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Intracytoplasmic Sperm Injection (ICSI)

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Intracytoplasmic Sperm Injection (ICSI)

A single sperm is assisted in "entering" the egg using the intracytoplasmic sperm injection (ICSI) procedure. This approach has particular success in treating male infertility issues.

How does ICSI work?

Our highly trained scientists, known as Embryologists, seek for the optimal sperm, catch it, and inject this one sperm directly into the centre of the egg because it only takes one sperm to fertilize the egg.

Who should be treated with ICSI?

In this area of medicine, there is no "standard of care" for determining which instances require the ICSI technique and which do not.

Some clinics employ it in every case, while others only use it in cases of severe male factor infertility. Approximately half of all IVF clinics fall between these two extremes.

Our perspectives on ICSI have evolved over time, and we currently perform more ICSI procedures than we did 10 to 12 years ago. Our ideas will advance as we gain more knowledge regarding techniques for aiding couples in getting pregnant.

The most common reasons for performing ICSI

Severe infertility due to the male factor in which donor sperm insemination is not desired.

Couples experiencing infertility who have sperm counts below 15-20 million per milli litre.

Lower than 35% sperm motility.

A very poor morphology of sperm

A history of unsuccessful IVF or IVF with a low rate of fertilization (low percentage of mature eggs that were normally fertilized).

Couples with a limited egg yield at egg retrieval may utilize it occasionally. In this case, ICSI is being utilized in an attempt to increase the number of fertilized eggs compared to normal egg insemination (mixing eggs and sperm together).

The most common reasons for performing ICSI

  • Using a specialized holding pipette, the mature egg is kept in place.
  • A single sperm is immobilized and picked up using a very small, razor-sharp, hollow needle.
  • The egg's cytoplasm is then carefully accessed by carefully inserting this needle through the zona (egg shell).
  • The needle is removed after injecting the sperm into the cytoplasm.
  • The following morning, the eggs are examined for signs of typical fertilization.

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