ICSI (intracytoplasmic sperm injection) Egypt

In the past many considered infertility to be a "female problem" but we now know that male factor infertility is present in up to 45% of infertile couples.
Intracytoplasmic sperm injection (ICSI) is an infertility treatment performed as part of the IVF procedure in which a single sperm is injected directly into an egg.
ICSI is a major breakthrough in the treatment of male infertility it can be effective when as few as one sperm can be obtained.

ICSI is most commonly recommended for:

1. Couples who have failed to achieve fertilization or had very poor fertilization following standard IVF treatment.
2. Men with abnormal sperm parameters (e.g. low count, poor motility, high percentage of abnormal forms and high levels of antisperm antibodies in the semen) to allow a reasonable chance of success with standard IVF.
3. Azoospermic (complete absence of sperm in the ejaculate) men who have their sperm surgically retrieved. This could be due to failed vasectomy reversals or congenital absence of both vas deferenses and non-obstructive azoospermia.
4. When frozen sperm is limited in number and quality.

The patient and husband's roles in the ICSI process are the same as with a basic IVF procedure.
Ovulation induction medications are taken by the female to produce numerous eggs during one cycle and the eggs are then retrieved.
The husband will provide a semen sample by masturbation from which the healthiest sperm will be extracted. If no sperm are available naturally, a sperm retrieval procedure such as testicular biopsy, testicular sperm extraction (TESA) or percutaneous sperm aspirations (PESA) around the time of egg retrieval is scheduled.
Once the eggs and sperm have been collected, the embryologist will inject one sperm into the center of each egg.
If fertilization occurs, the healthiest embryos will be transferred into the wife's uterine cavity.
Luteal phase support is recommended as with IVF treatment.
A blood test will be performed approximately two weeks later to determine if the patient is pregnant.