What does it involve?
To
start, you will have to take fertility medications to induce ovulation during
your cycle before the ICSI because this procedure requires multiple
eggs to ensure the
success of the treatment.
Similar
to standard IVF procedures, the mature eggs are collected from your ovaries and you may receive
general anaesthesia during the procedure. Meanwhile, your partner will be asked
to provide a semen sample. The sperms are then evaluated and the healthiest sperm are selected for the ICSI
procedure.
After
the eggs and sperms are collected, the ICSI process will take place in the
laboratory in which the “healthiest” sperm is injected directly into the centre of the egg by an
embryologist.
Eggs
are observed for the following day or so and those that are fertilised
and developed properly will then be transferred into your uterine cavity.
If the
procedure has been successful, your doctor will discuss with you and your
partner about the number of embryos to be transferred to your uterine cavity.
Your doctor will place a speculum inside your vagina, insert a small catheter
through your cervix into your uterine cavity, and transfer the embryos through
the catheter. The transfer causes minimal discomfort.
You
will be asked to do a pregnancy blood test at the clinic about 2 weeks after the embryo transfer. It is not recommended to
do a home
pregnancy test before that time because some of the fertility medications may lead
to false results
if the test is performed too early.
Advantages of ICSI
ICSI
is the most commonly used method to overcome male infertility problems. By
selecting one single “healthiest” sperm and directly injecting into the egg, it bypasses the problem of
penetration, which may not be easily done by less healthy sperm in a natural
environment, thus enhancing the chance of pregnancy. Other benefits include:
l Most effective procedure for
male infertility
l Overcoming sperm quality
problems
Disadvantages of ICSI
l Possibility of transmitting
infertility to offspring;
l Technically demanding;
and
l More
expensive than IVF.
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