ICSI Treatment For Male fertility

ICSI is an assisted reproductive technology in which sperm is injected directly into the egg, therefore also known as intracytoplasmic sperm injection. It uses specialized micromanipulation tools and equipments.

All steps for stimulation of ovaries and egg retrieval procedure are the same as IVF. After the granulosa cells have been stripped away from the oocyte with enzymatic action, the oocyte is held in place by a holding pipette. A single selected sperm is first immobilized and then drawn into the pipette carrying sperm pierces the oocyte wall and sperm injected directly into the ooplasm. The morning after insemination, the eggs are examined to determine whether fertilization has occurred.

ICSI is a male infertility treatment whose indications are :

• Oligospermia – Less than 15 million sperms/ml
• Asthenospermia – If (a+b) is less than 40%
• Teratospermia – less than 4 % normal form
• When using surgically retrieved sperms
• Previous failed fertilization with IVF
• Low yield of eggs at egg retrieval

Prenatal outcome studies suggest that there is no evidence of increased risk of congenital malformation in babies born of IVF/ICSI.