ICSI Treatment in India
ICSI or Intra Cytoplasmic Sperm Injection Treatment
It is a technique of injecting the sperm cell into the cytoplasm of the egg and is known as ICSI Treatment. This treatment involves a specialized form of In Vitro Fertilization which is used for the treatment of some of the serious cases of male factor infertility. In ICSI treatment single sperm is injected directly into a mature egg. Moreover, this treatment is performed simultaneously with IVF where after suitable stimulation the retrieved eggs from a woman are merged with the partner’s sperm.
Cases when ICSI Treatment is Beneficial
This treatment does not include the step where the sperm has to travel to the egg and penetrate the outer layers of the egg. Your doctor itself may recommend ICSI in case there is any difficulty in achieving fertilization because of male infertility factors. Some of the factors include:
-Poor Sperm Motility
-Decreased Ability of Sperm to Penetrate into the Egg
-Previous Unsuccessful IVF Procedure
Steps Included in ICSI Treatment
With the help of standard IVF treatment, women are given fertility drugs to stimulate the ovaries to develop several mature eggs for fertilization. When the eggs are ready for the collection they will then be retrieved through a short outpatient procedure. The eggs collected are usually used immediately or frozen to use later. Meanwhile, the sperms are collected from the semen sample of the male partner and then the collected sperms are washed and a single best sperm is chosen. This particular sperm is then injected carefully into the cytoplasm of the egg with the help of very fine needles.
This whole procedure of fertilization is carried out with the best microscope. The egg which is fertilized is then placed in the incubator and this egg begins to show signs of fertilization after a day and hence the egg continues to form an embryo. After 3 days when the embryo is 3 days old with 8 cells then it is transferred to the uterus. At times this transfer is done on day 5 when and the whole process is called Blastocyst transfer. If you’re going ahead with elective single embryo transfer or eSET with Blastocyst transfer the chances for a successful, healthy baby is more. If everything goes well then the embryo will attach to the uterus wall and will continue to grow to become your baby. One can also take a pregnancy test after around two weeks.
Risks Associated with ICSI
The hardiest sperm manages to break through the membrane of an egg to fertilize it. Weaker sperms do not make it through the membrane. However, in ICSI treatment this whole step is skipped and the best sperm is used for fertilization through the injection method and hence there is an increased risk of rare genetic problems carried by the sperm which might pass on to the child. Apart from all this, some of the genetic problems can be tested before but not all while one goes for this treatment.