ICSI
Intra-cytoplasmic Sperm Injection (ICSI)
The microsurgical fertilisation technique of ICSI is currently the most advanced technique available for the treatment of male infertility. It is used in conjunction with IVF and involves an extremely precise microscopic surgical procedure on an egg to assist fertilisation.
When should ICSI be used?
ICSI can be used in cases where the man produced only a very small number of sperm which are incapable of penetrating the barriers surrounding the egg unassisted. This is usually because the sperm have extremely poor movement or no movement at all. ICSI is also mandatory when sperm is directly retrieved from the testes.

What does the treatment involve?
Eggs and sperm are collected in the same way as in a normal IVF treatment. However, unlike conventional IVF a single sperm is picked up from a prepared sperm sample in a very fine glass needle and injected through the zona pellucida and the egg membrane directly into the centre of the egg. In this way, the sperm is not required to penetrate any of the surrounding barriers. The injected eggs are then incubated for sixteen hours and checked to see if fertilization has occurred. If fertilization does occur, up to two embryos are replaced two days after the egg collection as in a normal IVF treatment or after 4-5 days if blastocyst culture and transfer is recommended..


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