas of special interest are endoscopy, & infertility.

1 person found this helpful

Intracytoplasmic Sperm Injection (ICSI) - What To Expect From This Procedure?

IVF Specialist, Hyderabad
Intracytoplasmic Sperm Injection (ICSI) - What To Expect From This Procedure?

There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.

Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).

Indications:

  1. Poor sperm perms motility
  2. Semen where sperm concentration is low
  3. Male infertility with unidentifiable cause
  4. Poor sperm quality, with sluggish sperms
  5. Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
  6. Useful in couples who have failed IVF
  7. Low AMP reserve
  8. Low egg quality
  9. Tubal blockage

What to expect? 

The following outlines some of the steps for both male and female before and during the procedure.

Before the procedure - males:

  1. The first step is the sperm collection; a screening is first done
  2. Sperms collection happens through either masturbation or directly from the testicles via a small incision
  3. Sperms could be collected fresh or collected and frozen for later use

Before the procedure – women:

  1. In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.
  2. Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release

In Vitro Fertilization (IVF) Treatment 
The process of IVF (In Vitro Fertilization) is a laboratory procedure where the egg is fertilized with the sperm in a laboratory dish and is implanted into the woman’s uterus. Intra Cytoplasmic Sperm Injection (ICSI) Intra Cytoplasmic Sperm Injection (ICSI) is an assisted reproductive technique wherein a single sperm is injected into the cytoplasm of the oocyte with the help of special micro-manipulators.

3958 people found this helpful

Intracytoplasmic Sperm Injection (ICSI) - Know More About It!

Dr. Sandeep Talwar 90% (28 ratings)
MBBS, DNB - Obstetrics and Gynecology, Fellowship In Reproductive Medicine
IVF Specialist, Delhi
Intracytoplasmic Sperm Injection (ICSI) - Know More About It!

Intracytoplasmic Sperm Injection i.e. ICSI is different from conventional IVF i.e. In Vitro Fertilization because a single sperm is selected by the embryologist to be injected by a needle into the egg rather than a dish with many sperms placed near the egg so that the fastest swimming sperm enters it. Once the sperm is injected directly into the egg, it fertilizes, after which the embryo is transferred into the womb or uterus. 

Your doctor might recommend ICSI treatment for you if you have an extremely low sperm count resulting in infertility or other medical sperm conditions such as poor motility or poor morphology. It may also be suggested if prior attempts at IVF procedures have failed in fertilizing the egg or the fertilization rate is extremely low. You must also consider ICSI treatment if you resort to embryo testing or if the sperm needs to be collected from the epididymis or testicles surgically. 

However, you must keep in mind that if your partner has a genetic problem resulting in low sperm count, it could be passed on to your child, if you decide to use your husband's sperm for this process.

Success Rates of ICSI:

The success rate of ICSI treatment depends on your age and your fertility problem. Your eggs are healthier when you are young and as you age, chances are that they will become less healthy.

1. 35 per cent if you are under 35 years of age
2. 29 per cent if you are between 35 to 37 years of age
3. 21 per cent if you are between 38 to 39 years of age
4. 14 per cent if you are between 40 to 42 years of age
5. 6 per cent if you are between 43 to 44 years of age
6. 5 per cent if you are above 44 years of age

Advantages of ICSI Treatment:

Intracytoplasmic Sperm Injection gives you a chance to conceive a child genetically when most other options are exhausted. Males may be unable to ejaculate on the day the eggs are collected due to anxiety. ICSI proves to be advantageous because sperm may also be surgically extracted for this process. It is extremely helpful for those couples who suffer from unexplained infertility. However, one of the most important factors is that ICSI treatment does not affect your child's physical or mental health.

2460 people found this helpful

Intracytoplasmic Sperm Injection (ICSI) - What All Should You Know

Dr. Sanheeta Dasgupta 92% (35 ratings)
MBBS, DGO, Fellowship in Minimally Invasive Gynaecology and Endoscopy
Gynaecologist, Noida
Intracytoplasmic Sperm Injection (ICSI) - What All Should You Know

Intracytoplasmic Sperm Injection i.e. ICSI is different from conventional IVF i.e. In Vitro Fertilization because a single sperm is selected by the embryologist to be injected by a needle into the egg rather than a dish with many sperms placed near the egg so that the fastest swimming sperm enters it. Once the sperm is injected directly into the egg, it fertilizes, after which the embryo is transferred into the womb or uterus. 

Your doctor might recommend ICSI treatment for you if you have an extremely low sperm count resulting in infertility or other medical sperm conditions such as poor motility or poor morphology. It may also be suggested if prior attempts at IVF procedures have failed in fertilizing the egg or the fertilization rate is extremely low. You must also consider ICSI treatment if you resort to embryo testing or if the sperm needs to be collected from the epididymis or testicles surgically. 

However, you must keep in mind that if your partner has a genetic problem resulting in low sperm count, it could be passed on to your child, if you decide to use your husband's sperm for this process.

Success Rates of ICSI:
The success rate of ICSI treatment depends on your age and your fertility problem. Your eggs are healthier when you are young and as you age, chances are that they will become less healthy.
1. 35 percent if you are under 35 years of age
2. 29 percent if you are between 35 to 37 years of age
3. 21 percent if you are between 38 to 39 years of age
4. 14 percent if you are between 40 to 42 years of age
5. 6 percent if you are between 43 to 44 years of age
6. 5 percent if you are above 44 years of age

Advantages of ICSI Treatment:
Intracytoplasmic Sperm Injection gives you a chance to conceive a child genetically when most other options are exhausted. Males may be unable to ejaculate on the day the eggs are collected due to anxiety. ICSI proves to be advantageous because sperm may also be surgically extracted for this process. It is extremely helpful for those couples who suffer from unexplained infertility. However, one of the most important factors is that ICSI treatment does not affect your child's physical or mental health.

2819 people found this helpful

How ICSI Can Help You Get Pregnant?

Dr. Sameer Pahlajani 90% (11 ratings)
MBBS
IVF Specialist, Raipur
How ICSI Can Help You Get Pregnant?

There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.

Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).

Indications:

  1. Poor sperm perms motility
  2. Semen where sperm concentration is low
  3. Male infertility with unidentifiable cause
  4. Poor sperm quality, with sluggish sperms
  5. Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
  6. Useful in couples who have failed IVF.

What to expect? 

The following outlines some of the steps for both male and female before and during the procedure.

Before the procedure - males:

  1. First step is the sperm collection; a screening is first done
  2. Sperms collection happens through either masturbation or directly from the testicles via a small incision
  3. Sperms could be collected fresh or collected and frozen for later use

Before the procedure – women:

  1. In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.
  2. Blood and ultrasound are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release

During the procedure - How ICSI happens:

  1. A healthy egg is chosen and placed in a glass tube, and a sperm is introduced to ensure fertilization
  2. This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus
  3. Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected
  4. The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 %
4010 people found this helpful

What Is Intracytoplasmic Morphologically Selected Sperm Injection (IMSI)?

Dr. Richa Seth Singh 91% (107 ratings)
MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
What Is Intracytoplasmic Morphologically Selected Sperm Injection (IMSI)?

Of a million sperms released in one ejaculation, a single sperm manages to fertilize the egg, which grows into an embryo and then a baby. Due to various reasons, when this does not happen, it is termed as infertility and is currently on the rise.

With IVF, couples sometimes go through multiple sessions to ensure fertilization. ICSI or intracytoplasmic sperm injection improved this chance of fertilization. It is where a single sperm is used to fertilize an egg in an artificially controlled environment and then injected into the uterus where it grows further.

The next step in this technique is IMSI, where the chances of successful pregnancy are further enhanced and also promises improved quality of the embryo. IMSI, as it stands for, has “morphologically selected” which means under a highly powerful microscope, the best sperms are selected and then used to fertilize the egg. Morphology stands for shape, and the shape of the sperm is a direct indicator of the sperm quality. This not just ensures good success rate but also ensures the sperm which is used produces a high-quality embryo.

Features

  1. High success rate of fertility
  2. Reliable and efficient method of ART (assisted reproductive technology)
  3. More expensive than traditional IVF methods or ICSI
  4. Requires complex equipment, training, and set-up

Indications:

  1. Useful in couples who have failed IVF previously
  2. Male infertility with unidentifiable cause
  3. Poor sperm quality

What to expect?

Both partners are prepared both physically and mentally prior to IMSI.

Before the procedure - men:

  1. A screening is first done to decide if the sperms can be used directly
  2. In case of hereditary diseases, a donor is preferred
  3. The first technical step involves sperm collection, either directly or through a donor
  4. Sperms are collected either through masturbation or through a small incision in the testicles
  5. Sperms used could be fresh or frozen; fresh ones may be stored for later use also

Before the procedure – women:

  1. The woman is put on some ovulation therapy to ensure the release of multiple eggs, so a good one is picked. These high doses of hormones ensure multiple eggs are released.
  2. Egg release is monitored through blood and urine tests
  3. They are collected within after 36 hours of release

During the IMSI procedure:

  1. A healthy egg is chosen and placed in a glass container containing hyaluronidase
  2. Sperms are placed in a medium which will slow their movement, which enables picking a good sperm for fertilization
  3. The dual advantage of this is that in addition to a high success rate of fertilization, the quality of the embryo is also assured
3240 people found this helpful

Intracytoplasmic Sperm Injection (ICSI) - Know The Procedure!

Indira Ivf 86% (46 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
Intracytoplasmic Sperm Injection (ICSI) - Know The Procedure!

There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.

Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).

Indications:

  1. Poor sperm perms motility
  2. Semen where sperm concentration is low
  3. Male infertility with unidentifiable cause
  4. Poor sperm quality, with sluggish sperms
  5. Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
  6. Useful in couples who have failed IVF.

What to expect? 

The following outlines some of the steps for both male and female before and during the procedure.

Before the procedure - males:

  1. First step is the sperm collection; a screening is first done
  2. Sperms collection happens through either masturbation or directly from the testicles via a small incision
  3. Sperms could be collected fresh or collected and frozen for later use

Before the procedure – women:

  1. In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.
  2. Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release

During the procedure - How ICSI happens:

  1. A healthy egg is chosen and placed in a glass tube, and a sperm is introduced to ensure fertilization
  2. This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus
  3. Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected
  4. The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 %
3844 people found this helpful

Intracytoplasmic Morphologically Selected Sperm Injection (IMSI) - Things To Know About It!

Ivf Nashik 87% (20 ratings)
IVF Specialist, Nashik
Intracytoplasmic Morphologically Selected Sperm Injection (IMSI) - Things To Know About It!

Of a million sperms released in one ejaculation, a single sperm manages to fertilize the egg, which grows into an embryo and then a baby. Due to various reasons, when this does not happen, it is termed as infertility and is currently on the rise.

With IVF, couples sometimes go through multiple sessions to ensure fertilization. ICSI or intracytoplasmic sperm injection improved this chance of fertilization. It is where a single sperm is used to fertilize an egg in an artificially controlled environment and then injected into the uterus where it grows further.

The next step in this technique is IMSI, where the chances of successful pregnancy are further enhanced and also promises improved quality of the embryo. IMSI, as it stands for, has “morphologically selected” which means under a highly powerful microscope, the best sperms are selected and then used to fertilize the egg. Morphology stands for shape, and the shape of the sperm is a direct indicator of the sperm quality. This not just ensures good success rate but also ensures the sperm which is used produces a high-quality embryo.

Features

  1. High success rate of fertility
  2. Reliable and efficient method of ART (assisted reproductive technology)
  3. More expensive than traditional IVF methods or ICSI
  4. Requires complex equipment, training, and set-up

Indications:

  1. Useful in couples who have failed IVF previously
  2. Male infertility with unidentifiable cause
  3. Poor sperm quality

What to expect?

Both partners are prepared both physically and mentally prior to IMSI.

Before the procedure - men:

  1. A screening is first done to decide if the sperms can be used directly
  2. In case of hereditary diseases, a donor is preferred
  3. The first technical step involves sperm collection, either directly or through a donor
  4. Sperms are collected either through masturbation or through a small incision in the testicles
  5. Sperms used could be fresh or frozen; fresh ones may be stored for later use also

Before the procedure – women:

  1. The woman is put on some ovulation therapy to ensure the release of multiple eggs, so a good one is picked. These high doses of hormones ensure multiple eggs are released.
  2. Egg release is monitored through blood and urine tests
  3. They are collected within after 36 hours of release

During the IMSI procedure:

  1. A healthy egg is chosen and placed in a glass container containing hyaluronidase
  2. Sperms are placed in a medium which will slow their movement, which enables picking a good sperm for fertilization
  3. The dual advantage of this is that in addition to a high success rate of fertilization, the quality of the embryo is also assured
3240 people found this helpful

Intracytoplasmic Sperm Injection (ICSI) - Know More About This Procedure!

Dr. Ruchi Malhotra 90% (481 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
Intracytoplasmic Sperm Injection (ICSI) - Know More About This Procedure!

Intracytoplasmic Sperm Injection (ICSI) is an artificial procedure similar to IVF. This technique is mostly preferred in case of severe male infertility issues like ejaculatory failure, low sperm count and Azoospermia. ICSI is a refined version of IVF where a single sperm is strengthened and injected into female ova (egg) to initiate conception. The diagnostic and screening process is similar to IVF. ICSI is recommended when:

  • The shape of the sperm is abnormal
  • The previous IVF cycle fails to produce any fertilized egg. In this scenario, ICSI technique may be used for the next IVF cycle
  • The sperm is not strong enough to reach the female egg through natural means
  • A male who had vasectomy previously needs sperm to be extracted to fertilize the female egg

ICSI-IVF Procedure:

  • Ovarian fertility drugs are given to a woman by an embryologist to produce healthy eggs for fertilization and follicles are examined by ultrasounds and blood tests until eggs get matured.
  • Eggs are retrieved from the female ovary with the help of a tiny needle that is attached to the ultrasound probe.
  • Fresh sperms are collected on the same day of fertilization and placed in a culture with eggs.
  • Each egg is then injected with sperm and left for fertilization.
  • The embryo thus formed, if found good enough, is transferred to the uterus through the catheter with ultrasound.

Advantages

  • As mentioned earlier, ICSI could help in producing a genetic child even when the male has fertility issues.
  • There is a greater chance of fertilization and embryo formation in ICSI compared to IVF.
  • The success rates of ICSI and IVF are similar and ICSI can be away when the cause of infertility cannot be determined.

Risks involved

  • The side effects in ICSI are similar to those associated with IVF.
  • Multiple pregnancies, OHS (Ovarian Hyperstimulation Syndrome) due to stimulating drugs administered for IVF and embryo growth failure.
  • Since ICSI requires precision while injecting sperm, there is a rare possibility of damage to the egg if not done carefully.
  • The male offspring produced through ICSI may have infertility issues passed genetically.

Some couples have already used ICSI successfully and rate it highly as it is convenient and the possibility of congenital disabilities is minimal. The advantages of ICSI far outweigh the risks involved. In case you have a concern or query you can always consult an expert & get answers to your questions!

3189 people found this helpful

Intracytoplasmic Sperm Injection (ICSI) - Things You Need To Be Aware Of!

Garbhagudi Ivf Centre 92% (83 ratings)
Fellowship in Reproductive Medicine & ART
IVF Specialist, Bangalore
Intracytoplasmic Sperm Injection (ICSI) - Things You Need To Be Aware Of!

There are many reasons leading to infertility, but one of the main causes is the inability of the sperm to travel all the way up to the uterus to fertilize an egg. This is caused by defective sperms and could be due to poor sperm quality, poor motility, etc. There are multiple reasons for this, and even smoking, obesity, diabetes, hypertension, etc. could be reasons.

Many technical advancements in fertility treatments are being done, and they try to keep the natural process of fertilization intact, at the same time improving the chances of success. Intracytoplasmic sperm injection (ICSI, often used as a standalone term iksee) improves the rate of fertilization in that the sperm is directly injected into the egg. The environment of this artificial fertilization is completely controlled, and the fertilized egg is then placed into the womb for further growth. It is one of the recent methods of improving fertility, a part of ART (assisted reproductive technology).

Indications:

 

  1. Poor sperm perms motility
  2. Semen where sperm concentration is low
  3. Male infertility with unidentifiable cause
  4. Poor sperm quality, with sluggish sperms
  5. Ejaculation issues, such as retrograde ejaculation (semen is ejected into the bladder)
  6. Useful in couples who have failed IVF.

What to expect? 

The following outlines some of the steps for both male and female before and during the procedure.

Before the procedure - males:

  1. First step is the sperm collection; a screening is first done
  2. Sperms collection happens through either masturbation or directly from the testicles via a small incision
  3. Sperms could be collected fresh or collected and frozen for later use

Before the procedure – women:

  1. In the normal menstrual cycle, only a single egg is released. However, prior to ICSI, the woman is given ovulation drugs, which are high-dose hormone injections prior to ovulation. This ensures multiple eggs are released, which are then retrieved for fertilization in the external environment.
  2. Blood and urine are monitored regularly to identify the ovulation time, and eggs are collected within 24 to 36 hours of release

During the procedure - How ICSI happens:

  1. A healthy egg is chosen and placed in a glass tube, and a sperm is introduced to ensure fertilization
  2. This could be repeated in multiple tubes, and the most healthy one could be chosen to be implanted into the uterus
  3. Some of the fertilized ones could be frozen for later use, in case the implanted embryo fails to grow as expected
  4. The success rate for this procedure is quite high as the fertilization rate is almost 80 - 85 %

In case you have a concern or query you can always consult an expert & get answers to your questions!

3972 people found this helpful
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