What Is Intrauterine Insemination (IUI)?

ICSI – IVF Treatment Generally Infertility is a common problem. It is the inability of a couple to become pregnant after one year of regular intercourse without contraception. Approximately 20-30% of couples throughout the world is facing infertility issues with 56% of couples needing treatment .

Intra Cytoplasmic Sperm Injection (ICSI) is an extensive and specialised form of in vitro fertilization that is used most commonly in cases of extreme male infertility, after repeated failed fertilization attempts with conventional IVF or after egg freezing .

Who needs to have ICSI ?

The doctor recommends ICSI Treatment to a couple:

• Having low sperm count in Males.
• Poor sperms morphology or motility.
• In the case when the couple had already tried IVF Treatment, with very few or no eggs fertilised.
• Using frozen sperm in the treatment having low quality.
• When having an embryo testing for a genetic conditions, and the sperm sticks to the outside of the eggs or fails to reach site of fertilisation.

Procedure

STEP 1 : Expert Consultation

The fertility consultation at Genix Fertility includes an open discussion with the fertility specialist, followed by a thorough medical examination. An embryologist suggesting alternatives available to address issues related to sperm.

STEP 2 : Stimulation

The female partner is asked to visit on day two or three of her menstrual cycle, when hormonal investigations and other required findings are done along with an ultrasound. The ovaries are stimulated with medication & necessary drugs to stimulate the growth of follicles containing the eggs; this process can last for eight to 12 days. The ovaries (quantity and quality of follicles recruited) are monitored through ultrasounds and blood investigations at regular intervals.

STEP 3: Egg Collection

After eight to 12 days of taking the medicine, an injection (trigger) is triggered for the final maturation of the egg and loosening of the egg from the follicular wall. After 34-36 hours of trigger administration ,the patient must visit the clinic for the egg retrieval process Egg retrieval is performed with ultrasound guidance under mild sedation to make it painless.

STEP 4: Sperm Collection

On the day of egg collection, A fresh semen sample is Provided by Male Partner which is analysed and processed by an embryologist in the ART lab. In this procedure, sperm processing (post ejaculation) is different. If required, sperm can be extracted from a testicle or epididymis in a separate procedure.

STEP 5: Embryo Transfer

After evaluation in the laboratory, the finest embryos are choosen for transfer and depending upon their quality a preferable day is decided for embryo transfer.

STEP 6: After Transfer

Supportive medicines are prescribed after the embryo transfer that assist the embryo to implant in the uterus. After the fixed period of time pregnancy tests are conducted to confirm pregnancy.