FAQs on ICSI in Los Angeles
Intracytoplasmic sperm injection (ICSI) is a micromanipulation technique. This is used along with traditional in vitro fertilization, where the woman’s eggs are combined with her partner’s sperm in a laboratory setting, and then the resulting embryo is implanted back into the uterus.
Who is a candidate for ICSI?
Intracytoplasmic sperm injection is typically used for couples who have attempted conception with no results due to a male infertility problem. Candidates for this procedure include:
• Any male with a low sperm count.
• Men who have poor sperm motility (movement).
• Any male with abnormally shaped sperm.
• Couples who have tried and failed at conception using traditional IVF.
• Men who had an unsuccessful vasectomy reversal.
What is involved during the intracytoplasmic sperm injection procedure?
During ICSI, the head of a single sperm is injected into an egg, which eliminates the requirement for sperm penetration during fertilization. The steps include:
1. Ovulation stimulation and egg retrieval – The woman is often on fertility drugs to stimulate ovulation and control egg ripening. When ultrasound confirms eggs are mature, they are retrieved using a hollow needle.
2. Obtaining sperm – The sperm is obtained by normal ejaculation for men with motility or sperm count issues. For men with other problems, surgical procedures are used to collect sperm, such as percutaneous epididymal aspiration (PESA), microepididymal sperm aspiration (MESA), and testicular sperm extraction (TESE).
3. Fertilization – After the eggs and sperm are retrieved, a single sperm is taken and inserted through the shell of the egg (zona pellicuda) and into the cytoplasm (center). Fertilization is confirmed after one day.
4. Embryo transfer – The resulting embryo(s) are then placed into the uterus through embryo transfer. To increase the probability of pregnancy, more than one embryo is usually inserted.