INTRA CYTOPLASMIC SPERM INJECTION (ICSI)

CSI is the injection of a single sperm directly into the cytoplasm of the egg.

Indications for ICSI

The patient who have low sperm count, very poor motility or a high percentage
(greater than 95% of sperm with “abnormal” shape (morphology).

ICSI is the only Hope for the Patient

 Who could not ejaculate any sperm (cryptozoospermia)

 Who for various reasons have problems obtaining an erection and ejaculation
 Men with spinal cord injuries, diabetes and other medical problem
 Men with obstructive azoospermia, congenital absence of the vas-deferens
 Patient who have low sperm count, very poor motility or a high percentage
(greater than 95%) of sperm with “abnormal” shape (morphology)

Steps involved in ICSI

 Women is stimulated for follicle production and egg recovery as in IVF.

 Single sperm is selected from the semen or directly from the testis/epididymis
by TESA/PESA
 This single sperm is injected into cytoplasm of egg and are left for fertilization
in an incubator as in IVF
 Transfer of embryo to the uterus occurs in the same routine manner as that
for IVF. ICSI can be used for all types of sperm problems-even those with
extreme condition.


Chances of Success
The success rate of IVF-ICSI treatment in our centre & other best centres all over the
world is about 35-40 %