ICSI Treatment Procedure Explained by Dr. Sneha Shetty

    ICSI Treatment Procedure Explained by Dr. Sneha Shetty

    Intracytoplasmic sperm injection (ICSI) is a breakthrough IVF technique designed to overcome male infertility. This guide explains the step-by-step ICSI process, success factors, and what to expect during treatment.

    When is ICSI Recommended?

    ICSI is typically advised for:
    • Low sperm count or poor sperm motility
    • Abnormal sperm morphology
    • Previous IVF fertilization failures
    • Sperm retrieval via TESA/PESA
    • Use of frozen or donor sperm

    Preparing for ICSI: Optimizing Egg and Sperm Health

    • Maintain a nutrient-rich diet with antioxidants
    • Avoid alcohol, smoking, and excessive caffeine
    • Take prescribed supplements (folic acid, CoQ10, Vitamin D)
    • Manage stress through yoga or meditation
    • Ensure 7-8 hours of quality sleep nightly

    Step-by-Step ICSI Procedure

    1. Ovarian Stimulation: Hormone injections (8-14 days) to develop multiple follicles.
    2. Egg Retrieval: Ultrasound-guided needle aspiration under sedation (20-30 min procedure).
    3. Sperm Collection: Fresh sample or surgical extraction (TESA/PESA) if needed.
    4. Sperm Preparation: High-mobility sperm selected using density gradient centrifugation.
    5. Micromanipulation: Single sperm immobilized and injected into each mature egg using microscopic tools.
    6. Embryo Culture: Fertilized eggs monitored for 3-5 days in controlled lab conditions.
    7. Embryo Transfer: Best-quality embryo(s) transferred to uterus via thin catheter.
    8. Luteal Support: Progesterone supplements to support implantation.

    Post-Procedure Expectations

    Common Symptoms:
    • Mild cramping/spotting (1-2 days post-transfer)
    • Bloating from ovarian stimulation
    • Breast tenderness due to progesterone
    Do's: Light walking, hydration, prescribed medications
    Don'ts: Heavy lifting, hot baths, unprotected intercourse

    Success Factors

    Clinic Expertise: ART-registered labs with experienced embryologists
    Personalization: Tailored hormone protocols based on AMH/FSH levels
    Advanced Techniques: Time-lapse embryo monitoring, PGT-A testing
    Uterine Receptivity: Endometrial scratching or PRP if needed

    Conclusion

    ICSI has revolutionized treatment for male factor infertility, with success rates up to 50% per cycle in women under 35. Choosing a clinic with cutting-edge technology and personalized care maximizes your chances. Consult a fertility specialist to discuss if ICSI aligns with your unique needs.

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