The abbreviation for ICSI is intracytoplasmic sperm injection and it is an imperative ART procedure to assist in embryo implantation. The procedure is carried out especially for the infertile couple who have had experience any failure post-IVF cycle. The intracytoplasmic sperm injection elevates the chance of getting pregnant and it is sometimes used with an IVF cycle to treat the infertility when a man’s semen lacks sperm motility. The eggs and sperms are put into the glass plate to form embryos. In an intracytoplasmic sperm injection treatment, the infertility specialist will carefully examine the health of the sperm and egg and then inject in the cytoplasm to form an embryo. The key difference in procedure is the injecting of sperm into the cytoplasm of a mature egg.
The ICSI treatment is carried out when there’s a past failure report with an In Vitro Fertilization process. The failure of In Vitro Fertilization process can be due to the following reasons:
• The male has lower-sperm count and age has become a hindrance to function properly.
• Azoospermic is when a man is unable to produce semen due to age or other infertility causes.
• The lack of motility of sperm in a male.
• The structure of a sperm is deformed and hence, is unable to form an embryo.
• The ejaculation obstruction.
The infertile males who have hard time ejaculating the semen can use TESE to obtain sperm from their testicles. TESE is a testicular sperm extraction procedure and it is carried out by making small incision in the testis to examine the sperm presence. It is performed on the same day when female’s eggs are being retrieved or an alternate day. ICSI is also sometimes used to secure sperm from the male’s urine.
The ICSI is often carried out along with an In Vitro Fertilization process. The ICSI procedure would be performed in a laboratory where IVF is generally done and somewhat regarded as similar in nature. The procedure will involve the ovaries stimulation process through infertility drugs i.e. oral medications and injections, and it is also known as ovaries stimulation phase. The blood-testing sessions, ultra sounds would be done to monitor the growth of follicles and hence, a last dose would be injected with higher level of ovaries stimulation drugs. As your infertility specialist finds that the eggs are mature enough and ready to be delivered then he would carefully secure them through catheter.
Your spouse will be asked to provide a sperm on the same day. If the woman is seeking to inseminate a sperm donor then legalizing procedure will be carried out such as screening process of sperm bank or payment for preserving donor’s rights. The eggs will be place in a certain room temperature in a dish then a sperm will be injected in to the cytoplasm of an egg. The ICSI process increases the chance of success by injecting instead of mixing procedure. After the fertilization process begins and multiple embryos are formed the embryologist will select the qualitative embryos that are healthy and transfer them back into the uterus of a woman.
A catheter would be used to insert the embryos through cervix opening. The procedure is carried out after two to five days after retrieving eggs. The woman would be given general anesthesia during extraction of eggs; minor cramps can be felt post-procedure.