ICSI - Is It For Us?

Before taking this important decision, you must ask yourself a few questions as a couple:
If yes, then ICSI might just be the solution you're looking for.

How Does the ICSI Procedure Work ?

ICSI works almost exactly like the IVF procedure, except the fertilization process. In IVF the fertilization process happens in a disc but in ICSI the sperm is injected in the egg individually using a machine called micromanipulator.

Intra Cytoplasmic Sperm Injection

Until the 90's males with very low counts (less than 5 million per ml) or poor quality sperms had no hope of fathering children. This problem was surmounted by the new breakthrough of ICSI, which took place in Brussels, Belgium in 1992.

Since then, many such patients have fathered a child. Our Team started our own ICSI programme in 1995-96 and have performed till date more than 1000 cycles with success rate of 30 to 40%, which is comparable to the best units in the world.

In ICSI all the steps are similar to the procedure of IVF, except the step of fertilization. Normally in IVF one egg is mixed with 100,000 sperms and one of the sperms fertilizes the egg on its own. In contrast, in ICSI each egg is held and injected with a single live sperm. This micro-fertilization is done with the help of a machine called the Micromanipulator.

Our clinic deals in Infertility treatment which includes ICSI treatment

What Are The Steps Leading Up To ICSI?

For women :
For men,the steps are:

What Are The Success Rates In ICSI?

After doing more than 800 of these ICSI Procedures here at IVF clinics run all over India by Dr. Nandita Palshetkar the success rates have been determined as 40% which is an injection of much needed hope indeed!

Thus the procedure consists of:
Indications :

In our unit we also believe in doing ICSI on patients who have had previous history of tuberculosis or endometriosis as we believe it gives better fertilization rates than standard IVF (this is a personal experience not supported by international literature).

Nowadays, some units are advocating routine ICSI for all patients, including those with normal sperm counts. We do not believe in such practice as we feel that pregnancy should be achieved with minimum handling of the gametes outside the body. If the sperm count is good enough for fertilization with IVF, we will not do ICSI. However, if a particular patient has a sperm count which is in the grey-zone area, then we may subject half the eggs to IVF and half the eggs to ICSI.

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