By Dr. Kaushal Samir Kadam, IVF Speciality
The full form of ICSI is Intracytoplasmic Sperm Injection. It is a procedure that is performed to introduce sperm cells into the egg. The process has proven to be very effective in fertilising female eggs after they have been suctioned from the female. It is mainly used in cases of male infertility.
ICSI is utilized to treat serious infertility in men, as when practically zero sperms are discharged in the semen. Youthful sperm gathered from the testicles for the most part can’t move about and will probably prepare an egg through ICSI. It can be utilized regardless of the possibility that a couple’s barrenness is not caused due to an issue with sperm. A few couples attempt ICSI when a previous in vitro preparation has not worked. ICSI is likewise utilized for couples for testing certain genetic issues. ICSI utilizes one and only sperm for every egg. So there is no possibility that other sperms can contaminate the process
In vitro fertilisation with ICSI enables embryologists to select specific sperms in a specially designed ICSI needle using specialized tools and equipment for micromanipulation. The needle passes through the outer shell of the egg and its membrane in a very delicate manner, thus enabling the sperm to be injected into cytoplasm (inner part) of the egg. This procedure usually results in fertilization at the rate of around 75-85% being injected with sperm. However, the ICSI procedure is to be preceded with the woman being simulated with medications and an egg retrieval process to be conducted so that several eggs are obtained for ICSI and In vitro fertilization.
Pregnancy achievement rates for IVF methods with ICSI have appeared to be higher in certain studies when compared to IVF without ICSI. This stems from the fact that most of the couples requiring ICSI, the woman is generally youthful and fertile (better egg quality and quantity) as compared to the number of women undergoing IVF for different reasons.
1. Severe ovarian hyperstimulation syndrome can be caused due to superovulation with hormone treatment. The can be minimized by closely monitoring the hormone levels and ovaries during treatment.
2. The danger of conceiving a multiple pregnancy is specifically identified with the quantity of embryos exchanged to a lady’s uterus. Thus it is important that it should be processed with great care.