Why would I need ICSI?
ICSI helps to overcome fertility problems, such as:
- Male Infertility
- Female Ovulatory Function
- Female Fallopian Tubes / Passage
- Female Pelvis / Internal Environment
Male Infertility:
Semen Analysis reports presents indication of any potential issues such as:
- Poor sperm count. Meaning there are too few sperms present to do artificial insemination (intrauterine insemination [IUI]) or conventional IVF.
- The movement of sperm and natural ability to fertilize an egg.
- The shape of sperm i.e. its morphology.
- Blocked male reproductive tract restricting sperm from getting out.
Normal Semen Analysis Report Parameters
Semen Analysis report may not be normal due to following two reasons:
1. Mild Oligospermia Treatment:
If motile count is more than 5 million but less than 15 million, in such instance Medical Treatment for 3 to 6 months may be given. Out of 100 – 15% cases are cured via medication while 85% requires ICSI
2. Severe Oligospermia Treatment:
If motile count is less than 5 million, then ICSI treatment may be planned.
Ovulatory Function:
1. Generally when the patient has a healthy ovulatory function the following factors will be normal:
- Regular Menstrual Cycle (cycle days – 21 to 35)
- Hormones Level are normal
2. Ovulation Impairment
Female Fallopian Tubes / Passage: HSG is GOLD STANDARD TEST
1. In case of Normal HSG – if couple is married for less than 3 Years then the couple of generally advised to wait. In 92% cases Couple Conceive naturally but in 8% cases couple is recommended with ICSI.
2. In case of Normal HSG – if couple is married for More than 3 Years and are living together then advise them to WAIT for 6 months. In 60% cases Couple Conceive naturally but if NO Success in next 6 months then plan ICSI.
Female Pelvis / Internal Environment: LAPAROSCOPY is GOLD STANDARD TEST
1. In case of Normal Laparoscopy – it will be thought as Unexplained Infertility and ICSI is advised.
2. In case of Pelvic Pathology – our consultants first go for Pelvic Pathology treatment and then plan ICSI.
