If there is a
question of the sperm's ability to fertilize the egg, due to either a low sperm
count or poor quality of the sperm, that poses no problem whatsoever. Intra-CytoplasmicSperm Injection (ICSI) would
be performed instead of regular In Vitro Fertilization (IVF). With ICSI, the
eggs are retrieved the same as if you were doing conventional IVF. However, the
eggs and the sperm are then fertilized in the laboratory, by direct injection
of a single sperm into each egg. Three days later the resulting embryos are
simply placed into your uterus with no surgery, just as with IVF. Extra embryos are frozen for later attempts
at pregnancy.
The availability of
this Intra-Cytoplasmic Sperm Injection, "ICSI" technique (which was
developed and perfected by the Brussels University and our institution in St.
Louis) means that men whose sperm previously were too weak or too few to
fertilize in vitro (IVF), now have no problem fertilizing their wife's eggs.
The fertilization rate per egg using ICSI is about 70% despite the sperm being
terrible, the fertilization rate per infertile couple is over 99% if the wife
has adequate eggs, and the pregnancy rate per treatment cycle is over 50%. This
is not significantly different from regular IVF with normal sperm. This
technique is very cost-effective, and will give you the same high chance for
getting pregnant as any couple with normal sperm.
Non-moving
"dead" appearing sperm and inject it into a woman's egg, getting a
normal embryo and a completely normal baby. So far, over 10,000 babies have
been born with this new technique from men who were otherwise considered
hopelessly sterile. The babies are physically, mentally, and genetically
completely normal, no matter how poor or miserable the sperm of the father.
We can take a man who
would otherwise have to resort to donor sperm, and if we can find just a few
weak sperm in his otherwise sterile appearing ejaculate, it is more than enough
to microsurgically inject these few sperm into his wife's eggs, fertilize them
normally, and get her pregnant.
If there is
absolutely no sperm in the ejaculate, we can perform
a testicle biopsy, remove the few non-moving sperm that we find through a highly refined
ultra micropipette, inject it into the wife's egg and still get her pregnant.
Even in testicles where allegedly there is no sperm production, we can usually
(but not always) find a few sperm, which is enough for successful ICSI.
About 70 percent of
eggs get fertilized. Fertilization is confirmed 18-24 hours after retrieval.
ICSI is a highly successful technique used to help couples who have previously
failed to achieve conception with standard IVF.
Why is ICSI Done?
- Very Low Sperm Count
- Abnormally Shaped Sperm
- Poor Sperm Movement
If a man does not
have any sperm in his ejaculate, but he is producing sperm, they may be
retrieved through testicular sperm extraction, or TESE. Sperm retrieved through
TESE require the use of ICSI. ICSI is also used in cases of retrograde
ejaculation, if the sperm are retrieved from the man’s urine
IVF India has complete range of services to handle any kind of infertility with the best of professionals to back the best in class technology at work.
- In Vitro Fertilization (IVF)
- Intra Uterine Insemination (IUI)
- Intra Cytoplasmic Sperm Injection (ICSI)
- Blastocyst Culture
- Sperm Aspiration) PESA (Percutaneous Epididymal Sperm Aspiration)
- Advanced Treatment Options like TESE (Testicular Sperm Extraction) MESA (Microsurgical Epididymal )
- Cryopreservation
- Laser Assisted Hatching
- Embryo Transfer
- Ovulation Induction
- Egg Donation/Egg Sharing
- Zona free Embryo Transfer
- Semen Bank
Please scan and email your medical reports to us at care@medworldindia.com and we
shall get you a Free Medical Opinion from India’s Best Doctors.
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