ICSI treatment
ICSI Treatment: Here's what you need to know
Intracytoplasmic sperm injection (ICSI) is a specialized form of in vitro fertilization (IVF) that has been a beacon of hope for many couples struggling with infertility.
Understanding the ICSI procedure is crucial for anyone considering this path to parenthood.
Read on as we give you intel on what is ICSI, the ICSI procedure step by step, and provide insights into how it might be the key to overcoming infertility challenges.
What is ICSI?
Intracytoplasmic sperm injection, or ICSI, is a revolutionary technique used in conjunction with IVF treatments. This procedure was developed to help couples with severe male infertility, but it has since become beneficial for a broader range of fertility issues.
ICSI procedure involves the direct injection of a single sperm into an egg to facilitate fertilization. Unlike traditional IVF, where eggs and sperm are mixed in a dish and fertilization happens naturally, ICSI bypasses many of the natural barriers to fertilization, increasing the chances of a successful pregnancy.
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Why is ICSI procedure recommended?
ICSI is typically recommended in cases where:
- There is a low sperm count or poor sperm motility or increased abnormal forms.
- Previous IVF attempts have resulted in poor fertilization or failed fertilization.
- Sperm must be retrieved surgically due to blockages or other issues.
- Those with unexplained infertility.
ICSI Procedure Step by Step
The first step in the ICSI procedure mirrors that of traditional IVF. The female partner undergoes ovarian stimulation through medication to encourage the ovaries to produce multiple eggs. The patient’s progress is closely monitored through ultrasound and blood tests during this phase.
Once the eggs are mature, they are retrieved in a minor surgical procedure known as follicular aspiration. This process is usually done under sedation or anaesthesia to ensure comfort.
Simultaneously, sperm is collected from the male partner. In cases of severe male infertility, sperm may need to be extracted directly from the testicles or epididymis through a surgical procedure known as TESE or MESA.
The core of the ICSI technique involves selecting a single healthy sperm and injecting it directly into each egg. This is done in the lab using a fine glass needle, requiring exceptional precision and skill in the ART lab.
After injection, the fertilized eggs are observed in the lab for several days to ensure they develop into healthy embryos.
The best embryos are selected for transfer into the woman’s uterus, typically a 3-5 days after fertilization. The number of embryos transferred depends on various factors, including the age of the woman and the quality of the embryos.
About two weeks after the embryo transfer, a pregnancy test is conducted to determine if the procedure has been successful.
Success rates of ICSI procedure
The success rates of ICSI are comparable to those of traditional IVF, but they can vary significantly based on individual factors such as age, fertility issues, and the quality of the sperm and eggs. It is essential to discuss these factors thoroughly with Dr Salem, who can guide you through the process and help set realistic expectations.
Risks and Side Effects
While ICSI has opened up new possibilities for couples facing infertility, it comes with its own set of clinical risks and side effects, such as those associated with ovarian hyperstimulation syndrome, multiple pregnancies, and the procedures for egg and sperm retrieval and Some ICSI-related technical issues could arise such as:
- Damage caused by the needle penetrating some of the eggs and Following the sperm injection, an egg does not fertilize, which is rather rare.
- In a lab or upon embryo transfer, an embryo ceases to develop.
Choose Dr Salem El Shawarby: Consultant in Reproductive medicine and IVF
Dr Salem El Shawarby, a renowned reproductive medicine consultant in IVF and infertility treatments, including ICSI. With a deep commitment to helping couples achieve their dream of parenthood, Dr Salem employs the latest techniques and a personalized compassionate approach to fertility care.
If you are considering ICSI or have questions about your fertility options, consult with Dr Salem El Shawarby, and Take the first step towards your journey into parenthood with a leader in reproductive medicine.
